Akyoo Winfrida Onesmo, Mosha Idda Hubert, Jahn Albrecht, Mpembeni Rose
Department of Behavioural Sciences, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Institute of Global Health, Heidelberg University, Heidelberg, Germany.
Front Public Health. 2025 Mar 19;13:1511801. doi: 10.3389/fpubh.2025.1511801. eCollection 2025.
Human immunodeficiency virus (HIV) is still a major global public health problem. Sub-Saharan Africa remains the most severely affected, accounting for 69% of the people living with HIV worldwide. Currently, Pre-Exposure Prophylaxis [PrEP] pills are offered but are highly affected by non-adherence. Long-acting injectable PrEP has the potential to improve adherence.
This study aimed to explore awareness and willingness to use long-acting injectable HIV pre-exposure prophylaxis among users and non-PrEP user female barmaids in Ubungo municipality in Dar es Salaam, Tanzania.
This phenomenological study used in-depth interviews to collect data. A total of 17 study participants were purposively selected. Audio-recorded interviews were transcribed verbatim and translated into English. A thematic approach was used to identify patterns in the data. Key themes were coded using NVivo14 and then summarized into key findings.
The findings revealed that participants who were PrEP pill users and non-users were aware of PrEP pills. Few of the PrEP pill users were aware of the long-acting injectable PrEP. The majority of both users and non-users of PrEP pills were willing to use the long-acting injectable PrEP. A few PrEP non-users expressed fear for PrEP, citing safety, and insisted on continuous condom use.
The majority of participants are aware of and willing to use long-acting injectable PrEP when made available. The initiation of HIV long-acting injectable PrEP has the potential to increase protection options among female barmaids who are a population at risk of HIV infection.
人类免疫缺陷病毒（HIV）仍然是一个重大的全球公共卫生问题。撒哈拉以南非洲仍然是受影响最严重的地区，占全球HIV感染者的69%。目前提供暴露前预防（PrEP）药物，但受不依从性的影响很大。长效注射用PrEP有可能提高依从性。
本研究旨在探讨坦桑尼亚达累斯萨拉姆乌本戈市使用和未使用PrEP的女性酒吧女招待对长效注射用HIV暴露前预防的知晓情况和使用意愿。
本现象学研究采用深入访谈收集数据。共 purposively 选取了17名研究参与者。对录音访谈进行逐字转录并翻译成英文。采用主题分析法识别数据中的模式。使用NVivo14对关键主题进行编码，然后总结为关键发现。
结果显示，PrEP药物使用者和非使用者都知晓PrEP药物。很少有PrEP药物使用者知晓长效注射用PrEP。PrEP药物使用者和非使用者中的大多数都愿意使用长效注射用PrEP。一些未使用PrEP的人以安全为由对PrEP表示担忧，并坚持继续使用避孕套。
大多数参与者知晓并愿意在有长效注射用PrEP时使用。启动HIV长效注射用PrEP有可能增加处于HIV感染风险中的女性酒吧女招待的保护选择。
