Pre-exposure prophylaxis among men who have sex with men in Côte d’Ivoire: a quantitative study of acceptability

Diabaté, Souleymane; Kra, O.; Biékoua, Yadjoro Josué; Pelletier, Sara Jeanne; Osso, D G; Diané, Bamourou; N’Dhatz-Ebagnitchié, Méliane; Ahouada, Carin; Kobena, A K; Alary, Michel

doi:10.1080/09540121.2020.1785997

Cited by 12 publications

(17 citation statements)

References 30 publications

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“…The results of our study reveal that PrEP awareness had already increased over the course of the study, likely via participants of the parallel CohMSM-PrEP study ( 24 ). This finding corroborates quantitative studies, indicating that oral PrEP awareness in these communities may already have increased ( 36 , 37 ). Stimulating peer communication and supporting PrEP users in actively disclosing their PrEP status to other community members can be important strategies for increasing its uptake ( 38 ).…”

Section: Discussionsupporting

confidence: 89%

Strategies to improve PrEP uptake among West African men who have sex with men: a multi-country qualitative study

Reyniers

Babo²,

Ouedraogo³

et al. 2023

Front. Public Health

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IntroductionWest African men who have sex with men (MSM) remain at substantial risk of contracting HIV. Pre-exposure prophylaxis (PrEP) can be an effective game-changer in reducing the number of HIV infections in MSM communities. To optimize the roll-out of PrEP, we need to better understand how we can increase its uptake. The objective of this study was to explore the perceptions of West African MSM toward PrEP and their proposed strategies to overcome barriers to PrEP uptake within their communities.MethodsBetween April 2019 and November 2021, we conducted 12 focus group discussions with 97 MSM not taking PrEP, and 64 semi-structured interviews with MSM taking PrEP, in Burkina Faso, Côte d'Ivoire, Mali, and Togo. Data collection and analysis were guided and conducted by local research teams, enabling a community-based participatory approach. A coordinating researcher collaborated with these local teams to analyze the data guided by a grounded theory approach.ResultsThe results show that participants were generally positive toward PrEP and that MSM communities have become more aware of PrEP for the study. We identified three main strategies for increasing PrEP uptake. First, participants proposed to raise awareness and improve knowledge of HIV as they considered the self-perceived risk of MSM in their communities to be low. Second, because of existing misconceptions and false information, participants proposed to improve the dissemination of PrEP to allow for informed choices, e.g., via peers or PrEP users themselves. Third, as oral PrEP also entails a risk of being associated with HIV or homosexuality, strategies to avoid stigmatization (e.g., hiding pills) were deemed important.DiscussionThese findings indicate that the roll-out of oral PrEP and other future PrEP modalities should be accompanied by raising awareness and improving knowledge on HIV, and wide dissemination of information that focuses on the health-promoting aspect of these tools. Tailored delivery and long-acting PrEP modalities will be important to avoid potential stigmatization. Sustained efforts to prevent discrimination and stigmatization based on HIV status or sexual orientation continue to be highly important strategies to address the HIV epidemic in West Africa.

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Section: Discussionsupporting

confidence: 89%

Strategies to improve PrEP uptake among West African men who have sex with men: a multi-country qualitative study

Reyniers

Babo²,

Ouedraogo³

et al. 2023

Front. Public Health

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“…Interventions based on demandside described findings including communication, education and information and peerbased interventions on outcome of HIV are unsatisfactory as they rarely reduce prevalence or incidence of HIV. Few studies and trials showed in reviews assessed interventions for increasing circumcision and pre exposure prophylaxis demand, though data from these components are still in emerging stage [110][111][112][113][114][115][116]. Additional research is needed for understating the reason of decreased uptake for these approaches and assessments needed for improved interventions to increase the adherence and uptake.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Health Interventions towards HIV/AIDS in Developing Countries: A Systematic Review

Siddiqui

Sutan

Isa

et al. 2021

JPRI

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Background: Plentiful development has been achieved in interventions for the prevention of HIV. Although, progression of prevention programs based on evidence – informed methods that interpret the effectiveness of these approaches in population is still a challenge. In developing countries, not many interventions are implemented for reduction of HIV burden. The single most important identified problem is lack of demand, supply, and adherence approaches. In current systemic review, recent evidence for the prevention of HIV in a cascade manner is described to see status of current interventions and further needs for improvements. Methodology: Systemic reviews regarding effectiveness on interventions of HIV prevention were searched. Primary studies were identified from eligible review that evaluated one of following factors: prevalence of HIV, incidence of HIV, testing uptake of HIV and use of condom. Interventions were categorized that pursued demand for prevention of HIV, improvement in supply for preventive approaches, support related to preventive behaviors or prevent HIV directly. A rating was assigned for each intervention based on evidence strength or randomized controlled trials. Results: Out of 91 eligible reviews, 264 primary studies were included in this review. Primary studies related to direct mechanisms of prevention that showed strong data for circumcision and effectiveness of pre – exposure prophylaxis. Evidence implies that interventions related to increased supply of preventive methods including clean needles or condoms can be operative. Interventions related to demand – side and adherence approaches were less clear with some studies showing effectiveness. Quality evidence was assessed among various categories. Various interventions showed supportive outcomes and results. In our findings, it was observed that difference between behavioral and structural has not evidently distinguished the interventions. Conclusion: Growing data is present for the support of effectiveness of products, behaviors, and procedures for prevention of HIV. In developing countries, negligible data is present for implementation of such approaches on community level. Interventions will be required for transforming this evidence to produce impact on population. It will empower the demand for prevention of HIV, supply of preventive technologies and utilization of preventive approaches against HIV. The findings can be eye opener to see actual burden of HIV and their implanted interventions and can be useful to design further intervention programs in future.

