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Attitudes and Experiences of Providers Delivering Oral PrEP to Adolescent Girls and Young Women: Implementation Research

This study explores healthcare providers' attitudes and experiences in delivering oral PrEP to adolescent girls and young women. It identifies barriers to uptake, adherence, and retention, and provides recommendations to support this population. The research emphasizes the importance of addressing stigma and enhancing providers' capacity to counsel and support AGYW.

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Attitudes and Experiences of Providers Delivering Oral PrEP to Adolescent Girls and Young Women: Implementation Research

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  1. Healthcare Providers’ Attitudes and Experiences Delivering Oral PrEP to Adolescent Girls and Young Women: Implementation Research to Inform PrEP Rollout in Kenya, South Africa, and Zimbabwe Michele Lanham, Kayla Stankevitz, Kathleen Ridgeway, Maryline Mireku, Definate Nhamo, Diantha Pillay, Mercy Murire, Jordan Kyongo, Nicole Makahamadze, Subarna Pradhan, Megan Lydon, Lina Digolo, PatriciahJekonia, Patience Shamu, TauraiBhatasara, Getrude Ncube, Joseph Murungu, Wanjiru Mukoma, Saiqa Mullick @optionsmpii

  2. Study participants

  3. Providers’ attitudes Survey: It’s better to tell sexually active unmarried girls/women to abstain from sex rather than give her PrEP. Interviews: Prefer that adolescent girls wait to have sex until they are 18, but acknowledged that many girls engage in sex before 18 and could benefit from oral PrEP.

  4. Providers’ experiences delivering oral PrEP • Barriers to uptake, adherence, retention: • Low PrEP awareness among AGYW & community • Stigma related to HIV and adolescent sexual activity • Lack of disclosure of PrEP use to parents and partners • More difficult to deliver services to AG, more concerns about AG’s ability to take PrEP daily • Strategies to support AGYW: • Intensive adherence and relationship counseling • System for tracking missed appointments • Phone follow-ups, WhatsApp messaging, home visits • Peer support • Community discussions

  5. Recommendations • Include values clarification exercises in provider training. • Build providers’ capacity to counsel AGYW on whether/how to disclose PrEP use to partners and parents. • Assess which strategies are most effective at increasing AGYW PrEP adherence and continuation. • Conduct community sensitization about PrEP as a prevention option for AGYW. • Continue to address stigma as a key barrier to HIV prevention and adolescent sexual and reproductive health

  6. Thank you Michele Lanham Technical Advisor, FHI 360 mlanham@fhi360.org @optionsmpii www.prepwatch.org OPTIONS Consortium Partners

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