Table 4a.
Reasons for initiating PrEP among all PrEP initiators and reasons for non-initiation among women with HIV risk factors
| Reason for initiating PrEP* | Overall (N=2027) | Partner HIV status1 |
||
|---|---|---|---|---|
| Positive (N=153) | Negative (N=696) | Unknown (N=1178) | ||
|
| ||||
| Knowledge of partner’s HIV status2 | 544 (40·9) | 96 (62·8) | -- | 448 (38·0) |
| I feel at risk for acquiring HIV | 667 (32·9) | 25 (16·3) | 257 (36·9) | 385 (32·7) |
| I think my partner may have other partners | 358 (17·7) | 2 (1·3) | 170 (24·4) | 186 (15·8) |
| To protect my baby from HIV | 39 (1·9) | 3 (2·0) | 11 (1·6) | 25 (2·1) |
| I am interested in trying something new | 27 (1·3) | 0 (0·0) | 15 (2·2) | 12 (1·0) |
| Other3 | 30 (1·5) | 2 (1·3) | 13 (1·9) | 15 (1·3) |
|
| ||||
| Reasons for not initiating PrEP | Overall N=202) | Positive (N=4) | Negative (N=109) | Unknown (N=89) |
|
| ||||
| Knowledge of partner’s HIV status4 | 29 (25·7) | 3 (75·0) | 26 (23·9) | -- |
| Need to consult partner | 69 (34·2) | 0 (0·0) | 34 (31·2) | 35 (39·3) |
| Low perceived HIV risk | 61 (30·2) | 0 (0·0) | 44 (40·4) | 17 (19·1) |
| Pill burden | 24 (11·9) | 2 (50·0) | 12 (11·0) | 10 (11·2) |
| Fear of intimate partner violence | 29 (14·4) | 0 (0·0) | 15 (13·8) | 14 (15·7) |
| Fear that partner will find out | 15 (7·4) | 0 (0·0) | 6 (5·5) | 9 (10·1) |
| Fear of side effects | 2 (1·0) | 0 (0·0) | 1 (0·9) | 1 (1·1) |
| Fear of effects on unborn baby5 | 1 (1·4) | -- | 0 (0·0) | 1 (3·0) |
1
Self- reported by the woman
2
Client reported knowledge that partner was virally suppressed (if partner living with HIV), or did not know partner’s status (N=1331)
3
Other reasons listed included: In a polygamous marriage and does not trust co-wife, has multiple partners, co-wife is is living with HIV, partner is away often or does not live close, partner has been treated for an STI, engages in transactional sex, and partner has previously been unfaithful.
4
Client reported knowledge that partner was HIV-negative or, if living with HIV, virally suppressed (N=113).
5
Among pregnant women (N=70)