Evidence map›Paper›PMID 38444890›Full record

ArticleFrontiers in reproductive health2024

Key programmatic and policy considerations for introducing multipurpose prevention (MPT) methods: reflections from healthcare providers and key stakeholders in South Africa.

Alison Kutywayo, Paballo Mataboge, Nqaba Mthimkhulu, Catherine E Martin, Lorrein S Muhwava, Mbali Mazibuko, Nthabiseng Makalela, Khanyiswa Kwatsha, Vusile Butler, Saiqa Mullick

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Article in Frontiers in reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alison KutywayoWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Paballo MatabogeWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Nqaba MthimkhuluWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Catherine E MartinWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Lorrein S MuhwavaWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Mbali MazibukoWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Nthabiseng MakalelaWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Khanyiswa KwatshaWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Vusile ButlerWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Saiqa MullickWits RHI, University of the Witwatersrand, Johannesburg, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Multipurpose prevention technologies (MPTs) simultaneously prevent HIV, other sexually transmitted infections, and/or unintended pregnancy. Key gatekeepers, [healthcare providers (HCPs) and key stakeholders] require proactive engagement before product implementation. This manuscript identifies HCP demand creation strategies, key stakeholder considerations for the adoption of MPTs in South Africa. Methods: Formative research was conducted in three districts in three South African provinces (July to November 2022). Nurses initiating oral PrEP at facility and mobile study sites participated in 4-hour participatory workshops, exploring HIV prevention, including MPTs, demand creation strategies, and preferred MPTs training packages. Activities were observed, transcribed, and thematically analysed. Five online in-depth interviews (IDIs) with Key informants (KIs) (National/district programme implementers and technical leads) and one in person, exploring key programmatic and policy considerations for MPT adoption. IDIs were approximately 40 min long, audio recorded, transcribed, and thematically analysed. Results: Twenty-one Professional Nurses completed workshops: 19 female. Six IDIs were conducted with 4 Facility Managers, 1 NDoH representative and 1 DoH Provincial Deputy Director. All participants were females, aged 30-60+ years with >10 years' in SRH/HIV policy/advocacy/research. Community conversations and information at the clinic were the best MPT demand creation methods among HCPs. KIs identified five considerations for future MPT implementation: HCP training; demand creation and messaging; existing PrEP policy amendments; preparing users for additional choice; and sustaining MPT provision. Conclusion: Contraceptive implant and oral PrEP implementation lessons learned should be proactively considered when preparing for MPT introduction. HCP training and demand creation are of particular importance before MPT introduction.

Indexed as

healthcare providersMPTsmultipurpose prevention methodsmultipurpose prevention technologiespolicy considerationsprogrammatic considerationsSouth Africa

Identifiers

PMID38444890
PMCPMC10912167

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.