在日常初级保健环境中,在青少年女孩和年轻女性 (AGYW) 中提供和使用口服预暴露预防 (PrEP) 服务的经验,南非
Catherine E Martin1, Lorrein S Muhwava2, Siphokazi Dada2
1Wits RHI, University of Witwatersrand, Johannesburg, South Africa. cmartin@wrhi.ac.za.
AIDS and behavior
|January 8, 2025
概括
南非的青少年女孩和年轻女性 (AGYW) 报告了口服暴露前预防 (PrEP) 服务的积极经验,但面临临临诊所距离和库存不足等障碍. 了解这些因素是改善艾滋病毒预防准入的关键.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 青少年健康 青少年健康
背景情况:
- 口服暴露前预防 (PrEP) 是青少年女孩和年轻女性 (AGYW) 的关键艾滋病毒预防工具.
- 了解AGYW与PrEP接入和使用的现实世界经验对于优化南非的服务提供至关重要.
- 南非的国家指导方针包括2017年AGYW的口服PrEP,作为HIV预防组合的一部分.
研究的目的:
- 探索AGYW的知识,理解和获取和使用口服PrEP的经验.
- 确定影响南非 AGYW 中 PrEP 获取和遵守的促进者和障碍.
- 为改善年轻女性的PrEP服务提供提供提供信息.
主要方法:
- 描述性研究使用44个深度访谈与15-24岁的女性PrEP使用者进行了描述性研究.
- 参与者在南非参加了PrEP项目.
- 专题分析用于分析转录的采访数据.
主要成果:
- 参与者表示对青少年友好的诊所,不评判的员工和隐私感到满意.
- 障碍物包括诊所距离,长排队,负面的供应商态度和药品缺货.
- 个人使用PrEP的动机是常规服用药物并保持HIV阴性;障碍包括药物疲劳,频繁访问和副作用.
- 支持性伴侣/家庭关系促进了披露,而社区的耻辱阻碍了获取.
结论:
- 南非的AGYW在获得和使用PrEP方面有不同的经验.
- 解决已识别的卫生服务和社区障碍对于有效实施PrEP至关重要.
- 这些发现可以指导为年轻女性提供量身定制和支持PrEP服务的发展模式.
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