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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Recommendations for Improving Oral Pre-exposure Prophylaxis Implementation and Social Marketing in Ugandan Fisherfolk Communities: A Qualitative Exploration
Community Health Equity Research and Policy, Volume 44, No. 2, Year 2024
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Description
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. © The Author(s) 2022.
Authors & Co-Authors
Bogart, Laura M.
United States, Santa Monica
Rand Corporation
Musoke, William
Uganda, Kampala
Mildmay Uganda
Mayatsa, Jimmy
Uganda, Kampala
Uganda Ministry of Health
Marsh, Terry
United States, Santa Monica
Rand Corporation
Naigino, Rose
Uganda, Kampala
Uganda Ministry of Health
Banegura, Anchilla Mary
Uganda, Kampala
Mildmay Uganda
Mukama, Christopher Semei
Uganda, Kampala
Mildmay Uganda
Odiit, Mary Celestine Adie
Uganda, Kampala
Mildmay Uganda
Kadama, Herbert
Uganda, Kampala
Uganda Ministry of Health
Mukasa, Barbara N.
Uganda, Kampala
Mildmay Uganda
Wanyenze, Rhoda Kitti
Uganda, Kampala
Makerere University School of Public Health
Statistics
Citations: 3
Authors: 11
Affiliations: 4
Identifiers
Doi:
10.1177/0272684X221113608
ISSN:
2752535X
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Qualitative
Study Locations
Uganda
Participants Gender
Male
Female