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Giving voice to the end-user: input on multipurpose prevention technologies from the perspectives of young women in Kenya and South Africa
Unintended pregnancy and unmet need for modern contraception contribute substantially to reproductive health disparities globally. In sub-Saharan Africa they occur in contexts of disproportionately high rates of HIV infection. Multipurpose prevention technologies (MPTs) can address HIV and pregnancy...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8259853/ https://www.ncbi.nlm.nih.gov/pubmed/34224341 http://dx.doi.org/10.1080/26410397.2021.1927477 |
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author | Minnis, Alexandra M. Krogstad, Emily Shapley-Quinn, Mary Kate Agot, Kawango Ahmed, Khatija Danielle Wagner, L. van der Straten, Ariane |
author_facet | Minnis, Alexandra M. Krogstad, Emily Shapley-Quinn, Mary Kate Agot, Kawango Ahmed, Khatija Danielle Wagner, L. van der Straten, Ariane |
author_sort | Minnis, Alexandra M. |
collection | PubMed |
description | Unintended pregnancy and unmet need for modern contraception contribute substantially to reproductive health disparities globally. In sub-Saharan Africa they occur in contexts of disproportionately high rates of HIV infection. Multipurpose prevention technologies (MPTs) can address HIV and pregnancy prevention needs in a single “2-in-1” product; however, few studies have solicited end-user views to inform design of new MPTs. We conducted the Tablets, Ring, Injections as Options (TRIO) study with young women aged 18−30 in Kenya and South Africa (N = 277) to examine preferences and acceptability of future MPTs. In a randomised clinical cross-over study in which women used three placebo delivery forms, we complemented quantitative acceptability assessments with in-depth interviews and focus group discussions (N = 88 participants). We examined anticipated enablers and barriers to adoption and use of future MPTs and synthesised novel product design recommendations. Participants expressed high interest in MPTs. Anticipated side effects constituted a primary concern; however, many expected barriers were not dosage form-specific, but addressed contextual factors instead, such as fears regarding use of new biomedical technologies, misunderstandings and stigma regarding use, and navigating partner disclosure and engagement. Women preferred MPTs that offered discreetness and long-duration protection to minimise user-burden, did not interfere with their relationships, and conferred protection for unanticipated situations. End-user research to identify and pre-emptively address potential barriers while underscoring benefits to a new MPT product is vital. Attention to cultural contexts in implementation of new MPTs is important to communicating perceived benefits, achieving acceptability and maximising public health benefits. |
format | Online Article Text |
id | pubmed-8259853 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-82598532021-07-13 Giving voice to the end-user: input on multipurpose prevention technologies from the perspectives of young women in Kenya and South Africa Minnis, Alexandra M. Krogstad, Emily Shapley-Quinn, Mary Kate Agot, Kawango Ahmed, Khatija Danielle Wagner, L. van der Straten, Ariane Sex Reprod Health Matters Research Article Unintended pregnancy and unmet need for modern contraception contribute substantially to reproductive health disparities globally. In sub-Saharan Africa they occur in contexts of disproportionately high rates of HIV infection. Multipurpose prevention technologies (MPTs) can address HIV and pregnancy prevention needs in a single “2-in-1” product; however, few studies have solicited end-user views to inform design of new MPTs. We conducted the Tablets, Ring, Injections as Options (TRIO) study with young women aged 18−30 in Kenya and South Africa (N = 277) to examine preferences and acceptability of future MPTs. In a randomised clinical cross-over study in which women used three placebo delivery forms, we complemented quantitative acceptability assessments with in-depth interviews and focus group discussions (N = 88 participants). We examined anticipated enablers and barriers to adoption and use of future MPTs and synthesised novel product design recommendations. Participants expressed high interest in MPTs. Anticipated side effects constituted a primary concern; however, many expected barriers were not dosage form-specific, but addressed contextual factors instead, such as fears regarding use of new biomedical technologies, misunderstandings and stigma regarding use, and navigating partner disclosure and engagement. Women preferred MPTs that offered discreetness and long-duration protection to minimise user-burden, did not interfere with their relationships, and conferred protection for unanticipated situations. End-user research to identify and pre-emptively address potential barriers while underscoring benefits to a new MPT product is vital. Attention to cultural contexts in implementation of new MPTs is important to communicating perceived benefits, achieving acceptability and maximising public health benefits. Taylor & Francis 2021-07-05 /pmc/articles/PMC8259853/ /pubmed/34224341 http://dx.doi.org/10.1080/26410397.2021.1927477 Text en © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Minnis, Alexandra M. Krogstad, Emily Shapley-Quinn, Mary Kate Agot, Kawango Ahmed, Khatija Danielle Wagner, L. van der Straten, Ariane Giving voice to the end-user: input on multipurpose prevention technologies from the perspectives of young women in Kenya and South Africa |
title | Giving voice to the end-user: input on multipurpose prevention technologies from the perspectives of young women in Kenya and South Africa |
title_full | Giving voice to the end-user: input on multipurpose prevention technologies from the perspectives of young women in Kenya and South Africa |
title_fullStr | Giving voice to the end-user: input on multipurpose prevention technologies from the perspectives of young women in Kenya and South Africa |
title_full_unstemmed | Giving voice to the end-user: input on multipurpose prevention technologies from the perspectives of young women in Kenya and South Africa |
title_short | Giving voice to the end-user: input on multipurpose prevention technologies from the perspectives of young women in Kenya and South Africa |
title_sort | giving voice to the end-user: input on multipurpose prevention technologies from the perspectives of young women in kenya and south africa |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8259853/ https://www.ncbi.nlm.nih.gov/pubmed/34224341 http://dx.doi.org/10.1080/26410397.2021.1927477 |
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