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Qualitative Assessm...
Qualitative Assessment of Barriers and Facilitators of PrEP Use Before and After Rollout of a PrEP Program for Priority Populations in South-central Uganda
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- Ddaaki, William (author)
- Rakai Hlth Sci Program, Kalisizo, Uganda.
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- Strömdahl, Susanne (author)
- Karolinska Institutet,Uppsala universitet,Infektionssjukdomar,Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden.
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- Yeh, Ping Teresa (author)
- Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Social & Behav Intervent Program, 615 N Wolfe St, Baltimore, MD 21205 USA.
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- Rosen, Joseph G. (author)
- Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Social & Behav Intervent Program, 615 N Wolfe St, Baltimore, MD 21205 USA.
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- Jackson, Jade (author)
- Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA.;Johns Hopkins Sch Med, Dept Pathol, Baltimore, MD USA.
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- Nakyanjo, Neema (author)
- Rakai Hlth Sci Program, Kalisizo, Uganda.
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- Kagaayi, Joseph (author)
- Rakai Hlth Sci Program, Kalisizo, Uganda.
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- Kigozi, Godfrey (author)
- Rakai Hlth Sci Program, Kalisizo, Uganda.
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- Nakigozi, Gertrude (author)
- Rakai Hlth Sci Program, Kalisizo, Uganda.
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- Grabowski, M. Kathryn (author)
- Johns Hopkins Sch Med, Dept Pathol, Baltimore, MD USA.
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- Chang, Larry W. (author)
- Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Social & Behav Intervent Program, 615 N Wolfe St, Baltimore, MD 21205 USA.;Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA.;Johns Hopkins Sch Med, Dept Infect Dis, Div Med, Baltimore, MD USA.
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- Reynolds, Steven J. (author)
- Rakai Hlth Sci Program, Kalisizo, Uganda.;Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA.;NIAID, Div Intramural Res, NIH, 9000 Rockville Pike, Bethesda, MD 20892 USA.;Johns Hopkins Sch Med, Dept Infect Dis, Div Med, Baltimore, MD USA.
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- Nalugoda, Fred (author)
- Rakai Hlth Sci Program, Kalisizo, Uganda.
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- Ekström, Anna Mia (author)
- Karolinska Institutet
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- Kennedy, Caitlin E. (author)
- Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Social & Behav Intervent Program, 615 N Wolfe St, Baltimore, MD 21205 USA.
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Rakai Hlth Sci Program, Kalisizo, Uganda Infektionssjukdomar (creator_code:org_t)
- 2021-07-09
- 2021
- English.
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In: Aids and Behavior. - : Springer Nature. - 1090-7165 .- 1573-3254. ; 25, s. 3547-3562
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Uganda piloted HIV pre-exposure prophylaxis (PrEP) for priority populations (sex workers, fishermen, truck drivers, discordant couples) in 2017. To assess facilitators and barriers to PrEP uptake and adherence, we explored perceptions of PrEP before and experiences after rollout among community members and providers in south-central Uganda. We conducted 75 in-depth interviews and 12 focus group discussions. We analyzed transcripts using a team-based thematic framework approach. Partners, family, peers, and experienced PrEP users provided adherence support. Occupational factors hindered adherence for sex workers and fishermen, particularly related to mobility. Pre-rollout concerns about unskilled/untrained volunteers distributing PrEP and price-gouging were mitigated. After rollout, awareness of high community HIV risk and trust in PrEP effectiveness facilitated uptake. PrEP stigma and unexpected migration persisted as barriers. Community-initiated, tailored communication with successful PrEP users may optimize future engagement by addressing fears and rumors, while flexible delivery and refill models may facilitate PrEP continuation and adherence.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Pre-exposure prophylaxis
- Implementation science
- Uganda
- Sex workers
- Fishing communities
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Ddaaki, William
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Strömdahl, Susan ...
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Yeh, Ping Teresa
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Rosen, Joseph G.
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Jackson, Jade
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Nakyanjo, Neema
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Kagaayi, Joseph
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Kigozi, Godfrey
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Nakigozi, Gertru ...
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Grabowski, M. Ka ...
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Chang, Larry W.
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Reynolds, Steven ...
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Nalugoda, Fred
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Ekström, Anna Mi ...
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Kennedy, Caitlin ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
- Articles in the publication
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Aids and Behavio ...
- By the university
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Uppsala University
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Karolinska Institutet