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Barriers to Oral HIV Pre-exposure Prophylaxis (PrEP) Adherence Among Pregnant and Post-partum Women from Cape Town, South Africa
- Source :
- AIDS and behavior, vol 26, iss 9
- Publication Year :
- 2022
- Publisher :
- Springer Science and Business Media LLC, 2022.
-
Abstract
- Cisgender women, particularly pregnant and postpartum women in Eastern and Southern Africa, face an unacceptably high risk of HIV acquisition. Oral pre-exposure prophylaxis (PrEP) is an effective HIV prevention intervention that can reduce HIV acquisition and vertical transmission. In this qualitative study, we interviewed 21 postpartum women from Cape Town, South Africa who initiated PrEP during pregnancy and who self-reported low PrEP adherence or missed > 1 PrEP follow-up collection. We identified multiple overlapping barriers to PrEP continuation and/or adherence. Individual factors included forgetting to take PrEP daily, being away from home when PrEP should be taken, anticipated stigma and limited disclosure of PrEP use. Women also reported pill-related factors such as side effects and having to take PrEP in addition to other tablets during pregnancy and the postpartum period. Facility-related barriers included logistics around PrEP collection especially when not in antenatal care, as well as transport and financial barriers.
- Subjects :
- Pediatric AIDS
Social Work
Social Psychology
Anti-HIV Agents
Clinical Trials and Supportive Activities
Breastfeeding
HIV Infections
Reproductive health and childbirth
Pregnant
Persistence
South Africa
Pregnancy
Clinical Research
Behavioral and Social Science
Humans
Pediatric
Prevention
Postpartum Period
Public Health, Environmental and Occupational Health
Pre-exposure prophylaxis
Mental Health
Good Health and Well Being
Infectious Diseases
Adherence
Public Health and Health Services
HIV/AIDS
Pre-Exposure Prophylaxis
Female
Public Health
Infection
Subjects
Details
- ISSN :
- 15733254 and 10907165
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- AIDS and Behavior
- Accession number :
- edsair.doi.dedup.....e494a28eb3a9e5d9cf8f7f6231bdf27b