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Exploring the Use of Oral Pre-exposure Prophylaxis (PrEP) Among Women from Durban, South Africa as Part of the HIV Prevention Package in a Clinical Trial

Bibliographic Data

ID15335484
AuthorsIvana Beesham (0000-0003-4889-8123, University of the Witwatersrand, corresponding author), Renee Heffron (0000-0001-6039-0352, University of Washington), Shannon Evans (University of the Witwatersrand), Jared M Baeten (0000-0001-8242-8438, University of Washington), Jenni Smit (University of the Witwatersrand), Mags Beksinska (0000-0002-4169-4112, University of the Witwatersrand), Leila E Mansoor (0000-0002-7607-348X, University of KwaZulu-Natal)
Year2020
Volume25
Issue4
Pages1112-1119
Publication date2020-10-26
Open AccessYes
TypeARTICLE
VenueAIDS and Behavior (JOURNAL)
Journal identifiersISSN: 1090-7165 • E-ISSN: 1573-3254
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-020-03072-0
PMID33106996
OpenAlexW3093951474
LanguageEN
Citations received15
References cited9

HIV endpoint-driven clinical trials in Africa enroll women who are at heightened risk of acquiring HIV. In 2017, the South African Medical Research Council recommended the provision of oral pre-exposure prophylaxis (PrEP) in HIV prevention trials, at which time the Evidence for Contraceptive Options and HIV Outcomes trial was ongoing and began to provide PrEP on-site at some trial sites. We interviewed 132 women who initiated PrEP on-site at the Durban, South Africa trial site to explore PrEP use, and conducted phone-based interviews 4-6 months post-trial exit to explore post-trial PrEP access. PrEP uptake was high (42.6%). Among women initiating PrEP on-site, 87.9% felt at risk of acquiring HIV. Most women (> 90%) heard of PrEP for the first time from study staff and three-quarters who initiated PrEP on-site continued at trial-exit. PrEP use declined post-trial exit with more than 50% of women discontinuing PrEP, and barriers relating to access emerged

Alternative medicine · Clinical trial · Family medicine · Health psychology · Human immunodeficiency virus (HIV · Men who have sex with men · Pre-exposure prophylaxis · Public health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Sex work and related issues · Internal Medicine

  • A Systematic Review of Barriers and Facilitators to the Uptake and Adherence of Injectable PrEP Among Adolescent Girls and Young Women in Sub-Saharan Africa

    Open Access•Noah Mancuso, Stacy Endres-Dighe et al.•AIDS and Behavior•2026

  • Pre-exposure prophylaxis persistence at two sites in an integrated primary health care programme in South Africa

    Open Access•Nosipho Shangase, Anele Jiyane et al.•Frontiers in Public Health•2025

  • Motivators for oral PrEP uptake and adherence in the eThekwini municipality, KwaZulu-Natal

    Jyotika Basdav, Poovendhree Reddy et al.•AIDS Care•2023

  • Daily Oral Pre-exposure Prophylaxis (PrEP) Continuation Among Women from Durban, South Africa, Who Initiated PrEP as Standard of Care for HIV Prevention in a Clinical Trial

    Open Access•Ivana Beesham, Dvora Joseph Davey et al.•AIDS and Behavior•2022

  • PrEP Awareness and Coverage

    Open Access•Nosipho Shangase, Tendesayi Kufa et al.•AIDS and Behavior•2025

  • Study-to-Clinic Transition and Daily Oral PrEP Access Experiences Among Agyw in Eastern Cape, South Africa

    Open Access•Lindsey de Vos, Emily A Krogstad et al.•AIDS and Behavior•2025

  • Prevention-of-mother-to-child-transmission (PMTCT) program outcomes in South Africa in the pre-Covid and Covid eras

    Open Access•Keshena Naidoo, Monjurul Hoque et al.•BMC Public Health•2023

  • Post-trial access to and use of pre-exposure prophylaxis in Durban, South Africa

    Open Access•Ivana Beesham, Cecilia Milford et al.•BMC Public Health•2023

  • Women’s Perceptions of HIV- and Sexuality-Related Stigma in Relation to PrEP

    Open Access•Scarlett Bergam, Anna Harrison et al.•AIDS and Behavior•2022

  • Preferences for Delivery of HIV Prevention Services Among Healthcare Users in South Africa

    Open Access•Catherine Martin, Catherine E Martin et al.•AIDS and Behavior•2024

  • Trajectories of Oral PrEP Adherence Among Young Kenyan Women

    Open Access•Nicholas Musinguzi, Maria Pyra et al.•AIDS and Behavior•2022

  • Integrating PrEP and Sexual Reproductive Health Services for Adolescent Girls and Young Women in South Africa

    Open Access•Roy Moodley, Danielle Giovenco et al.•AIDS and Behavior•2025

  • Yes, I’m reminded, but it doesn’t mean I’m taking them”

    Open Access•Vallery Ogello, Kenneth Ngure et al.•AIDS and Behavior•2022

  • Strategies to Close the PrEP Uptake Gap Among Transgender People and Men Who Have Sex with Men in Tshwane, South Africa

    Open Access•India Perez-Urbano, Athmanundh Dilraj et al.•AIDS and Behavior•2024

  • Barriers to Oral HIV Pre-exposure Prophylaxis (PrEP) Adherence Among Pregnant and Post-partum Women from Cape Town, South Africa

    Open Access•Ivana Beesham, Kathryn Dovel et al.•AIDS and Behavior•2022

  • HIV pre‐exposure prophylaxis for adolescent girls and young women in Africa

    Open Access•Connie Celum, Sinead Delany-Moretlwe et al.•Journal of the International AIDS…•2019

  • Preexposure Prophylaxis for HIV Infection among African Women

    Lut Van Damme, Amy Corneli et al.•New England Journal of Medicine•2012

  • Women’s Experiences with Oral and Vaginal Pre-Exposure Prophylaxis

    Open Access•Ariane Van Der Straten, Jonathan Stadler et al.•PLoS ONE•2014

  • Tenofovir-Based Preexposure Prophylaxis for HIV Infection among African Women

    Jeanne Marrazzo, Jeanne M Marrazzo et al.•New England Journal of Medicine•2015

  • The influence of HIV‐related stigma on PrEP disclosure and adherence among adolescent girls and young women in HPTN 082

    Open Access•Jennifer Velloza, Nomhle Khoza et al.•Journal of the International AIDS…•2020

Citations per year3.75
Citation span2022 - 2026 (5)
Highly citedNo

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