Barriers to Uptake of Oral Pre-exposure Prophylaxis for HIV among Adolescents’ Young boys and Girls an Assessment of Cross River North Nigeria
Abstract:
Antiretroviral pre-exposure
prevention (PrEP) to stop HIV transmission was 1st approved by the USA Food and
Drug Administration in 2012. Despite correlations of decreases in new HIV
infections being greatest wherever PrE-exposure prophylaxis has been deployed,
the uptake of PrE-exposure prophylaxis is insulant, significantly among
populations with disproportionate HIV burden. This narrative review seeks to
spot individual and general barriers to PrE-exposure prophylaxis usage in
African country. A comprehensive search of recent literature uncovered a fancy
array of structural, social, clinical, and behavioral barriers, as well as
knowledge/awareness of PrE exposure prophylaxis, perception of HIV risk, stigma
from care suppliers or family/partners/friends, distrust of care
providers/systems, access to school assignment, prices of PrE exposure
prophylaxis, and issues around school assignment facet effects/medication
interactions. significantly, these barriers might have totally different
effects on specific populations in danger. The complete potential of PrE-exposure
prophylaxis for HIV interference won't be realized till these problems area
unit self-addressed. Ways to realize this goal ought to embody academic
interventions, innovative approaches to delivery of HIV care, resource, and DE
stigmatization of PrE-exposure prophylaxis and PrE-exposure prophylaxis users. Until
then, PrE-exposure prophylaxis `uptake can still be suboptimal, significantly
among people who would like it most. Results: Stigma influences uptake of
pre-exposure prophylaxis; HIV risk perception does not affect uptake of
pre-exposure prophylaxis; and a significant negative relationship between
stigma and pre-exposure prophylaxis uptake. Conclusion: This study was
conducted to investigate barriers to oral pre-exposure prophylaxis. Significant
findings of the study conclude: stigma influences uptake of oral pre-exposure
prophylaxis for HIV.
References:
[1] Strug,
DL et al, 2002, Challenges and Changing Roles in HIV/AIDS Social Work, Social
Work in Health Care, Volume 35, 2002 - Issue 4, p. 1 -19. https://doi.org/10.1300/J010v35n04_01.
[2] U Koppe
· 2021 Barriers to using Pre-Exposure prophylaxis (PrEP).
[3] Fonner
VA et al. (2016) ‘Effectiveness and safety of oral HIV pre-exposure prophylaxis
for all populations’, AIDS, Volume 30, Issue 12, p.1973–83.
[4] McCormack,
S et al. (2014) ‘Pre-exposure prophylaxis to prevent the acquisition of HIV-1
infection (PROUD): effectiveness results from the pilot phase of a pragmatic
open-label randomised trial’, The Lancet, Volume 387, Issue 10013, p.53-60.
[5] Baeten,
JM et al. (2012) 'Antiretroviral Prophylaxis for HIV-1 Prevention among
Heterosexual Men and Women', New England Journal of Medicine, Volume 367, Issue
5, p.399-410.
[6] Grant,
RM et al. (2010) 'Preexposure Chemoprophylaxis for HIV Prevention in Men Who
Have Sex with Men', New England Journal of Medicine, Volume 363, p.2587-2599.
[7] BBC (10
April 2017) ‘NHS Scotland to fund 'game-changer' Prep HIV drug’.
[8] Public
Health Society of Kenya (2017) ‘Why PrEP tool is a game-changer in fight
against spread of HIV.
[9] San
Francisco Bay Times ‘PrEP Could Be a Game Changer in the Fight Against
HIV/AIDS’ (all accessed April 2019).
[10] Goffman,
E. (1963). Stigma. Notes on the Management of Spoiled Identity. London: Penguin
Books.
[11] World
Health Organization (WHO) (2015) 'Policy brief: WHO expands recommendation on
oral pre-exposure prophylaxis of HIV infection (PrEP)' [pdf].
[12] San
Francisco Department of Public Health, Population Health Division (2015) 'HIV
Epidemiology Annual Report 2014' [pdf].
[13] World
Health Organization (WHO) (2015) 'Policy brief: WHO expands recommendation on
oral pre-exposure prophylaxis of HIV infection (PrEP)' [pdf].
[14] UNAIDS
(2018) ‘Miles to go: global AIDS update 2018’, p.59. [pdf].
[15] Prince
O. Ezekiel (2022), Investigating the Effectiveness of Case Management among
Orphans and Vulnerable Children at Household Level in Enugu State, Nigeria. Texila
International Journal of Academic Research Special Edition Apr 2022, https://www.texilajournal.com/academic-research/article/2035-investigating-the-effectiveness.
[16] Aidsmap
(2016) ‘Two cases of PrEP failure on solo tenofovir pose significant research
questions’ (accessed April 2019).
[17] US Department of Health and Human Sciences: AIDSinfo ‘Maraviroc (HIV prevention)’ (accessed April 2019).
[18] Aidsmap
(2015) 'Evidence for PrEP efficacy grows, but implementation presents
challenges' (accessed April 2019).
[19] Centers
for Disease Control and Prevention (CDC) ‘PrEP’ (accessed April 2019).
[20] Simon
J, Agada1 and Prince Ezekiel (2023), Barriers to HIV Testing among Clients of
Female Sex Workers an Assessment of Ogoja Local Government Area, Texila
International Journal of Public Health: 2520-3134, https://doi.org/10.21522/TIJPH.2013.11.01.Art016.
[21] Hiv.gov/basics
of hiv, retrieved on 18th November 2021.
[22] Centers
for Disease Control and Prevention. Application number: 021752Orig1s030 https://www.accessdata.fda.gov/drugsatfda_docs/nda/2012/021752Orig1s030SumR.pdf.
[23] HIV and
AIDS in Kenya. https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/kenya
Accessed 15 Apr 2020.
[24] Ramjee
G, Daniels B. Women and HIV in sub-Saharan Africa. AIDS Res Ther.
2013;10(1):30. https://doi.org/10.1186/1742-6405-10-30.
[25] UNAIDS.
Advocating for zero discrimination in health-care settings in Kenya 2018. https://www.unaids.org/en/resources/presscentre/featurestories/2018/may/zero-discrimination-health-care-settings-kenya.
[26] Thomson
K, Baeten J, Mugo N, Bekker L, Celum C, Heffron R. (2016), Tenofovir-based oral
preexposure prophylaxis prevents HIV infection among women. Curr Opin HIV
AIDS.;11(1):18–26.
[27] Jackson-Gibson,
M., Ezema, A.U., Orero, W. et al. (2021), Facilitators and barriers to HIV
pre-exposure prophylaxis (PrEP) uptake through a community-based intervention
strategy among adolescent girls and young women in Seme Sub-County, Kisumu,
Kenya. BMC Public Health 21, 1284 https://doi.org/10.1186/s12889-021-11335-1.