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Title 'I'm waiting for that': Interest in the use of PrEP for safer conception in Botswana.
Full text https://escholarship.org/uc/item/1bz6b7dx
Date 2020
Author(s) Gutin, Sarah A; Harper, Gary W; Amico, K Rivet; Bitsang, Christina; Moshashane, Neo; Harries, Jane; Ramogola-Masire, Doreen; Morroni, Chelsea
Abstract Safe and effective low-cost safer conception (SC) methods are increasingly available and being integrated into national guidelines in sub-Saharan African contexts. Sero-different couples of childbearing age can benefit from such services and the routine provision of SC counselling. Pre-exposure prophylaxis (PrEP) to prevent HIV acquisition to uninfected partners can reduce the chances of HIV transmission when trying to achieve pregnancy. Botswana has a strong commitment to reducing new HIV infections but PrEP is not yet widely available and little guidance has been offered on counselling sero-different couples. We conducted qualitative in-depth interviews in Gaborone, Botswana with 10 HIV healthcare providers and 10 women living with HIV of childbearing age because they act as a key conduit for reaching sero-different partners with information about PrEP. We examined knowledge and attitudes towards PrEP to assess the viability and develop a deeper understanding of this SC option. Interviews were analysed using an interpretive phenomenological approach. Three themes emerged: (1) awareness of PrEP is limited, (2) providers and women overwhelmingly showed interest in PrEP and (3) women living with HIV and providers have concerns about PrEP use. With the correct support, PrEP could be a useful SC option for sero-different couples in Botswana and other sub-Saharan contexts.
Subject(s) Humans; HIV Infections; Contraception; Health Knowledge; Attitudes; Practice; Pregnancy; Adolescent; Adult; Botswana; Female; Young Adult; Pre-Exposure Prophylaxis; PrEP; safer conception; Infectious Diseases; Behavioral and Social Science; Pediatric AIDS; Pediatric; HIV/AIDS; Infection; Good Health and Well Being; Public Health and Health Services; Public Health
Coverage 1200 - 1211
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source Global public health, vol 15, iss 8
Rights public
Identifier qt1bz6b7dx
Repository Berkeley - University of California
Added to C-A: 2023-09-04;09:07:02