Antiretroviral therapy based HIV prevention targeting young women who sell sex
A mixed method approach to understand the implementation of PrEP in a rural area of KwaZulu-Natal, South Africa
Bibliographic Data
Pre-Exposure Prophylaxis (PrEP) is a potential game-changer for HIV. We used PrEP introduction for Young Women Who Sell Sex (YWSS) in a rural South Africa district to understand community norms and PrEP coverage in YWSS. Between 2017 and 2018, we measured awareness and uptake of PrEP in a representative cohort of 2184 Adolescent Girls and Young Women (AGYW) aged 13-22. We conducted group discussions with young people and community members (19); key informant interviews (9), in-depth interviews with 15-24 year-olds (58) and providers (33). Interviews were analysed using thematic analysis. PrEP awareness increased from 2% to 9%. Among 965 AGYW sexually-active by 2018, 13.4% (95%CI: 11.4%-15.7%) reported transactional sex and 10.6% (95%CI: 8.85-12.7%) sex for money. Of the 194 YWSS, 21 were aware of PrEP, but none had used it. Youth were enthusiastic about PrEP as tool for HIV prevention; whilst older community members were cautious about a technology they had limited experience with but could benefit select groups. Teachers and healthcare providers were concerned that PrEP would lower personal responsibility for sexual health. In conclusion, the narrow and limited introduction of PrEP to YWSS reduced the accessibility and reach. Introducing PrEP as part of sexual healthcare may improve demand and access for YWSS
Cohort · Environmental health · Family medicine · Focus group · Men who have sex with men · Population · Pre-exposure prophylaxis · Qualitative research · Sociology · Thematic analysis · Transactional sex · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues
Lives Interrupted
Thetha Nami ngithethe nawe (Let’s Talk)
Empowering women at risk
Long-acting HIV pre-exposure prophylaxis integrated with community-based sexual and reproductive health services in South Africa (Lapis)
Evaluating Motivational Interviewing and Peer Adherence Support as Strategies to Improve Oral PrEP Adherence among HIV-Negative Adults in KwaZulu-Natal, South Africa
Interventions to increase the uptake and continuation of pre-exposure prophylaxis (PrEP) by adolescent girls and young women at high risk of HIV in low-income and middle-income countries
Factors Associated with Usage of Oral-PrEP among Female Sex Workers in Nairobi, Kenya, Assessed by Self-Report and a Point-of-Care Urine Tenofovir Immunoassay
The sexual and reproductive health needs of school-going young people in the context of Covid-19 in rural KwaZulu-Natal, South Africa
Motivators for oral PrEP uptake and adherence in the eThekwini municipality, KwaZulu-Natal
Sexual Activity Without Condoms and Risk of HIV Transmission in Serodifferent Couples When the HIV-Positive Partner Is Using Suppressive Antiretroviral Therapy
Antiretroviral Prophylaxis for HIV Prevention in Heterosexual Men and Women
Transactional sex and risk for HIV infection in sub‐Saharan Africa
Preexposure Prophylaxis for HIV Infection among African Women
Access as a policy-relevant concept in low- and middle-income countries
Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD)
Tenofovir-Based Preexposure Prophylaxis for HIV Infection among African Women
PrEP Stigma
Evaluating the impact of the DREAMS partnership to reduce HIV incidence among adolescent girls and young women in four settings
Understanding Demand for PrEP and Early Experiences of PrEP Use Among Young Adults in Rural Kenya and Uganda
Experiences with HPTN 067/Adapt Study-Provided Open-Label PrEP Among Women in Cape Town
Revisiting the understanding of “transactional sex” in sub-Saharan Africa
Transactional sex among women in Soweto, South Africa
| Citations per year | 1.8 |
|---|---|
| Citation span | 2021 - 2026 (6) |
| Highly cited | No |