'We Should Not Be Quiet but We Should Talk': Qualitative Accounts of Community-Based Communication of HIV Pre-Exposure Prophylaxis

被引:3
作者
Goymann, Hannah [1 ]
Mavuso, Mxolisi [2 ]
McMahon, Shannon A. [1 ]
Hettema, Anita [3 ]
Hughey, Allison B. [3 ]
Matse, Sindy [4 ]
Dlamini, Phiwa [3 ]
Kahn, Kathleen [5 ]
Barnighausen, Till [1 ,6 ,7 ]
Jahn, Albrecht [1 ]
Barnighausen, Kate [1 ,8 ]
机构
[1] Heidelberg Univ, Inst Global Hlth, Heidelberg, Germany
[2] Sch Hlth Serv, Mbabane, Eswatini
[3] Clinton Hlth Access Initiat, Mbabane, Eswatini
[4] Minist Hlth, Mbabane, Eswatini
[5] Univ Witwatersrand, Sch Publ Hlth, MRC Wits Rural Publ Hlth & Hlth Transit Res Unit, Johannesburg, South Africa
[6] Harvard TH Chan Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA USA
[7] Africa Hlth Res Inst, Mtubatuba, Kwazulu Natal, South Africa
[8] Univ Witwatersrand, Sch Publ Hlth, Johannesburg, South Africa
关键词
community leaders; PrEP; Eswatini; community-based communication; HIV prevention; qualitative research; SUB-SAHARAN AFRICA; HIV/AIDS; CULTURE; LEADERS; PREP; POPULATION; ADHERENCE; PROGRAMS; UGANDA; WILL;
D O I
10.1177/10497323231181207
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Community leaders play an important role in the acceptance of public health services, but little is known about their willingness to facilitate HIV pre-exposure prophylaxis (PrEP) roll-out in Eswatini. We conducted in-depth interviews (n = 25) with purposefully selected male and female community leaders in Eswatini. We analysed our data inductively using a thematic analysis approach. Community leaders feel they are important communicators of culturally appropriate PrEP messaging. Our participants described a complex social space within their communities influenced by religion, tradition, values, and HIV stigma. Community leaders use their position to provide leverage for unique, effective, and easily accessible messages and platforms to reach the community in a manner that ensures trust, relatability, familiarity, and shared faith. Community leaders feel that they are trusted and see trust manifesting in the conversations they are able to engage in, and have a reach that extends beyond formal health services. Existing PrEP programming should embed community leader participation in PrEP programming and engage the trust, knowledge, and potential of community leaders to support PrEP uptake and acceptance.
引用
收藏
页码:842 / 856
页数:15
相关论文
共 75 条
[1]   Global PrEP roll-out: recommendations for programmatic success [J].
Amico, K. Rivet ;
Bekker, Linda-Gail .
LANCET HIV, 2019, 6 (02) :E137-E140
[2]  
[Anonymous], 2014, DISCLOSURE HLTH ILLN
[3]  
Audet C. M., 2020, REVIEW, DOI [10.21203/rs.3.rs-63991/v1, DOI 10.21203/RS.3.RS-63991/V1]
[4]   Throwing the bones to diagnose HIV: Views of rural South African traditional healers on undertaking HIV counselling and testing [J].
Audet, Carolyn M. ;
Clemens, Elise M. ;
Ngobeni, Sizzy ;
Mkansi, Mevian ;
Sack, Daniel E. ;
Wagner, Ryan G. .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2021, 33 (10) :1316-1320
[5]   "We know this will be hard at the beginning, but better in the long term": understanding PrEP uptake in the general population in Eswatini [J].
Baernighausen, Kate ;
Matse, Sindy ;
Hughey, Allison B. ;
Hettema, Anita ;
Baernighausen, Till W. ;
McMahon, Shannon A. .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2020, 32 (02) :267-273
[6]  
Bärnighausen KE, 2019, AIDS, V33, pS45, DOI [10.1097/QAD.0000000000002178, 10.1097/qad.0000000000002178]
[7]  
Barnighausen K., 2020, PREPRINT, DOI [10.21203/rs.3.rs-73560/v1, DOI 10.21203/RS.3.RS-73560/V1]
[8]   Cultural Repertoires and Situated Selections as an Alternative Framework to Hegemonic Masculinities: Findings From Eswatini [J].
Berner-Rodoreda, Astrid ;
Vandormael, Alain ;
Baernighausen, Kate ;
Mavuso, Mxolisi ;
Dlamini, Phiwayinkhosi ;
Matse, Sindy ;
Hettema, Anita ;
Baernighausen, Till ;
McMahon, Shannon A. .
AMERICAN JOURNAL OF MENS HEALTH, 2023, 17 (01)
[9]   "It's hard for us men to go to the clinic. We naturally have a fear of hospitals." Men's risk perceptions, experiences and program preferences for PrEP: A mixed methods study in Eswatini [J].
Berner-Rodoreda, Astrid ;
Geldsetzer, Pascal ;
Baernighausen, Kate ;
Hettema, Anita ;
Baernighausen, Till ;
Matse, Sindy ;
McMahon, Shannon A. .
PLOS ONE, 2020, 15 (09)
[10]  
Bertelsmann Foundation, 2020, BTI 2020 COUNTR REP