教育工作者对夸祖鲁-纳塔尔省Vulindlela青春期女孩和年轻妇女口服PrEP的益处和障碍的看法

IF 0.4 Q4 COMMUNICATION
Simamkele Bokolo, Eliza Govender
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引用次数: 0

摘要

推广口服PrEP是联合预防工作的一个关键方面,旨在增加感染风险较高的少女和年轻妇女预防艾滋病毒的机会。研究表明,宣传工作往往采取一种个人主义的决策方法,缺乏影响年轻妇女艾滋病毒预防选择的多重影响。学校和教育工作者日益被认为是青年妇女决策的关键角色和影响者。因此,要促进学龄妇女接受PrEP,就需要探索教育工作者对女学生接受PrEP的相关益处和障碍的看法。采用有目的抽样方法进行了定性研究,对夸祖鲁-纳塔尔省AGYW中艾滋病毒发病率最高的地区Vulindlela的6所高中进行了抽样。对6所选定高中的12位生活导向教育工作者和资深教职员进行了半结构化访谈。使用以文化为中心的方法对数据进行转录和主题分析。研究结果表明,教育工作者承认PrEP在控制年轻女性艾滋病毒感染率方面的好处。然而,由于口服PrEP的使用可能会促进滥交和降低疗效,这些好处被有关很少或不使用避孕套的障碍和担忧所掩盖。这些发现突出表明,需要围绕预防措施制定更多以社区为导向的沟通策略,并强调以社区为中心的方法的价值,这种方法可促进教育工作者等关键角色之间的对话,以进一步加强预防措施的沟通。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Educators' perceptions on the benefits and barriers of oral PrEP uptake among adolescent girls and young women in Vulindlela, KwaZulu-Natal
Oral PrEP promotion is a key aspect of combination prevention efforts to increase opportunities for HIV prevention among adolescent girls and young women (AGYW) who are at higher risk of infection. Research suggests that communication efforts often adopt an individualistic decision-making approach that is devoid of the multiple influences that impact young women’s HIV preventative choices. Schools and educators are increasingly being identified as key role players and influencers of decision making among young women. The promotion of PrEP uptake among AGYW of school going age, thus requires an exploration of perceptions of educators about the related benefits and barriers to PrEP uptake among school girls. A qualitative study using a purposive sampling method was used to sample 6 high schools in Vulindlela, a district with the highest HIV incidents among AGYW in KwaZulu-Natal. Semi-structured interviews were conducted with a total of twelve Life Orientation educators and senior staff members from the 6 selected high schools. The data was transcribed and analysed thematically using the culture-centred approach. The findings suggested that educators acknowledged the benefits of PrEP in curbing HIV infection rates among young women. However, these benefits were clouded by barriers and concerns around minimal, or poor condom use as a result of oral PrEP use which could promote promiscuity and minimalise efficacy. These findings highlight the need for more contextual community-driven communication strategies around PrEP, and emphasise the value of a community-centred approach that promotes dialogue among key role players, like educators, to further enhance PrEP communication.
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