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End-user preferences for biomedical HIV prevention products and service delivery models

A mixed methods study with female university students in Zambia

Datos Bibliográficos

ID19439591
AutoresTwaambo E Hamoonga (0000-0001-7375-4610, University of Zambia, autor de correspondencia), K Hampanda (0000-0002-7577-5500, University of Colorado Anschutz Medical Campus), Madeleine Sehrt (0009-0009-7907-0899, University of Colorado Anschutz Medical Campus), Lillian Nayame (0009-0009-4742-2255, University of Zambia), Inyambo Mumbula (0000-0003-2667-5148, University of Zambia), Julia Thorne (0009-0001-2871-7009, University of Colorado Anschutz Medical Campus), Mulanda Joseph Mulawa (0000-0003-4224-0267, University of Zambia), Oliver Mweemba (0000-0002-6941-0193, University of Zambia)
Año2025
Volumen37
Número11
Páginas1857-1867
Fecha de publicación2025-11-02
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAIDS Care (JOURNAL)
Identificadores de la revistaISSN: 0954-0121 • E-ISSN: 1360-0451
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2025.2560096
PMID41002136
OpenAlexW4414562937
IdiomaEN
Referencias citadas22

Adolescent girls and young women in sub-Saharan Africa are disproportionately affected by HIV. We determined acceptability and desirability of pre-exposure prophylaxis products and delivery modalities among female university students in Zambia. In 2022, we conducted an online survey (n = 806) and focus group discussions (n = 34) with female students at a public university in Zambia, focused on PrEP products and service delivery preferences. Descriptive statistics and qualitative themes were integrated, compared, and synthesized. The most preferred PrEP products were once-a-month oral pills (35%); a one-time vaccine (33%); and 2-monthly or 3-monthly injection (20%). Few (<5%) preferred the implant, vaginal gel, or vaginal ring. Qualitative themes confirmed preferences for longer-acting PrEP options. However, some participants were hesitant to use an injection and expressed desire for an oral pill that could be taken after sex. Any product that required insertion into the vagina was generally unacceptable and least desired. Most (54%) participants wanted to access PrEP in a non-clinical setting due to anticipated stigma of being seen at an HIV clinic/service area. Expanding PrEP choices, specifically longer-acting and on-demand products, along with differentiated service delivery models beyond the traditional HIV clinic are desirable attributes to female university students in Zambia

Descriptive statistics · Focus group · Microbicides for sexually transmitted diseases · Pill · Pre-exposure prophylaxis · Qualitative property · Qualitative research · Service delivery framework · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions

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    Open Access•Michael D Fetters, Leslie A Curry et al.•Health Services Research•2013

  • Preference for novel biomedical HIV pre-exposure prophylaxis methods among adolescent girls and young women in Kampala, Uganda

    Open Access•Yunia Mayanja, Ivy Kayesu et al.•Frontiers in Public Health•2024

  • Awareness and acceptability of HIV pre-exposure prophylaxis (PrEP) among students at two historically Black universities (HBCU)

    Open Access•Nwora Lance Okeke, Tony McLaurin et al.•BMC Public Health•2021

  • Stigma in the health clinic and implications for PrEP access and use by adolescent girls and young women

    Open Access•Laura Nyblade, Jacqueline Ndirangu et al.•BMC Public Health•2022

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    Open Access•Xu-hao Yang, Xuhao Yang et al.•Archives of Sexual Behavior•2019

Velocidad de citaciónhistorical
Altamente citadoNo
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