La prophylaxie préexposition (PrEP) pour la prévention du VIH chez les hommes ayant des relations sexuelles avec d'autres hommes (HARSAH) à Bouaké, en Côte d'Ivoire : évaluation qualitative de l'acceptabilité et de la faisabilité

Authors: Pelletier, Sara Jeanne
Advisor: Alary, MichelGagnon, Marie-Pierre
Abstract: HIV remains an important public health issue throughout the world. In Côte d’Ivoire, a high burden of HIV is observed in men who have sex with men (MSM). In this study, we assessed the acceptability and feasibility of preexposure prophylaxis (PrEP), an efficient prevention method against HIV, among MSM in Bouaké, Côte d’Ivoire. We conducted four focus groups with 31 HIV-negative MSM, eight indepth individual interviews with participants recruited from the focus groups and five interviews with key informants. Data were interpreted with a thematic analysis method. Only four MSM (13%) were aware of PrEP before participating in the study. All participants were interested in taking PrEP if available: 19 (61.3%) would prefer the daily regimen and 12 (38.7%) would opt for the on-demand regimen. Many advantages of PrEP were mentioned, such as: protection in case of condom breakage, protection in case of high-risk sexual behaviour, self-reliance, decreasing HIV fear, increasing trust in partner and ease of use. Barriers to the use of PrEP included: it does not protect against other sexually transmitted infections (STIs) which implies that condom use is still necessary, having to take a pill regularly, the size of the pill, possibility of side effects and long-term effects, the cost and the accessibility. Six participants (19.3 %) admitted that they would stop using condoms or would use them less if they take PrEP. Findings indicate that PrEP is highly acceptable within the MSM community. Implementation should be done rapidly, and PrEP should be part of a global prevention program which includes counselling, regular STI screening and promotion of safe sex practices, including condom promotion. Health authorities should consider PrEP for all high-risk groups to avoid worsening stigmatization by targeting MSM only.
Document Type: Mémoire de maîtrise
Issue Date: 2019
Open Access Date: 26 April 2019
Grantor: Université Laval
Collection:Thèses et mémoires

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