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‘I’m waiting for that’: Interest in the use of PrEP for safer conception in Botswana

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Gutin, Sarah A., Harper, Gary W., Amico, K. Rivet, Bitsang, Christina, Moshashane, Neo, Harries, Jane, Ramogola-Masire, Doreen and Morroni, Chelsea ORCID: https://orcid.org/0000-0002-2026-6039 (2020) '‘I’m waiting for that’: Interest in the use of PrEP for safer conception in Botswana'. Global Public Health, Vol 15, Issue 8, pp. 1200-1211.

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Abstract

Safe and effective low-cost safer conception (SC) methods are increasingly available and being integrated into national guidelines in sub-Saharan African contexts. Sero-different couples of childbearing age can benefit from such services and the routine provision of SC counselling. Pre-exposure prophylaxis (PrEP) to prevent HIV acquisition to uninfected partners can reduce the chances of HIV transmission when trying to achieve pregnancy. Botswana has a strong commitment to reducing new HIV infections but PrEP is not yet widely available and little guidance has been offered on counselling sero-different couples. We conducted qualitative in-depth interviews in Gaborone, Botswana with 10 HIV healthcare providers and 10 women living with HIV of childbearing age because they act as a key conduit for reaching sero-different partners with information about PrEP. We examined knowledge and attitudes towards PrEP to assess the viability and develop a deeper understanding of this SC option. Interviews were analysed using an interpretive phenomenological approach. Three themes emerged: (1) awareness of PrEP is limited, (2) providers and women overwhelmingly showed interest in PrEP and (3) women living with HIV and providers have concerns about PrEP use. With the correct support, PrEP could be a useful SC option for sero-different couples in Botswana and other sub-Saharan contexts.

Item Type: Article
Subjects: WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503 Acquired immunodeficiency syndrome. HIV infections
WQ Obstetrics > Pregnancy > WQ 200 General works
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1080/17441692.2020.1741663
Depositing User: Rachel Dominguez
Date Deposited: 03 Apr 2020 14:54
Last Modified: 31 Jul 2020 09:24
URI: https://archive.lstmed.ac.uk/id/eprint/14111

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