Young women’s lived experiences of using PrEP in Namibia: A qualitative phenomenological study

Background: Young women are more likely to acquire Human Immunodeficiency Virus (HIV) than other population groups. Pre-exposure prophylaxis (PrEP) is using antiretroviral medicines by HIV-negative individuals before HIV exposure to avert HIV infection. Various conditions may influence women’s decis...

Full description

Bibliographic Details
Main Authors: E.K. Vasco, T. Crowley
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:International Journal of Africa Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214139122000889
_version_ 1811314888999436288
author E.K. Vasco
T. Crowley
author_facet E.K. Vasco
T. Crowley
author_sort E.K. Vasco
collection DOAJ
description Background: Young women are more likely to acquire Human Immunodeficiency Virus (HIV) than other population groups. Pre-exposure prophylaxis (PrEP) is using antiretroviral medicines by HIV-negative individuals before HIV exposure to avert HIV infection. Various conditions may influence women’s decisions to initiate and continue PrEP. Objective: This study aimed to explore young women’s lived experiences using PrEP in the Rundu district, Namibia. Method: Face-to-face in-depth interviews were conducted with nine young women between 21 and 24 years who had experience of current or previous use of PrEP and attended at least one follow-up visit after commencing PrEP. Colaizzi’s seven-step process of qualitative data analysis was used to analyse data. Findings: Young women were aware of their risk of acquiring HIV, prompting them to use PrEP. These risks included a lack of awareness of their partner’s HIV status, a lack of trust in their partners, or being in a sexual relationship with a partner living with HIV. Awareness also emanated from information provided by healthcare workers, peers and the media. Using PrEP empowered young women for self-care by enabling them to make choices about managing their risk. Some women persisted using PrEP despite several challenges, including the lack of privacy, stigma and inadequate support. Conclusion: PrEP is an empowering HIV prevention strategy for young women; however, much still needs to be done to promote young women’s willingness to initiate and continue PrEP.
first_indexed 2024-04-13T11:20:27Z
format Article
id doaj.art-f11ff083432343e39818c1f4db5d75ad
institution Directory Open Access Journal
issn 2214-1391
language English
last_indexed 2024-04-13T11:20:27Z
publishDate 2022-01-01
publisher Elsevier
record_format Article
series International Journal of Africa Nursing Sciences
spelling doaj.art-f11ff083432343e39818c1f4db5d75ad2022-12-22T02:48:50ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912022-01-0117100481Young women’s lived experiences of using PrEP in Namibia: A qualitative phenomenological studyE.K. Vasco0T. Crowley1Stellenbosch University, South Africa, P.O.BOX 1162, Rundu, Namibia; Corresponding author.University of the Western Cape, 14 Blanckenberg Street, Belville 7535, South AfricaBackground: Young women are more likely to acquire Human Immunodeficiency Virus (HIV) than other population groups. Pre-exposure prophylaxis (PrEP) is using antiretroviral medicines by HIV-negative individuals before HIV exposure to avert HIV infection. Various conditions may influence women’s decisions to initiate and continue PrEP. Objective: This study aimed to explore young women’s lived experiences using PrEP in the Rundu district, Namibia. Method: Face-to-face in-depth interviews were conducted with nine young women between 21 and 24 years who had experience of current or previous use of PrEP and attended at least one follow-up visit after commencing PrEP. Colaizzi’s seven-step process of qualitative data analysis was used to analyse data. Findings: Young women were aware of their risk of acquiring HIV, prompting them to use PrEP. These risks included a lack of awareness of their partner’s HIV status, a lack of trust in their partners, or being in a sexual relationship with a partner living with HIV. Awareness also emanated from information provided by healthcare workers, peers and the media. Using PrEP empowered young women for self-care by enabling them to make choices about managing their risk. Some women persisted using PrEP despite several challenges, including the lack of privacy, stigma and inadequate support. Conclusion: PrEP is an empowering HIV prevention strategy for young women; however, much still needs to be done to promote young women’s willingness to initiate and continue PrEP.http://www.sciencedirect.com/science/article/pii/S2214139122000889Human Immunodeficiency VirusHIV preventionLived experiencesPre-exposure prophylaxisYoung women
spellingShingle E.K. Vasco
T. Crowley
Young women’s lived experiences of using PrEP in Namibia: A qualitative phenomenological study
International Journal of Africa Nursing Sciences
Human Immunodeficiency Virus
HIV prevention
Lived experiences
Pre-exposure prophylaxis
Young women
title Young women’s lived experiences of using PrEP in Namibia: A qualitative phenomenological study
title_full Young women’s lived experiences of using PrEP in Namibia: A qualitative phenomenological study
title_fullStr Young women’s lived experiences of using PrEP in Namibia: A qualitative phenomenological study
title_full_unstemmed Young women’s lived experiences of using PrEP in Namibia: A qualitative phenomenological study
title_short Young women’s lived experiences of using PrEP in Namibia: A qualitative phenomenological study
title_sort young women s lived experiences of using prep in namibia a qualitative phenomenological study
topic Human Immunodeficiency Virus
HIV prevention
Lived experiences
Pre-exposure prophylaxis
Young women
url http://www.sciencedirect.com/science/article/pii/S2214139122000889
work_keys_str_mv AT ekvasco youngwomenslivedexperiencesofusingprepinnamibiaaqualitativephenomenologicalstudy
AT tcrowley youngwomenslivedexperiencesofusingprepinnamibiaaqualitativephenomenologicalstudy