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We Should Not Be Quiet but We Should Talk

Qualitative Accounts of Community-Based Communication of HIV Pre-Exposure Prophylaxis

Bibliographic Data

ID4612245
AuthorsHannah Goymann (0000-0003-1290-1220, Heidelberg University, corresponding author), Mxolisi Mavuso (Schools Health Services, Mbabane, Eswatini), Shannon A Mcmahon (0000-0002-8634-9283, Heidelberg University), Anita Hettema (0000-0002-9764-2178, Clinton Health Access Initiative, Mbabane, Eswatini), Allison B Hughey (0000-0001-6047-7183, Clinton Health Access Initiative, Mbabane, Eswatini), Sindy Matse (Ministry of Health, Mbabane, Eswatini), Phiwa Dlamini (Clinton Health Access Initiative, Mbabane, Eswatini), Kathleen Kahn (0000-0003-3339-3931, University of the Witwatersrand), Till Bärnighausen (0000-0002-4182-4212, Heidelberg University), Andreas Jahn (0000-0001-8181-9795, Heidelberg University), Albrecht Jahn (Heidelberg University), Kate Bärnighausen (0000-0002-4466-8921, Heidelberg University)
Year2023
Volume33
Issue10
Pages842-856
Publication date2023-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/10497323231181207
PMID37403738
OpenAlexW4383186698
LanguageEN
Citations received4
References cited51

Community leaders play an important role in the acceptance of public health services, but little is known about their willingness to facilitate HIV pre-exposure prophylaxis (PrEP) roll-out in Eswatini. We conducted in-depth interviews ( n = 25) with purposefully selected male and female community leaders in Eswatini. We analysed our data inductively using a thematic analysis approach. Community leaders feel they are important communicators of culturally appropriate PrEP messaging. Our participants described a complex social space within their communities influenced by religion, tradition, values, and HIV stigma. Community leaders use their position to provide leverage for unique, effective, and easily accessible messages and platforms to reach the community in a manner that ensures trust, relatability, familiarity, and shared faith. Community leaders feel that they are trusted and see trust manifesting in the conversations they are able to engage in, and have a reach that extends beyond formal health services. Existing PrEP programming should embed community leader participation in PrEP programming and engage the trust, knowledge, and potential of community leaders to support PrEP uptake and acceptance

Community engagement · Culturally appropriate · Family medicine · Political science · Public relations · Qualitative research · Sociology · Thematic analysis · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology

  • Empowering women at risk

    Open Access•Ndumiso Tshuma, Daniel N Elakpa et al.•BMC Public Health•2025

  • “If I wasn’t a pastor, I would be telling them about condoms, contraceptives and PrEP”—conflicts, dilemmas and credibility

    Open Access•Hannah Goymann, Astrid Berner-Rodoreda et al.•BMJ Global Health•2025

  • PrEP in the key population community

    Open Access•Jonathan Ross, Josephine Gasana et al.•PLOS Global Public Health•2025

  • Divergent effects of HIV and pre-exposure prophylaxis stigma on willingness to adopt preventive tools among African immigrants in the United States

    Open Access•Winfred Kofi Mensa, Winfred Kofi Mensah et al.•AIDS Care•2026

  • Identifying Opinion Leaders to Promote Behavior Change

    Open Access•T W Valente, Patchareeya Pumpuang•Health Education & Behavior•2007

  • Combating HIV stigma in health care settings

    Open Access•José Manuel Nieto Soria, Laura Nyblade et al.•Journal of the International AIDS…•2009

  • HIV Protective Efficacy and Correlates of Tenofovir Blood Concentrations in a Clinical Trial of PrEP for HIV Prevention

    Open Access•Deborah Donnell, Jared M Baeten et al.•JAIDS Journal of Acquired Immune…•2014

  • Understanding, Contextualizing, and Addressing PrEP Stigma to Enhance PrEP Implementation

    Open Access•Sarah K Calabrese•Current HIV/AIDS Reports•2020

  • Systematic debriefing after qualitative encounters

    Open Access•Shannon A Mcmahon, Peter J Winch•BMJ Global Health•2018

  • The Role of Culture in Health Communication

    Matthew W Kreuter, Stephanie M Mcclure et al.•Annual Review of Public Health•2004

