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Understanding early uptake of PrEP by female sex workers in Zimbabwe.

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Title: Understanding early uptake of PrEP by female sex workers in Zimbabwe.
Authors: Busza, Joanna, Phillips, Andrew N., Mushati, Phillis, Chiyaka, Tarisai, Magutshwa, Sitholubuhle, Musemburi, Sithembile, Cowan, Frances M.
Source: AIDS Care. Jun2021, Vol. 33 Issue 6, p729-735. 7p. 1 Chart.
Subjects: HIV prevention, Affinity groups, Social support, Client relations, Sex work, Consumer attitudes, Interviewing, Fear, Qualitative research, Decision making, Preventive medicine, Women's health
Geographic Terms: Zimbabwe
Abstract: Female sex workers (FSW) are prioritised for increased access to pre-exposure prophylaxis (PrEP), although rates of uptake remain sub-optimal, particularly across Southern Africa. In the first two years of its availability in Zimbabwe, 37.1% of FSW in trial sites initiated PrEP and received at least one re-supply. We conducted a qualitative study on perceptions of PrEP among 19 early users selected from sites with varying rates of PrEP initiation. Narrative interviews examined the pathways taken by FSW from hearing about PrEP, through their decision to start taking it, and early experiences. FSW appreciated PrEP's introduction within familiar and trusted "friendly" services tailored for sex workers and valued positive encouragement from clinic staff and peers over negative influence from family members. They also found PrEP difficult to understand at first, and feared side effects and rare adverse complications described in information leaflets. While FSW identified individual strategies for remembering to take their medication, they also relied on structured peer adherence support, leading some FSW to actively promote the method to other FSW as "PrEP champions". Information on how early users experience a new prevention technology such as PrEP can inform design of interventions that leverage existing support structures and target key barriers. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Understanding early uptake of PrEP by female sex workers in Zimbabwe.
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  Data: <searchLink fieldCode="AR" term="%22Busza%2C+Joanna%22">Busza, Joanna</searchLink><br /><searchLink fieldCode="AR" term="%22Phillips%2C+Andrew+N%2E%22">Phillips, Andrew N.</searchLink><br /><searchLink fieldCode="AR" term="%22Mushati%2C+Phillis%22">Mushati, Phillis</searchLink><br /><searchLink fieldCode="AR" term="%22Chiyaka%2C+Tarisai%22">Chiyaka, Tarisai</searchLink><br /><searchLink fieldCode="AR" term="%22Magutshwa%2C+Sitholubuhle%22">Magutshwa, Sitholubuhle</searchLink><br /><searchLink fieldCode="AR" term="%22Musemburi%2C+Sithembile%22">Musemburi, Sithembile</searchLink><br /><searchLink fieldCode="AR" term="%22Cowan%2C+Frances+M%2E%22">Cowan, Frances M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jun2021, Vol. 33 Issue 6, p729-735. 7p. 1 Chart.
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  Data: <searchLink fieldCode="DE" term="%22Zimbabwe%22">Zimbabwe</searchLink>
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  Data: Female sex workers (FSW) are prioritised for increased access to pre-exposure prophylaxis (PrEP), although rates of uptake remain sub-optimal, particularly across Southern Africa. In the first two years of its availability in Zimbabwe, 37.1% of FSW in trial sites initiated PrEP and received at least one re-supply. We conducted a qualitative study on perceptions of PrEP among 19 early users selected from sites with varying rates of PrEP initiation. Narrative interviews examined the pathways taken by FSW from hearing about PrEP, through their decision to start taking it, and early experiences. FSW appreciated PrEP's introduction within familiar and trusted "friendly" services tailored for sex workers and valued positive encouragement from clinic staff and peers over negative influence from family members. They also found PrEP difficult to understand at first, and feared side effects and rare adverse complications described in information leaflets. While FSW identified individual strategies for remembering to take their medication, they also relied on structured peer adherence support, leading some FSW to actively promote the method to other FSW as "PrEP champions". Information on how early users experience a new prevention technology such as PrEP can inform design of interventions that leverage existing support structures and target key barriers. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=150428378
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09540121.2020.1832192
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 7
        StartPage: 729
    Subjects:
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Affinity groups
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Client relations
        Type: general
      – SubjectFull: Sex work
        Type: general
      – SubjectFull: Consumer attitudes
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Decision making
        Type: general
      – SubjectFull: Preventive medicine
        Type: general
      – SubjectFull: Women's health
        Type: general
      – SubjectFull: Zimbabwe
        Type: general
    Titles:
      – TitleFull: Understanding early uptake of PrEP by female sex workers in Zimbabwe.
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            NameFull: Busza, Joanna
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            NameFull: Phillips, Andrew N.
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            – D: 01
              M: 06
              Text: Jun2021
              Type: published
              Y: 2021
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