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AIDS and Behavior
Published in: AIDS and Behavior 5/2020

01-05-2020 | Cervical Cancer | Original Paper

Preferences for Pre-exposure Prophylaxis Service Delivery Among Female Sex Workers in Malawi: A Discrete Choice Experiment

Authors: Kathryn E. Lancaster, Thandie Lungu, Agatha Bula, Jaclyn M. Shea, Abigail Shoben, Mina C. Hosseinipour, Racquel E. Kohler, Irving F. Hoffman, Vivian F. Go, Carol E. Golin, Stephanie B. Wheeler, William C. Miller

Published in: AIDS and Behavior | Issue 5/2020

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Abstract

Female sex workers (FSW) in Malawi have among the highest HIV prevalence estimates worldwide. Daily oral pre-exposure prophylaxis (PrEP) is an effective HIV prevention method, yet preferences for PrEP delivery among FSW are lacking. Eight focus group discussions, a literature review, and cognitive interviews were conducted to identify modifiable PrEP delivery attributes and inform discrete-choice experiment (DCE) development for FSW in Lilongwe. Enrolled FSW received an interviewer-assisted DCE. Data were analyzed using mixed logit regression. Dispensing location was most preferred, followed by the provision of additional services. Women preferred receiving PrEP at family planning clinics or non-governmental organization run drop-in centers. Cervical cancer screening was the most preferred additional service, while pregnancy testing and partner risk reduction counseling were less valued. This study was the first study to examine PrEP delivery preferences in Malawi using DCE—a powerful elicitation tool to apply to other key populations at risk for HIV.
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Metadata
Title
Preferences for Pre-exposure Prophylaxis Service Delivery Among Female Sex Workers in Malawi: A Discrete Choice Experiment
Authors
Kathryn E. Lancaster
Thandie Lungu
Agatha Bula
Jaclyn M. Shea
Abigail Shoben
Mina C. Hosseinipour
Racquel E. Kohler
Irving F. Hoffman
Vivian F. Go
Carol E. Golin
Stephanie B. Wheeler
William C. Miller
Publication date
01-05-2020
Publisher
Springer US
Published in
AIDS and Behavior / Issue 5/2020
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02705-3

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