We Should Not Be Quiet but We Should Talk’: Qualitative Accounts of CommunityBased Communication of HIV PreExposure Prophylaxis

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dc.contributor.authorHannah Goymann1
dc.contributor.authorMxolisi Mavuso
dc.contributor.authorShannon A. McMahon
dc.contributor.authorAnita Hettema
dc.contributor.authorAllison B. Hughey
dc.contributor.authorSindy Matse
dc.contributor.authorPhiwa Dlamini
dc.contributor.authorKathleen Kahn
dc.contributor.authorTill Barnighausen
dc.contributor.authorAlbrecht Jahn
dc.contributor.authorKate Barnighausen
dc.date.accessioned2023-11-16T08:57:42Z
dc.date.available2023-11-16T08:57:42Z
dc.date.issued2023
dc.departmentSA-MRC/Wits Agincourt UnitE
dc.description.abstractCommunity leaders play an important role in the acceptance of public health services, but little is known about their willingness to facilitate HIV pre-exposure prophylaxis (PrEP) roll-out in Eswatini. We conducted in-depth interviews (n = 25) with purposefully selected male and female community leaders in Eswatini. We analysed our data inductively using a thematic analysis approach. Community leaders feel they are important communicators of culturally appropriate PrEP messaging. Our participants described a complex social space within their communities influenced by religion, tradition, values, and HIV stigma. Community leaders use their position to provide leverage for unique, effective, and easily accessible messages and platforms to reach the community in a manner that ensures trust, relatability, familiarity, and shared faith. Community leaders feel that they are trusted and see trust manifesting in the conversations they are able to engage in, and have a reach that extends beyond formal health services. Existing PrEP programming should embed community leader participation in PrEP programming and engage the trust, knowledge, and potential of community leaders to support PrEP uptake and acceptance.
dc.description.librarianPM2023
dc.facultyFaculty of Health Sciences
dc.identifier.urihttps://hdl.handle.net/10539/37015
dc.language.isoen
dc.schoolPublic Health
dc.subjectcommunity leaders, PrEP, Eswatini, community-based communication, HIV prevention, qualitative research
dc.titleWe Should Not Be Quiet but We Should Talk’: Qualitative Accounts of CommunityBased Communication of HIV PreExposure Prophylaxis
dc.typeArticle
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