Negative rumors about a vaginal ring for HIV-1 prevention in sub-Saharan Africa

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dc.contributor.authorChitukuta, Miria
dc.contributor.authorDuby, Zoe
dc.contributor.authorKatz, Ariana
dc.contributor.authorNakyanzi, Teopista
dc.contributor.authorReddy, Krishnaveni
dc.contributor.authorPalanee-Phillips, Thesla
dc.contributor.authorTembo, Tchangani
dc.contributor.authorEtima, Juliane
dc.contributor.authorMusara, Petina
dc.contributor.authorMgodi, Nyaradzo M.
dc.contributor.authorStraten, Ariane van der
dc.date.accessioned2022-05-13T08:38:05Z
dc.date.available2022-05-13T08:38:05Z
dc.date.issued2019
dc.description.abstractRumours may influence health-related behaviours, including uptake and adherence to HIV prevention products. This ASPIRE study assessed the safety and effectiveness of a vaginal ring delivering the antiretroviral dapivirine for HIV prevention in Africa. We explored negative rumours about study participation and the vaginal ring amongst study participants and their communities in Malawi, Uganda, South Africa and Zimbabwe. Two hundred and fourteen women participated in either single or serial in-depth interviews, or a focus group discussion. Three key findings emerged in the data. Firstly, rumours reflected fears concerning the ring and trial participation. Given the historical-political context of the countries in which the trial was conducted, the ring’s investigational nature and its foreign origin, ring use was rumoured to cause negative health outcomes such as cancer and infertility and was also associated with practices such as witchcraft or Satanism; salience of these rumours varied by country. Secondly, rumours reportedly affected participants’ adherence to the ring, and other women’s willingness to participate in the study. Finally, participants reported that participant engagement activities helped address rumours, resulting in enhanced trust and rapport between staff and participants.en_US
dc.identifier.citationChitukuta, M., Duby, Z., Katz, A., Nakyanzi, T., Reddy, K., Palanee-Phillips, T., ... & MTN-020/ASPIRE Study Team. (2019). Negative rumours about a vaginal ring for HIV-1 prevention in sub-Saharan Africa. Culture, health & sexuality, 21(11), 1209-1224. doi:10.1080/13691058.2018.1552989.en_US
dc.identifier.other10.1080/13691058.2018.1552989.
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3233
dc.language.isoenen_US
dc.publisherHHS Public Accessen_US
dc.subjectAdherenceen_US
dc.subjectHIV preventionen_US
dc.subjectRumoursen_US
dc.subjectSatanismen_US
dc.subjectVaginal ringen_US
dc.subjectWitchcraften_US
dc.titleNegative rumors about a vaginal ring for HIV-1 prevention in sub-Saharan Africaen_US
dc.typeArticleen_US
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