PrEP as a Lifestyle and Investment for Adolescent Girls and Young Women in Sub-Saharan Africa

Adolescent girls and young women (AGYW) are highly affected by the HIV epidemic, yet standard approaches to pre-exposure prophylaxis (PrEP) delivery will not meet their needs. This commentary highlights key characteristics of AGYW related to PrEP use and delivery, including typical neurocognitive de...

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Main Authors: Jessica E. Haberer MD, MS, Nelly Mugo MBChB, MMED, MPH, Jared M. Baeten MD, PhD, Maria Pyra PhD, Elizabeth Bukusi MBChB, MMED, MPH, PhD, FAAS, Linda-Gail Bekker MBChB, DTMH, DCH, FCP(SA), PhD
Format: Article
Language:English
Published: SAGE Publishing 2019-02-01
Series:Journal of the International Association of Providers of AIDS Care
Online Access:https://doi.org/10.1177/2325958219831011
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author Jessica E. Haberer MD, MS
Nelly Mugo MBChB, MMED, MPH
Jared M. Baeten MD, PhD
Maria Pyra PhD
Elizabeth Bukusi MBChB, MMED, MPH, PhD, FAAS
Linda-Gail Bekker MBChB, DTMH, DCH, FCP(SA), PhD
author_facet Jessica E. Haberer MD, MS
Nelly Mugo MBChB, MMED, MPH
Jared M. Baeten MD, PhD
Maria Pyra PhD
Elizabeth Bukusi MBChB, MMED, MPH, PhD, FAAS
Linda-Gail Bekker MBChB, DTMH, DCH, FCP(SA), PhD
author_sort Jessica E. Haberer MD, MS
collection DOAJ
description Adolescent girls and young women (AGYW) are highly affected by the HIV epidemic, yet standard approaches to pre-exposure prophylaxis (PrEP) delivery will not meet their needs. This commentary highlights key characteristics of AGYW related to PrEP use and delivery, including typical neurocognitive development, lack of experience with sustained medication use, and the social and connected nature of AGYW’s lives. We then suggest ways for programs to embrace these characteristics, such as presenting PrEP as a lifestyle choice and not a biomedical tool, making access to PrEP simple and easy, and recognizing the many influences AGYW face in taking PrEP. We also suggest ways for programs to identify AGYW at the highest risk of HIV acquisition. Adolescent girls and young women have an important role to play in ending the HIV epidemic and they deserve considerable, tailored investment.
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spelling doaj.art-7f2ac563caec497c98ee91a9992a438a2022-12-22T01:30:16ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822019-02-011810.1177/2325958219831011PrEP as a Lifestyle and Investment for Adolescent Girls and Young Women in Sub-Saharan AfricaJessica E. Haberer MD, MS0Nelly Mugo MBChB, MMED, MPH1Jared M. Baeten MD, PhD2Maria Pyra PhD3Elizabeth Bukusi MBChB, MMED, MPH, PhD, FAAS4Linda-Gail Bekker MBChB, DTMH, DCH, FCP(SA), PhD5 Harvard Medical School, Boston, MA, USA University of Washington, Seattle, WA, USA University of Washington, Seattle, WA, USA University of Washington, Seattle, WA, USA Kenya Medical Research Institute, Kisumu, Kenya Desmond Tutu AIDS Foundation, Cape Town, South AfricaAdolescent girls and young women (AGYW) are highly affected by the HIV epidemic, yet standard approaches to pre-exposure prophylaxis (PrEP) delivery will not meet their needs. This commentary highlights key characteristics of AGYW related to PrEP use and delivery, including typical neurocognitive development, lack of experience with sustained medication use, and the social and connected nature of AGYW’s lives. We then suggest ways for programs to embrace these characteristics, such as presenting PrEP as a lifestyle choice and not a biomedical tool, making access to PrEP simple and easy, and recognizing the many influences AGYW face in taking PrEP. We also suggest ways for programs to identify AGYW at the highest risk of HIV acquisition. Adolescent girls and young women have an important role to play in ending the HIV epidemic and they deserve considerable, tailored investment.https://doi.org/10.1177/2325958219831011
spellingShingle Jessica E. Haberer MD, MS
Nelly Mugo MBChB, MMED, MPH
Jared M. Baeten MD, PhD
Maria Pyra PhD
Elizabeth Bukusi MBChB, MMED, MPH, PhD, FAAS
Linda-Gail Bekker MBChB, DTMH, DCH, FCP(SA), PhD
PrEP as a Lifestyle and Investment for Adolescent Girls and Young Women in Sub-Saharan Africa
Journal of the International Association of Providers of AIDS Care
title PrEP as a Lifestyle and Investment for Adolescent Girls and Young Women in Sub-Saharan Africa
title_full PrEP as a Lifestyle and Investment for Adolescent Girls and Young Women in Sub-Saharan Africa
title_fullStr PrEP as a Lifestyle and Investment for Adolescent Girls and Young Women in Sub-Saharan Africa
title_full_unstemmed PrEP as a Lifestyle and Investment for Adolescent Girls and Young Women in Sub-Saharan Africa
title_short PrEP as a Lifestyle and Investment for Adolescent Girls and Young Women in Sub-Saharan Africa
title_sort prep as a lifestyle and investment for adolescent girls and young women in sub saharan africa
url https://doi.org/10.1177/2325958219831011
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