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Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa
BACKGROUND: South African women, including female sex workers (FSWs), are disproportionately affected by HIV, experience a high unmet need for contraception and high rates of sexually transmitted infections (STIs). Products that address the interlinked risk between HIV, unplanned pregnancy, and othe...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598950/ https://www.ncbi.nlm.nih.gov/pubmed/37880628 http://dx.doi.org/10.1186/s12889-023-16904-0 |
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author | Mataboge, Paballo Mthimkhulu, Nqaba Kutywayo, Alison Martin, Catherine E. Mazibuko, Mbali Kwatsha, Khanyiswa Makalela, Nthabiseng Briedenhann, Elmari Butler, Vusile Bothma, Rutendo Mullick, Saiqa |
author_facet | Mataboge, Paballo Mthimkhulu, Nqaba Kutywayo, Alison Martin, Catherine E. Mazibuko, Mbali Kwatsha, Khanyiswa Makalela, Nthabiseng Briedenhann, Elmari Butler, Vusile Bothma, Rutendo Mullick, Saiqa |
author_sort | Mataboge, Paballo |
collection | PubMed |
description | BACKGROUND: South African women, including female sex workers (FSWs), are disproportionately affected by HIV, experience a high unmet need for contraception and high rates of sexually transmitted infections (STIs). Products that address the interlinked risk between HIV, unplanned pregnancy, and other STIs are needed. There are several multipurpose-prevention technologies (MPTs) in development, aimed at preventing both HIV and pregnancy. This study aimed to explore educational messaging and demand creation channels to improve the potential uptake of a hypothetical MPT implant, using participatory action research. It also aimed to look at product and service provision attributes preferred by potential end users. METHODS: Between July and August 2022, 303 PrEP-eligible adolescent girls and young women (AGYW) (18–24 years), women > 24 years, and FSW’s (≥ 18 years) participated in 4-hour workshops, where they were asked about their ideal messaging and demand creation channels and their preferences for different attributes of an MPT implant. Quantitative descriptive analysis was conducted to determine the frequency and ranking for each demand creation message, channel, and each product and service provision attribute, by population group. A chi-square test was used to assess MPT implant characteristics associated with age. Qualitative data were analysed using deductive and thematic analysis. RESULTS: A total of 104 AGYW, 157 women > 24 years, and 42 FSWs participated in the PAR workshops. Participants preferred demand creation messages that were empowering, motivational and encouraged body autonomy. The use of slang was popular. Community radio stations and newspapers, social media, and information at hospitals and clinics were participants’ preferred MPT demand creation channels because they were easily accessible. Providing long-term and dual HIV and pregnancy protection, receiving implant services at the local clinic, manageable side effects, discreet and private implant, and numbing the area before insertion and removal, were the most preferred product and service provision attributes. CONCLUSION: Early considerations for women’s product preferences are key to product development. Educational messaging around the MPT implant should be empowering and in local languages, this may motivate women to learn more about it and use it. Multiple demand creation channels should be used to engage both young and older populations, which may ensure better reach. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-16904-0. |
format | Online Article Text |
id | pubmed-10598950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105989502023-10-26 Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa Mataboge, Paballo Mthimkhulu, Nqaba Kutywayo, Alison Martin, Catherine E. Mazibuko, Mbali Kwatsha, Khanyiswa Makalela, Nthabiseng Briedenhann, Elmari Butler, Vusile Bothma, Rutendo Mullick, Saiqa BMC Public Health Research BACKGROUND: South African women, including female sex workers (FSWs), are disproportionately affected by HIV, experience a high unmet need for contraception and high rates of sexually transmitted infections (STIs). Products that address the interlinked risk between HIV, unplanned pregnancy, and other STIs are needed. There are several multipurpose-prevention technologies (MPTs) in development, aimed at preventing both HIV and pregnancy. This study aimed to explore educational messaging and demand creation channels to improve the potential uptake of a hypothetical MPT implant, using participatory action research. It also aimed to look at product and service provision attributes preferred by potential end users. METHODS: Between July and August 2022, 303 PrEP-eligible adolescent girls and young women (AGYW) (18–24 years), women > 24 years, and FSW’s (≥ 18 years) participated in 4-hour workshops, where they were asked about their ideal messaging and demand creation channels and their preferences for different attributes of an MPT implant. Quantitative descriptive analysis was conducted to determine the frequency and ranking for each demand creation message, channel, and each product and service provision attribute, by population group. A chi-square test was used to assess MPT implant characteristics associated with age. Qualitative data were analysed using deductive and thematic analysis. RESULTS: A total of 104 AGYW, 157 women > 24 years, and 42 FSWs participated in the PAR workshops. Participants preferred demand creation messages that were empowering, motivational and encouraged body autonomy. The use of slang was popular. Community radio stations and newspapers, social media, and information at hospitals and clinics were participants’ preferred MPT demand creation channels because they were easily accessible. Providing long-term and dual HIV and pregnancy protection, receiving implant services at the local clinic, manageable side effects, discreet and private implant, and numbing the area before insertion and removal, were the most preferred product and service provision attributes. CONCLUSION: Early considerations for women’s product preferences are key to product development. Educational messaging around the MPT implant should be empowering and in local languages, this may motivate women to learn more about it and use it. Multiple demand creation channels should be used to engage both young and older populations, which may ensure better reach. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-16904-0. BioMed Central 2023-10-25 /pmc/articles/PMC10598950/ /pubmed/37880628 http://dx.doi.org/10.1186/s12889-023-16904-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Mataboge, Paballo Mthimkhulu, Nqaba Kutywayo, Alison Martin, Catherine E. Mazibuko, Mbali Kwatsha, Khanyiswa Makalela, Nthabiseng Briedenhann, Elmari Butler, Vusile Bothma, Rutendo Mullick, Saiqa Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
title | Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
title_full | Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
title_fullStr | Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
title_full_unstemmed | Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
title_short | Preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (MPTs) among women in South Africa |
title_sort | preferences, educational messaging, and demand creation channels for multipurpose-prevention technologies (mpts) among women in south africa |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10598950/ https://www.ncbi.nlm.nih.gov/pubmed/37880628 http://dx.doi.org/10.1186/s12889-023-16904-0 |
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