1. Recommendations for Improving Oral Pre-exposure Prophylaxis Implementation and Social Marketing in Ugandan Fisherfolk Communities: A Qualitative Exploration.
- Author
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Bogart, Laura M, Musoke, William, Mayatsa, Jimmy, Marsh, Terry, Naigino, Rose, Banegura, Anchilla, Mukama, Christopher Semei, Allupo, Stella, Odiit, Mary, Kadama, Herbert, Mukasa, Barbara, and Wanyenze, Rhoda K
- Subjects
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 - Abstract
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]
- Published
- 2024
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