Youth-friendly services was the magic
Experiences of adolescent girls and young women in the community PrEP study, South Africa
Bibliographic Data
| ID | 15540482 |
|---|---|
| Authors | Emily A Krogstad (0000-0003-2736-8350, University of Connecticut), Lindsey de Vos (0000-0001-5804-7651, Foundation for Professional Development), Lauren Fynn (0000-0003-2057-6747, University of Cape Town), Millicent Atujuna (0000-0003-1287-2634, University of Cape Town), Ingrid T Katz (0000-0002-3014-238X, Brigham and Women's Hospital), Sybil Hosek (0000-0001-5230-0759, University of Illinois Chicago), Connie Celum (0000-0002-8813-3419, University of Washington), Jill Daniels (0000-0002-0985-5916, Arizona State University), Linda-Gail Bekker (0000-0002-0755-4386, University of Cape Town), Andrew Medina‐marino (0000-0002-2691-982X, Desmond Tutu HIV Foundation, corresponding author) |
| Year | 2024 |
| Volume | 19 |
| Issue | 1 |
| Pages | 2349918-2349918 |
| Publication date | 2024-05-16 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2024.2349918 |
| PMID | 38752416 |
| OpenAlex | W4396958780 |
| Language | EN |
| Citations received | 6 |
| References cited | 52 |
Adherence to daily oral pre-exposure prophylaxis (PrEP) for HIV prevention has been challenging for adolescent girls and young women (AGYW). As part of The Community PrEP Study (CPS), AGYW were randomised to HIV-prevention empowerment counselling (intervention) or basic medication pick-up (control). In this qualitative sub-study, we interviewed AGYW participants ( n = 39) to explore PrEP use and study experiences by study arm, and study staff ( n = 7) to explore study implementation, site environment, and participant engagement. Data were thematically analysed using a constant comparison approach. Comparative matrices assessed similarities and differences in study experiences and PrEP support preferences. Friendly, non-judgmental, non-stigmatizing study staff were described as central to participant's positive experiences. Participants highly valued CPS staff's holistic health support (e.g. physical and psycho-social). Intervention participants described empowerment counselling as helpful in supporting PrEP disclosure. However, control participants also described disclosing PrEP use to trusted individuals. Participants and staff recommended public-sector PrEP services provide holistic, confidential, and integrated sexual and reproductive health services, and community sensitisation. An adolescent and youth-friendly environment was the primary factor motivating AGYW's study engagement. While HIV-prevention empowerment counselling was well received, welcoming, respectful and non-judgmental staff may be the 'secret sauce' for implementing effective PrEP services to AGYW
Adolescent development · Developing country · Developmental psychology · Economic growth · MAGIC (telescope · Political science · Sociology · Adolescent Sexual and Reproductive Health · Gender Studies · HIV/AIDS Research and Interventions · Poverty, Education, and Child Welfare · Psychology
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Prevalence and Risk Factors of PrEP Use Stigma Among Adolescent Girls and Young Women in Johannesburg, South Africa and Mwanza, Tanzania Participating in the Empower Trial
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| Unique citing works | 6 |
|---|---|
| Citations per year | 6 |
| Citation span | 2025 - 2026 (2) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 6 |