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Barriers to post exposure prophylaxis (PEP) completion after rape: a South African qualitative study
Naeemah Abrahams1, Rachel Jewkes
1Gender & Health Research Unit, Medical Research Council, Cape Town, South Africa. nabraham@mrc.ac.za
Culture, Health & Sexuality
|February 20, 2010
Summary
Many women in South Africa struggle to complete post-exposure prophylaxis (PEP) medication after rape due to stigma and lack of support. Adherence to HIV prevention drugs is a significant challenge for survivors.
Area of Science:
- Public Health
- Epidemiology
- Sociology
Background:
- Sexual violence and HIV are critical public health issues in South Africa.
- Post-exposure prophylaxis (PEP) for HIV prevention after rape was implemented in South Africa in 2002.
- Challenges with PEP medication completion after rape require further investigation.
Purpose of the Study:
- To explore the experiences of women regarding PEP use after rape.
- To identify barriers and facilitators to PEP adherence among sexual assault survivors.
Main Methods:
- A qualitative study design was employed.
- In-depth interviews were conducted with 29 women at urban and rural sexual assault services.
- The study explored PEP adherence in the context of sexual violence.
Main Results:
- PEP adherence was a complex and challenging experience for survivors.
- Only nine out of 29 participants completed their prescribed PEP medication.
- Rape stigma, victim-blaming, lack of social support, and fear of HIV significantly impacted adherence.
Conclusions:
- Barriers to PEP adherence are multifaceted, involving psychological and social factors.
- Interventions are needed to address the complex challenges survivors face in completing PEP.
- Further research should inform the development of effective adherence support strategies.
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