A qualitative study of peer education experiences and oral pre-exposure prophylaxis use among adolescent girls and young women at high risk of HIV acquisition in Kampala, Uganda
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View abstract on PubMed
Summary
This summary is machine-generated.Extended peer education improved HIV pre-exposure prophylaxis (PrEP) use among young women in Uganda. The intervention enhanced knowledge, motivation, and skills, but persistent barriers require further attention for effective HIV prevention.
Area Of Science
- Public Health
- HIV/AIDS Prevention
- Behavioral Science
Background
- Oral pre-exposure prophylaxis (PrEP) use is low among adolescent girls and young women (AGYW) at high HIV risk in Eastern and Southern Africa.
- Existing peer-led interventions often involve brief interactions, potentially limiting sustained peer learning and behavior change.
Purpose Of The Study
- To explore the experiences of an extended peer education intervention among young women who engage in sex work (young FSWs) in Kampala, Uganda.
- To examine how this intervention influenced PrEP uptake and adherence.
Main Methods
- In-depth interviews (IDIs) were conducted with 35 AGYW (18 baseline, 17 follow-up) aged 14-24.
- Interviews explored prior PrEP knowledge, peer education experiences, and intervention experiences.
- Data were analyzed thematically and interpreted using the situated Information-Motivation-Behavioural Skills (sIMB) model.
Main Results
- Participants reported improved PrEP knowledge, motivation, and behavioral skills post-intervention.
- Peer education effectively dispelled myths and provided accurate information, fostering motivation through risk awareness and psychosocial support.
- Contextual barriers like mobility, stigma, partner disapproval, and violence persisted, influencing PrEP use.
Conclusions
- Integrating extended peer education into PrEP programs is recommended.
- Addressing persistent contextual barriers, such as improving access, providing adequate counseling, community education, and partner violence prevention, is crucial.
- Subsidies for long-acting PrEP may benefit individuals unable to maintain daily adherence.
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