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Are Rights-Based Services Important? An Adolescent PrEP Demonstration Project in Brazil
Laura Ferguson1, Alexandre Grangeiro2, Ana Alexandra Natividad3
1Associate professor of population and public health sciences at the University of Southern California (USC) and director of research at the USC Institute on Inequalities in Global Health, Los Angeles, United States.
Human rights standards are crucial for providing pre-exposure prophylaxis (PrEP) to marginalized adolescents. Rights-based services improve engagement and retention in HIV prevention for these key populations.
Area of Science:
- Public Health
- Human Rights Law
- Adolescent Health
Background:
- Pre-exposure prophylaxis (PrEP) is a key HIV prevention tool.
- Marginalized adolescents face unique barriers to accessing healthcare.
- Integrating human rights principles is essential for effective PrEP delivery.
Purpose of the Study:
- To examine the importance of human rights standards for rights-based PrEP provision.
- To understand client and provider perspectives on human rights in PrEP services for marginalized adolescents.
- To identify factors influencing engagement and retention in PrEP services.
Main Methods:
- Qualitative study nested within a PrEP demonstration project.
- Interviews conducted with adolescents, health providers, and community workers in São Paulo, Brazil.
- Thematic analysis of narratives focusing on human rights aspects of service delivery.
Main Results:
- Clients and providers emphasized the need for comprehensive services beyond PrEP.
- Accessibility was enhanced through community outreach and social media.
- Acceptability hinged on feeling heard and respected; nondiscrimination and privacy were paramount.
- Trusting relationships and informed decision-making were facilitated by adequate provider time.
Conclusions:
- Rights-based PrEP services are vital for marginalized adolescents.
- Addressing human rights in service delivery can improve PrEP uptake and adherence.
- Tailored approaches respecting privacy and promoting nondiscrimination are crucial for retention.
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