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Tailoring Communication to Increase the Promotion of Oral PrEP: A Culture-Centred Approach
Communicatio ( IF 0.5 ) Pub Date : 2021-01-02 , DOI: 10.1080/02500167.2021.1894195
Eliza M. Govender 1
Affiliation  

Abstract In Sub-Saharan Africa, human immunodeficiency virus (HIV) incidence rates remain disproportionately high among adolescent girls and young women (AGYW), who are five to seven times more likely to contract HIV than their male peers. Following the 2015 World Health Organization (WHO) Guideline on When to Start Antiretroviral Therapy and on Pre-Exposure Prophylaxis (PrEP) for HIV, the South African Department of Health (DoH) released the National Policy on HIV PrEP and Test and Treat (T&T) in June 2016. At the time of writing, several demonstration projects were underway to assess the feasibility of oral PrEP for AGYW in South Africa, with extensive access for sex workers and limited access for AGYW. It is within this context that the article explores the current perceptions of oral PrEP utilising the data from two previous studies conducted in three high HIV burden districts in KwaZulu-Natal (KZN), South Africa. Through an analysis of the current perceptions of oral PrEP, the article prioritises the cultural communication imperative to promote inclusivity and acceptability of biomedical innovations. The article argues that communication about oral PrEP is embedded in cultural discourses that must be discussed, critiqued and incorporated into a new framework for combination HIV prevention.

中文翻译:

调整沟通以增加口腔 PrEP 的推广:一种以文化为中心的方法

摘要在撒哈拉以南非洲地区,青春期少女和年轻女性 (AGYW) 的人类免疫缺陷病毒 (HIV) 发病率仍然高得不成比例,她们感染 HIV 的可能性是男性同龄人的 5 到 7 倍。根据 2015 年世界卫生组织 (WHO) 关于何时开始抗逆转录病毒治疗和 HIV 暴露前预防 (PrEP) 指南,南非卫生部 (DoH) 发布了国家 HIV PrEP 和检测与治疗政策 (T&T) ) 于 2016 年 6 月。在撰写本文时,一些示范项目正在进行中,以评估南非 AGYW 口服 PrEP 的可行性,性工作者可广泛使用,而 AGYW 可使用有限。正是在这种背景下,本文利用之前在南非夸祖鲁-纳塔尔 (KZN) 的三个艾滋病毒高负担地区进行的两项研究的数据,探讨了目前对口服 PrEP 的看法。通过分析目前对口服 PrEP 的看法,本文优先考虑文化交流的必要性,以促进生物医学创新的包容性和可接受性。这篇文章认为,关于口服 PrEP 的交流嵌入在文化话语中,必须对其进行讨论、批评并纳入一个新的 HIV 联合预防框架。这篇文章优先考虑文化传播的必要性,以促进生物医学创新的包容性和可接受性。这篇文章认为,关于口服 PrEP 的交流嵌入在文化话语中,必须对其进行讨论、批评并纳入一个新的 HIV 联合预防框架。这篇文章优先考虑文化传播的必要性,以促进生物医学创新的包容性和可接受性。这篇文章认为,关于口服 PrEP 的交流嵌入在文化话语中,必须对其进行讨论、批评并纳入一个新的 HIV 联合预防框架。
更新日期:2021-01-02
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