A qualitative exploration to understand barriers and facilitators to daily oral PrEP uptake and sustained adherence among HIV-negative women planning for or with pregnancy in rural Southwestern Uganda.
Esther Cathyln AtukundaMoran OwembabaziMadeline Claire PrattChristina PsarosWinnie MuyindikePooja ChitneniMwebesa Bosco BwanaDavid BangsbergJessica Elizabeth HabererJeanne MarrazzoLynn Turner MatthewsPublished in: Journal of the International AIDS Society (2022)
Multi-level forms of HIV-, serodifference- and disclosure-related stigma, side effects, pill burden, alcohol use, relationship dynamics, social, professional and partnership support towards adaptation and HIV risk reduction influence PrEP uptake and adherence among HIV-negative women with plans for pregnancy in rural Southwestern Uganda. Confidence in PrEP, individually controlled HIV prevention and improved partnership communication and intimacy promoted PrEP adherence. Supporting individuals to overcome context-specific barriers to PrEP use may be an important approach to improving uptake and prolonged use.
Keyphrases
- men who have sex with men
- hiv testing
- hiv positive
- antiretroviral therapy
- hiv infected
- hiv aids
- human immunodeficiency virus
- hepatitis c virus
- south africa
- mental health
- pregnancy outcomes
- healthcare
- physical activity
- glycemic control
- type diabetes
- pregnant women
- risk factors
- depressive symptoms
- metabolic syndrome
- mental illness
- insulin resistance
- weight loss