Barriers to Oral PrEP: A Qualitative Study of Female Sex Workers, PrEP Prescribers, Policymakers, and Community Advocates in Morocco
| Autor: | Amal Ben Moussa PhD, Abdallah M Badahdah PhD, Khadija Hidous BS, Rime Barakad BS, Fodié Diallo MD, Mariam Traoré MD, Niloufer Khodabocus MD, Annette Ebsen Treebhoobun BS, Rosemary Delabre PhD, Daniela Rojas Castro PhD, Lahoucine Ouarsas MD, Mehdi Karkouri PhD |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Journal of the International Association of Providers of AIDS Care, Vol 23 (2024) |
| Druh dokumentu: | article |
| ISSN: | 2325-9582 23259582 |
| DOI: | 10.1177/23259582241266691 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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