Francisco J Ruiz, María B García-Martín, Juan C Suárez-Falcón, Luna Bedoya-Valderrama, Miguel A Segura-Vargas, Andrés Peña-Vargas, Ángela M Henao, Jorge E Ávila-Campos
Development and initial validation of the Generalized Tracking Questionnaire
PloS one
south african men face substantial burden hiv less likely test hiv initiate antiretroviral therapy tested positive likely die aidsrelated causes women addition condoms circumcision guidelines provide use daily oral preexposure prophylaxis prep hiv prevention intervention men recognize need request prep however heterosexual men focus prep programmes since introduction limited literature prep use among men south africa study explores experiences motivators barriers oral prep use among heterosexual men accessing primary healthcare services south africa study forms part mixedmethods implementation science study aimed generating evidence oral prep introduction conducted primary healthcare clinics south africa since 2018 men aged 15 years initiated oral prep enrolled parent cohort study purposefully invited participate indepth interview idi march 2020 may 2022 30 men participated idis exploring motivators prep use experiences accessing health services interviews audio recorded transcribed analysed thematically final analysis included 28 heterosexual men 1856 years old motivations initiate prep included fear acquiring hiv selfperceived vulnerability hiv mistrust relationships health systems factors motivated prep use included influence healthcare providers educational materials mobile services perceived reduction hiv vulnerability changing proximity partners reasons prep discontinuation side effects dailypill burden stigma noted challenges prep use health system barriers prep use included limited prep availability school work demands inconsistent mobile clinic schedules study reports experiences heterosexual men accessing oral prep realworld settings contributes limited literature among population highlight multiple levels could strengthened improve mens prep use including individual support education among partners communities addressing health system barriers access