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“…Availability was quoted as a state where PrEP can be accessible by MSM at any given time (Diabaté et al, 2021) and to know where to get it (Kota et al, 2021). The availability of PrEP can be affected by many issues, such…”

Section: Theme 2-prep Availability and Accessibilitymentioning

confidence: 99%

“…Literature has identified that a majority of MSM do not take PrEP due to fear of unforeseen side effects of PrEP, which might be long-term (Gredig et al, 2016). The cost The availability of PrEP facilitates willingness to use it (Ahouada et al, 2020;Frankis et al, 2016) Availability of PrEP influences its uptake (Ahouada et al, 2020;Chakrapani et al, 2015;Dean et al, 2023;Diabaté et al, 2021;Galea et al, 2011;Kimani et al, 2022;Pelletier et al, 2019) Preference for PrEP to be accessible at MSM networks (Ahouada et al, 2020;Graham et al, 2023;Harawa et al, 2016;Pelletier et al, 2019) Accessibility of IEC material on PrEP increases knowledge and awareness of PrEP (Graham et al, 2023) Inaccessibility to PrEP influences low uptake (Adeagbo et al, 2021;Han et al, 2019;Harawa et al,…”

Section: Screeningmentioning

confidence: 99%

“…Negative attitudes from health care workers (Adeagbo et al, 2021;Graham et al, 2023;Holloway et al, 2017;Patrick et al, 2019) Lack of confidentiality by health care providers (Graham et al, 2023) Mistrust of health system and pharmaceutical companies (Adeagbo et al, 2021;Chakrapani et al, 2015;Holloway et al, 2017;Liu et al, 2017;Philbin et al, 2016) Uncomfortable talking about sexuality or PrEP with health care providers (Holloway et al, 2017;Patrick et al, 2019;Yu et al, 2021) Not accessible or inadequate coverage (Blair et al, 2022;Han et al, 2019;Harawa et al, 2016;Holloway et al, 2017;Kota et al, 2021;Patrick et al, 2019;Pichon et al, 2022) Cost / high pricing of PrEP (Chakrapani et al, 2015;Dean et al, 2023;Emmanuel et al, 2020;Galea et al, 2011;Graham et al, 2023;Gredig et al, 2016;Han et al, 2019;Harawa et al, 2016;Hojilla et al, 2018;Holloway et al, 2017;Kota et al, 2021;Mansergh et al, 2012;Patrick et al, 2019;Pérez-Figueroa et al, 2015;Voglino et al, 2021) Restrictive and complex procedure for drug procurement (Ahouada et al, 2020;Diabaté et al, 2021;Liu et al, 2017) Long distance to PrEP facilities (transport cost)…”

Section: Information-related Factorsmentioning

confidence: 99%

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Oral Pre-exposure Prophylaxis Uptake and Acceptability Among Men Who Have Sex With Men: A Scoping Review of the Literature

Moyo,

Nunu

2023

Am J Mens Health

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Despite the global effort to end the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) epidemic as a global threat by 2030, the rate of new HIV infections worldwide remains unacceptably high among men who have sex with men, hence the need to use pre-exposure prophylaxis (PrEP) to reduce the risk of HIV infection. This population has an increased risk of getting HIV; thus, it is imperative to assess the uptake and acceptability of PrEP. This study investigated the willingness, availability, accessibility, and knowledge and identified barriers and facilitators to using PrEP among this population. A scoping literature review search was conducted on research papers published in English and focused on men who have sex with men and their use of PrEP. These were independently screened and coded. Of about 1,202 literature sources, 55 were included in the study. Findings reported that the uptake and acceptability of PrEP were influenced by knowledge and perception of being high-risk. Generally, PrEP uptake and understanding were high in North America, Latin America, and Europe and low in Asia and Africa. Low uptake and acceptability have been largely attributed to fear of side effects, societal stigma, cost, and perception of not being at risk. Noted facilitators to PrEP use include education, availability of free pills, support groups, and friendly health care facilities. Health intervention programs to increase the use of PrEP must be backed by appropriate legal and regulatory frameworks.

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Pre-exposure prophylaxis among men who have sex with men in Côte d’Ivoire: a quantitative study of acceptability

Cited by 12 publications

References 30 publications

Strategies to improve PrEP uptake among West African men who have sex with men: a multi-country qualitative study

Strategies to improve PrEP uptake among West African men who have sex with men: a multi-country qualitative study

Effectiveness of Health Interventions towards HIV/AIDS in Developing Countries: A Systematic Review

Oral Pre-exposure Prophylaxis Uptake and Acceptability Among Men Who Have Sex With Men: A Scoping Review of the Literature

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