Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa
Abstract Background South African women, including female sex workers (FSWs), are disproportionately affected by HIV, experience a high unmet need for contraception and high rates of sexually transmitted infections (STIs). Products that address the interlinked risk between HIV, unplanned pregnancy,...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-16904-0 |
| _version_ | 1797555958897967104 |
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| author | Paballo Mataboge Nqaba Mthimkhulu Alison Kutywayo Catherine E. Martin Mbali Mazibuko Khanyiswa Kwatsha Nthabiseng Makalela Elmari Briedenhann Vusile Butler Rutendo Bothma Saiqa Mullick |
| author_facet | Paballo Mataboge Nqaba Mthimkhulu Alison Kutywayo Catherine E. Martin Mbali Mazibuko Khanyiswa Kwatsha Nthabiseng Makalela Elmari Briedenhann Vusile Butler Rutendo Bothma Saiqa Mullick |
| author_sort | Paballo Mataboge |
| collection | DOAJ |
| description | Abstract Background South African women, including female sex workers (FSWs), are disproportionately affected by HIV, experience a high unmet need for contraception and high rates of sexually transmitted infections (STIs). Products that address the interlinked risk between HIV, unplanned pregnancy, and other STIs are needed. There are several multipurpose-prevention technologies (MPTs) in development, aimed at preventing both HIV and pregnancy. This study aimed to explore educational messaging and demand creation channels to improve the potential uptake of a hypothetical MPT implant, using participatory action research. It also aimed to look at product and service provision attributes preferred by potential end users. Methods Between July and August 2022, 303 PrEP-eligible adolescent girls and young women (AGYW) (18–24 years), women > 24 years, and FSW’s (≥ 18 years) participated in 4-hour workshops, where they were asked about their ideal messaging and demand creation channels and their preferences for different attributes of an MPT implant. Quantitative descriptive analysis was conducted to determine the frequency and ranking for each demand creation message, channel, and each product and service provision attribute, by population group. A chi-square test was used to assess MPT implant characteristics associated with age. Qualitative data were analysed using deductive and thematic analysis. Results A total of 104 AGYW, 157 women > 24 years, and 42 FSWs participated in the PAR workshops. Participants preferred demand creation messages that were empowering, motivational and encouraged body autonomy. The use of slang was popular. Community radio stations and newspapers, social media, and information at hospitals and clinics were participants’ preferred MPT demand creation channels because they were easily accessible. Providing long-term and dual HIV and pregnancy protection, receiving implant services at the local clinic, manageable side effects, discreet and private implant, and numbing the area before insertion and removal, were the most preferred product and service provision attributes. Conclusion Early considerations for women’s product preferences are key to product development. Educational messaging around the MPT implant should be empowering and in local languages, this may motivate women to learn more about it and use it. Multiple demand creation channels should be used to engage both young and older populations, which may ensure better reach. |
| first_indexed | 2024-03-10T16:55:55Z |
| format | Article |
| id | doaj.art-84ec35e937714be4a38b112a073708e6 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-10T16:55:55Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-84ec35e937714be4a38b112a073708e62023-11-20T11:08:54ZengBMCBMC Public Health1471-24582023-10-0123111610.1186/s12889-023-16904-0Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South AfricaPaballo Mataboge0Nqaba Mthimkhulu1Alison Kutywayo2Catherine E. Martin3Mbali Mazibuko4Khanyiswa Kwatsha5Nthabiseng Makalela6Elmari Briedenhann7Vusile Butler8Rutendo Bothma9Saiqa Mullick10Wits RHI, Faculty of Health Sciences, University of the WitwatersrandWits RHI, Faculty of Health Sciences, University of the WitwatersrandWits RHI, Faculty of Health Sciences, University of the WitwatersrandWits RHI, Faculty of Health Sciences, University of the WitwatersrandWits RHI, Faculty of Health Sciences, University of the WitwatersrandWits RHI, Faculty of Health Sciences, University of the WitwatersrandWits RHI, Faculty of Health Sciences, University of the WitwatersrandWits RHI, Faculty of Health Sciences, University of the WitwatersrandWits RHI, Faculty of Health Sciences, University of the WitwatersrandWits RHI, Faculty of Health Sciences, University of the WitwatersrandWits RHI, Faculty of Health Sciences, University of the WitwatersrandAbstract Background South African women, including female sex workers (FSWs), are disproportionately affected by HIV, experience a high unmet need for contraception and high rates of sexually transmitted infections (STIs). Products that address the interlinked risk between HIV, unplanned pregnancy, and other STIs are needed. There are several multipurpose-prevention technologies (MPTs) in development, aimed at preventing both HIV and pregnancy. This study aimed to explore educational messaging and demand creation channels to improve the potential uptake of a hypothetical MPT implant, using participatory action research. It also aimed to look at product and service provision attributes preferred by potential end users. Methods Between July and August 2022, 303 PrEP-eligible adolescent girls and young women (AGYW) (18–24 years), women > 24 years, and FSW’s (≥ 18 years) participated in 4-hour workshops, where they were asked about their ideal messaging and demand creation channels and their preferences for different attributes of an MPT implant. Quantitative descriptive analysis was conducted to determine the frequency and ranking for each demand creation message, channel, and each product and service provision attribute, by population group. A chi-square test was used to assess MPT implant characteristics associated with age. Qualitative data were analysed using deductive and thematic analysis. Results A total of 104 AGYW, 157 women > 24 years, and 42 FSWs participated in the PAR workshops. Participants preferred demand creation messages that were empowering, motivational and encouraged body autonomy. The use of slang was popular. Community radio stations and newspapers, social media, and information at hospitals and clinics were participants’ preferred MPT demand creation channels because they were easily accessible. Providing long-term and dual HIV and pregnancy protection, receiving implant services at the local clinic, manageable side effects, discreet and private implant, and numbing the area before insertion and removal, were the most preferred product and service provision attributes. Conclusion Early considerations for women’s product preferences are key to product development. Educational messaging around the MPT implant should be empowering and in local languages, this may motivate women to learn more about it and use it. Multiple demand creation channels should be used to engage both young and older populations, which may ensure better reach.https://doi.org/10.1186/s12889-023-16904-0Multipurpose-prevention technologyHIV preventionContraceptionDemand creationSouth AfricaWomen |
| spellingShingle | Paballo Mataboge Nqaba Mthimkhulu Alison Kutywayo Catherine E. Martin Mbali Mazibuko Khanyiswa Kwatsha Nthabiseng Makalela Elmari Briedenhann Vusile Butler Rutendo Bothma Saiqa Mullick Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa BMC Public Health Multipurpose-prevention technology HIV prevention Contraception Demand creation South Africa Women |
| title | Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
| title_full | Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
| title_fullStr | Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
| title_full_unstemmed | Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
| title_short | Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
| title_sort | preferences educational messaging and demand creation channels for multipurpose prevention technologies mpts among women in south africa |
| topic | Multipurpose-prevention technology HIV prevention Contraception Demand creation South Africa Women |
| url | https://doi.org/10.1186/s12889-023-16904-0 |
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