Evidence map›Paper›PMID 42683707›Full record

ArticleAfrican journal of primary health care & family medicine2026

'Cost, man. Good quality stuff can get pricey', men's choices regarding HIV services in South Africa.

Patience Manjengwa, Clarence Yah, Alfred Musekiwa

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Article in African journal of primary health care & family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Patience ManjengwaSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria. manjengwa.patience@gmail.com.
Clarence Yah
Alfred Musekiwa

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite global declines in human immunodeficiency virus (HIV) infections, South African men remain disproportionately affected. Understanding men's HIV service preferences is essential for designing effective interventions.

aimThis qualitative study identified key attributes influencing men's preferences for HIV testing, prevention and treatment services in Gauteng province, South Africa.

settingData were collected through focus group discussions and in-depth interviews between November 2023 and March 2024 across sites in Randburg, Soweto, Orange Farm and Pretoria.

methodsA qualitative exploratory design employed focus group discussions with men aged 20-64 years and key informant interviews with HIV programme stakeholders. Stratified purposive sampling ensured demographic diversity. Recordings were transcribed verbatim and independently dual-coded. Framework analysis following Ritchie and Spencer's five-step approach systematically identified themes, which were refined into discrete attributes.

resultsThirty-two focus group participants and 19 interview participants (median age 35 years [interquartile range [IQR] = 28-43], all Black African men, 82% secondary-educated) identified 10 priority HIV service attributes: accessibility, quality of care, cost-efficiency, comprehensive service packages, privacy and confidentiality, cultural sensitivity, technological solutions, community engagement, health awareness and stigma mitigation. Participants emphasised geographic proximity, welcoming nonjudgemental environments, affordability and privacy as critical in service utilisation.

conclusionFindings emphasise the importance of comprehensive, private, affordable care delivered through welcoming environments with digital health awareness integration.Contribution: Validated attributes will inform a discrete choice experiment to quantify preference structures and guide the development of evidence-based, male HIV service delivery models in South Africa.

Indexed as

Choice BehaviorHIV InfectionsPatient PreferenceAdultFocus GroupsHealth Services AccessibilityHIV TestingHumansInterviews as TopicMaleMen's Health ServicesMiddle AgedQualitative ResearchQuality of Health CareSouth AfricaYoung Adulthealthcare accessibilityHIV servicesHIV testingHIV treatmentmen’s health preferencesstigma

Identifiers

PMID42683707
PMCPMC13543249

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