  • The Role of Religious Leaders in HIV/Aids Prevention, Control, and Patient Care and Support

    Feiruz Surur, Mirgissa Kaba•Northeast African Studies•2000

  • Influence of faith-based organisations on HIV prevention strategies in Africa

    Open Access•Marylyn Ochillo, Marylyn A Ochillo et al.•African Health Sciences•2017

  • Cultural Repertoires and Situated Selections as an Alternative Framework to Hegemonic Masculinities

    Open Access•Astrid Berner-Rodoreda, Alain Vandormael et al.•American Journal of Men s Health•2023

  • Tailoring Communication to Increase the Promotion of Oral PrEP

    Eliza Govender•Communicatio•2021

  • The Process of Cultural Competence in the Delivery of Healthcare Services

    Open Access•Josepha Campinha-Bacote•Journal of Transcultural Nursing•2002

  • Throwing the bones to diagnose HIV

    Carolyn M Audet, Elise M Clemens et al.•AIDS Care•2021

  • Political will, traditional leaders and the fight against HIV/Aids

    Catherine Campbell•AIDS Care•2010

  • “We know this will be hard at the beginning, but better in the long term”

    Kate Bärnighausen, Sindy Matse et al.•AIDS Care•2020

  • Understanding women and men’s acceptability of current and new HIV prevention technologies in KwaZulu-Natal, South Africa

    Eliza Govender, Quarraisha Abdool Karim•AIDS Care•2018

  • Situating experiences of HIV-related stigma in Swaziland

    Open Access•Robin Root•Global Public Health•2009

  • We can act different from what we used to’

    Open Access•John Mark Wiginton, Elizabeth J King et al.•Global Public Health•2018

  • Rethinking development interventions through the lens of decoloniality in sub-Saharan Africa

    Open Access•Lara Gautier, Youssouf Karambé et al.•Global Public Health•2020

  • Faith leaders’ messaging is essential to enhance HIV prevention among black Americans

    Open Access•Yusuf Ransome, Laura M Bogart et al.•BMC Public Health•2018

  • Motivators of couple HIV counseling and testing (CHCT) uptake in a rural setting in Uganda

    Open Access•Victoria Nannozi, Eric Wobudeya et al.•BMC Public Health•2017

  • Examining diffusion to understand the how of Sasa!, a violence against women and HIV prevention intervention in Uganda

    Open Access•Elizabeth Starmann, Lori Heise et al.•BMC Public Health•2018

  • Understanding Demand for PrEP and Early Experiences of PrEP Use Among Young Adults in Rural Kenya and Uganda

    Open Access•Carol S Camlin, Catherine A Koss et al.•AIDS and Behavior•2020

  • Making voluntary medical male circumcision a viable HIV prevention strategy in high-prevalence countries by engaging the traditional sector

    Open Access•Nicola Bulled, Edward C Green•Critical Public Health•2015

  • Religious leaders’ role in pregnant and breastfeeding women’s decision making and willingness to use biomedical HIV prevention strategies

    Alinda M Young, Julia Ryan et al.•Culture Health & Sexuality•2022

  • The African traditional religious landscape

    Open Access•Joel Marashe•Verbum et Ecclesia•2014

  • Are We There Yet? Data Saturation in Qualitative Research

    Open Access•Patricia Fusch, Lawrence Ness•Qualitative Report•2015

  • The role of local leaders in cultural transformation and development

    Ellen Carm•Compare A Journal of Comparative…•2012

  • Using thematic analysis in psychology

    Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

  • Postcolonial Constructions of HIV/Aids

    Shaunak Sastry, M J Dutta•Health Communication•2011

  • A Global Disease and Its Governance

    H Seckinelgin•Global Governance A Review of…•2005

  • Sample Size in Qualitative Interview Studies

    Open Access•Kirsti Malterud, Volkert Dirk Siersma et al.•Qualitative Health Research•2016

Unique citing works4
Citations per year4
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4

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