Barriers to Oral PrEP: A Qualitative Study of Female Sex Workers, PrEP Prescribers, Policymakers, and Community Advocates in Morocco.

Autor:	Moussa AB; Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco.; Community-Based Research Laboratory, Coalition PLUS, Pantin, France., Badahdah AM; School of Psychology, Sociology and Rural Studies, South Dakota State University, Brookings, SD, USA., Hidous K; Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco., Barakad R; Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco., Diallo F; ARCAD Santé PLUS/Centre Integré de Recherche, de Soins et d'Action Communautaire (CIRSAC) de Bamako, Bamako, Mali., Traoré M; ARCAD Santé PLUS/Centre Integré de Recherche, de Soins et d'Action Communautaire (CIRSAC) de Bamako, Bamako, Mali., Khodabocus N; Prévention Information et Lutte contre le Sida, Port Louis, Mauritius., Ebsen Treebhoobun A; Prévention Information et Lutte contre le Sida, Port Louis, Mauritius., Delabre R; Community-Based Research Laboratory, Coalition PLUS, Pantin, France., Rojas Castro D; Community-Based Research Laboratory, Coalition PLUS, Pantin, France.; Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France., Ouarsas L; Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco.; Community-Based Research Laboratory, Coalition PLUS, Pantin, France., Karkouri M; Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco.; Community-Based Research Laboratory, Coalition PLUS, Pantin, France.
Jazyk:	angličtina
Zdroj:	Journal of the International Association of Providers of AIDS Care [J Int Assoc Provid AIDS Care] 2024 Jan-Dec; Vol. 23, pp. 23259582241266691.
DOI:	10.1177/23259582241266691
Abstrakt:	In 2017, Morocco became the first Arab country to incorporate pre-exposure prophylaxis (PrEP) in its HIV-prevention program. Yet no research has been published on PrEP from Morocco. Although female sex workers are one of the target populations of PrEP in Morocco, their enrollment in PrEP is lower than men who have sex with men. In this study, we conducted 38 semi-structured interviews with female sex workers, physicians who prescribe PrEP, policymakers, and community advocates to identify problems associated with access to and use of PrEP. We also investigated preferences for daily oral, vaginal ring, and long-acting injectable PrEP. A reflexive thematic analysis revealed seven themes: PrEP stigma; stigmatization and criminalization of sex work; one size doesn't fit all; knowledge and misconceptions about PrEP; economic burden; inconvenience of PrEP pills; and preferred PrEP modalities. This paper discusses the implications of the findings for increasing access and use of PrEP in Morocco. Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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