Reasons Influencing PrEP continuity among Key and Priority Populations in Tabora region, Tanzania. A cross-sectional study.
Keywords:PrEP- Pre- Exposure Prophylaxis, KPP- Key and priority population, FSW- Female sex workers
In Tabora, PrEP continuity 6 months after among newly enrolled among Key and Priority Population (KPP) is low at 47%. However, information on reasons influencing to PrEP continuity in KPP in Tabora is limited. We report study findings from nine (9) health facilities (HFs) in the Tabora region.
This was a cross-sectional survey, deployed both quantitative and qualitative methods. 425 current or previous PrEP beneficiaries started PrEP between July 2020 to January 2021 were administered with a structured questionnaire, whereby 157 participants were purposively selected for 18 focused group discussions (FGDs). Recruitment of study participants carried between February to April 2022.
A total of 425 KPPs, aged 15-70 years with average 30 years, the majority 288(58%) were FSWs, the proportion of interruption was 25(20.5%). Reported reasons for PrEP interruptions, (57%) were due to drug side effects and the least was migration (3%). There was an association between interruptions and clients’ age (P<0.05), area of service offered (P=0.010.) and being knowledgeable about PrEP: (P<0.05). There is significant relationship between awareness and PrEP interruptions, though in proportions of those aware and had interruptions was at 33%.
Drugs side effects, misconception, stigma, pill burden and migration were cited among influencing reasons for PrEP interruptions.
Interventional study recommended to explore on the reasons cited for PrEP discontinuity in reaching PrEP goals in prevention services.
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Copyright (c) 2022 Adam Mrisho, Dr Honoratha Rutatinisibwa, Dr George Msalale, Mr Ramadhani Shemtandulo, Mr Benson Mturi, Mr Steven Ambonisye, Dr AbelaAbele Rumisha, Dr Mohamed Ayoub, Dr Charles Shirima, Dr Wilhellmuss Mauka, Dr Shallon Atuhaire, Evaline Maziku, Dr Anath Rwebembera, Dr Goodluck Lyatuu, Dr David Sando
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