Recommendations for Improving Oral Pre-exposure Prophylaxis Implementation and Social Marketing in Ugandan Fisherfolk Communities: A Qualitative Exploration.
| Autor: | Bogart, Laura M, Musoke, William, Mayatsa, Jimmy, Marsh, Terry, Naigino, Rose, Banegura, Anchilla, Mukama, Christopher Semei, Allupo, Stella, Odiit, Mary, Kadama, Herbert, Mukasa, Barbara, Wanyenze, Rhoda K |
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| Předmět: |
HIV prevention
RESEARCH SOCIAL marketing HEALTH services accessibility CROSS-sectional method RESEARCH methodology MEDICAL screening INTERVIEWING SOCIAL stigma FAMILY conflict PRE-exposure prophylaxis HUMAN services programs FISHING QUALITATIVE research DESCRIPTIVE statistics RESEARCH funding POPULATION health POVERTY TRANSPORTATION |
| Zdroj: | Community Health Equity Research & Policy; Jan2024, Vol. 44 Issue 2, p189-199, 11p |
| Abstrakt: | Background: HIV is hyperendemic among fisherfolk in Sub-Saharan Africa, especially around Lake Victoria, Uganda. Purpose/Research Design: We conducted cross-sectional semi-structured interviews about oral pre-exposure prophylaxis (PrEP) implementation with 35 Ugandan fisherfolk (15 women, 20 men) and 10 key stakeholders (healthcare providers, policymakers, community leaders). We used a directed content analysis approach based on implementation science and social marketing frameworks. Results: Participants showed high acceptability for PrEP. Anticipated barriers among fisherfolk included stigma (due to similar medications/packaging as HIV treatment); misconceptions; mobility, competing needs, poverty, and partner conflict. Anticipated provider barriers included insufficient staffing and travel support. Recommendations included: change PrEP packaging; integrate PrEP with other services; decrease PrEP refill frequency; give transportation resources to providers; train more healthcare workers to provide PrEP to fisherfolk; and use positively framed messages to promote PrEP. Conclusions: Results can inform policymakers and healthcare organizations on how to overcome barriers to PrEP scale-up in most at-risk populations with poor healthcare access. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
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