Qualitative Assessment of Barriers and Facilitators of PrEP Use Before and After Rollout of a PrEP Program for Priority Populations in South‑central Uganda

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dc.contributor.authorDdaaki, William
dc.contributor.authorStrömdahl, Susanne
dc.contributor.authorTeresa Yeh, Ping
dc.contributor.authorRosen, Joseph G.
dc.contributor.authorJackson, Jade
dc.contributor.authorNakyanjo, Neema
dc.contributor.authorKagaayi, Joseph
dc.contributor.authorKigozi, Godfrey
dc.contributor.authorNakigozi, Gertrude
dc.contributor.authorGrabowski, M. Kathryn
dc.contributor.authorChang, Larry W.
dc.contributor.authorReynolds, Steven J.
dc.contributor.authorNalugoda, Fred
dc.contributor.authorEkström, Anna Mia
dc.contributor.authorKennedy, Caitlin E.
dc.date.accessioned2022-08-18T21:14:48Z
dc.date.available2022-08-18T21:14:48Z
dc.date.issued2021
dc.description.abstractUganda piloted HIV pre-exposure prophylaxis (PrEP) for priority populations (sex workers, fishermen, truck drivers, discordant couples) in 2017. To assess facilitators and barriers to PrEP uptake and adherence, we explored perceptions of PrEP before and experiences after rollout among community members and providers in south-central Uganda. We conducted 75 indepth interviews and 12 focus group discussions. We analyzed transcripts using a team-based thematic framework approach. Partners, family, peers, and experienced PrEP users provided adherence support. Occupational factors hindered adherence for sex workers and fishermen, particularly related to mobility. Pre-rollout concerns about unskilled/untrained volunteers distributing PrEP and price-gouging were mitigated. After rollout, awareness of high community HIV risk and trust in PrEP effectiveness facilitated uptake. PrEP stigma and unexpected migration persisted as barriers. Community-initiated, tailored communication with successful PrEP users may optimize future engagement by addressing fears and rumors, while flexible delivery and refill models may facilitate PrEP continuation and adherence.en_US
dc.identifier.citationDdaaki, W., Strömdahl, S., Yeh, P. T., Rosen, J. G., Jackson, J., Nakyanjo, N., ... & Kennedy, C. E. (2021). Qualitative assessment of barriers and facilitators of PrEP use before and after rollout of a PrEP program for priority populations in South-central Uganda. AIDS and Behavior, 25(11), 3547-3562. https://doi.org/10.1007/s10461-021-03360-3en_US
dc.identifier.urihttps://doi.org/10.1007/s10461-021-03360-3
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/4317
dc.language.isoenen_US
dc.publisherAIDS and Behavioren_US
dc.subjectPre-exposure prophylaxisen_US
dc.subjectImplementation scienceen_US
dc.subjectUgandaen_US
dc.subjectSex workersen_US
dc.subjectFishing communitiesen_US
dc.titleQualitative Assessment of Barriers and Facilitators of PrEP Use Before and After Rollout of a PrEP Program for Priority Populations in South‑central Ugandaen_US
dc.typeArticleen_US
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