Abstract
Successful scale-up of PrEP for HIV prevention in African adolescent girls and young women (AGYW) requires integration of PrEP into young women’s everyday lives. We conducted interviews and focus group discussions with 137 AGYW PrEP users aged 16–25 from South Africa and Kenya. Individual and relational enablers and disablers were explored at key moments during their PrEP-user journey from awareness, initiation and early use through persistence, including PrEP pauses, restarts, and discontinuation. PrEP uptake was facilitated when offered as part of an integrated sexual reproductive health service, but hampered by low awareness, stigma and misconceptions about PrEP in the community. Daily pill-taking was challenging for AGYW due to individual, relational and structural factors and PrEP interruptions (intended or unintended) were described as part of AGYW’s PrEP-user journey. Disclosure, social support, adolescent-friendly health counseling, and convenient access to PrEP were reported as key enablers for PrEP persistence.
Publisher
Public Library of Science (PLoS)
Reference52 articles.
1. UNAIDS. Women and HIV: A spotlight on adolescent girls and young women. 2019 [Available from: https://www.unaids.org/sites/default/files/media_asset/2019_women-and-hiv_en.pdf.
2. UNAIDS. Global AIDS Update 2020: Seizing the moment—Tackling entrenched inequalities to end epidemics. 2020.
3. South African national HIV prevalence;O Shisana;incidence and behaviour survey,2012
4. ’If I buy the Kellogg’s then he should [buy] the milk’: young women’s perspectives on relationship dynamics, gender power and HIV risk in Johannesburg, South Africa;A Pettifor;Cult Health Sex,2012
5. Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention;R Jewkes;Journal of the International AIDS society,2010
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