Evidence map›Paper›PMID 39349906›Full record

ArticleAIDS and behavior2025

Preferences for Delivery of HIV Prevention Services Among Healthcare Users in South Africa: A Discrete Choice Experiment.

Catherine Elizabeth Martin, Duane Blaauw, Pelisa Nongena, Glory Chidumwa, Siphokazi Dada, Samantha Jack, Vusile Butler, Saiqa Mullick

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AIDS and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

8 authors.

Catherine Elizabeth MartinWits RHI, University of the Witwatersrand, Johannesburg, South Africa. cmartin@wrhi.ac.za.ORCID http://orcid.org/0000-0002-8177-1944
Duane BlaauwFaculty of Health Sciences, Centre for Health Policy, University of the Witwatersrand, Johannesburg, South Africa.ORCID http://orcid.org/0000-0002-0605-7134
Pelisa NongenaWits RHI, University of the Witwatersrand, Johannesburg, South Africa.ORCID http://orcid.org/0000-0002-8741-0656
Glory ChidumwaWits RHI, University of the Witwatersrand, Johannesburg, South Africa.ORCID http://orcid.org/0000-0002-8743-9045
Siphokazi DadaWits RHI, University of the Witwatersrand, Johannesburg, South Africa.ORCID http://orcid.org/0000-0002-6816-2116
Samantha JackWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Vusile ButlerWits RHI, University of the Witwatersrand, Johannesburg, South Africa.ORCID http://orcid.org/0000-0002-5946-6951
Saiqa MullickWits RHI, University of the Witwatersrand, Johannesburg, South Africa.ORCID http://orcid.org/0000-0001-7039-1949

Funding

Unitaid 2017-21-Wits-PrEP
6 · The paper itself

Abstract

Progress has been made to scale oral pre-exposure prophylaxis (PrEP) as part of combination HIV prevention, with the WHO recommending differentiated, simplified and demedicalized approaches. This study explored user preferences for components of a PrEP service delivery package, through a discrete choice experiment (DCE) among 307 people accessing primary healthcare services in South Africa between November 2022 and February 2023. Attributes included were: Source of information about HIV prevention and PrEP; Site for PrEP initiation and follow-up; Frequency of follow-up; PrEP pick-up point; HIV testing whilst using PrEP; Contact between appointments. A D-efficient DCE design was created with 16 choice sets in 2 blocks. DCE data were analysed using generalised multinomial logistic models. Compared to printed materials, participants preferred getting information about PrEP online (aOR = 7.73, 95% CI = 5.13-11.66) and through WhatsApp (aOR = 2.23, 95% CI = 0.98-5.55). PrEP initiation at a pharmacy or mobile clinic was valued equally to initiating PrEP at a clinic, but a community pop-up site was less preferred (aOR = 0.46, 95% CI = 0.33-0.64). There was a preference for 6-monthly over 3-monthly follow-up (aOR = 11.88, 95% CI = 5.44-25.94). Participants preferred collecting PrEP from a pharmacy (aOR = 5.02, 95% CI = 3.45-7.31), through home delivery (aOR = 2.18, 95% CI = 1.26-3.78) and from a vending machine (aOR = 1.43, 95% CI = 1.02-1.99) relative to where they initiated PrEP. Participants also preferred HIV self-testing over a healthcare provider test (aOR = 5.57, 95% CI = 3.72, 8.36). WhatsApp or Facebook groups (aOR = 4.12, 95% CI = 3.00-5.67), monthly phone calls (aOR = 2.84, 95% CI = 1.73-4.67) and weekly messages (aOR = 1.47, 95% CI = 1.10-1.97) were preferred contact between appointments, relative to no contact. To meet users' preferences, there is a need to expand decentralised and self-led HIV prevention services.

Indexed as

Anti-HIV AgentsHIV InfectionsPatient PreferencePre-Exposure ProphylaxisAdultChoice BehaviorDelivery of Health CareFemaleHumansMaleMiddle AgedPrimary Health CareSouth AfricaYoung AdultAnti-HIV AgentsDifferentiated careDiscrete choice experimentHIV preventionPrEPService delivery model

Identifiers

PMID39349906
PMCPMC11739183

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.