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Challenges to microbicide introduction in South Africa.
Soc Sci Med. 2006 Aug; 63(4):968-78.SS

Abstract

Qualitative research was conducted in South Africa to determine perceptions about intra-vaginal microbicides in order to better understand the socioeconomic, cultural and structural contexts for the support of future introduction of this new HIV prevention method. Focus group discussions and in-depth interviews were conducted at community, health service, and policy levels of inquiry. The main study site was a black working class urban area close to Cape Town. "Desperation" in response to the HIV/AIDS epidemic, rape, sexual coercion and unplanned consensual sex emerged as major reasons to support microbicides, while concerns about the partial effectiveness of microbicide protection and its hypothetical nature elicited a more cautious approach. Other key findings included the likelihood that microbicides would be "mainstream", the possible impact on sexual practices and gender norms, issues of condom substitution/migration and potential avenues for education and distribution. We found that microbicides have the potential to meet diverse needs beyond that suggested by prior research. This included a desire for products that could protect against HIV infection following rape, sexual coercion and unplanned sex, and the finding that a wider range of people than previously suggested would potentially use microbicides. The challenge for microbicide introduction will be to develop products that can meet diverse needs not only in South Africa, but also in the broader global context.

Authors+Show Affiliations

University of Cape Town, Cape Town, South Africa. porner@cormack.uct.ac.zaNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

16600447

Citation

Orner, Phyllis, et al. "Challenges to Microbicide Introduction in South Africa." Social Science & Medicine (1982), vol. 63, no. 4, 2006, pp. 968-78.
Orner P, Harries J, Cooper D, et al. Challenges to microbicide introduction in South Africa. Soc Sci Med. 2006;63(4):968-78.
Orner, P., Harries, J., Cooper, D., Moodley, J., Hoffman, M., Becker, J., McGrory, E., Dabash, R., & Bracken, H. (2006). Challenges to microbicide introduction in South Africa. Social Science & Medicine (1982), 63(4), 968-78.
Orner P, et al. Challenges to Microbicide Introduction in South Africa. Soc Sci Med. 2006;63(4):968-78. PubMed PMID: 16600447.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Challenges to microbicide introduction in South Africa. AU - Orner,Phyllis, AU - Harries,Jane, AU - Cooper,Diane, AU - Moodley,Jennifer, AU - Hoffman,Margaret, AU - Becker,Julie, AU - McGrory,Elizabeth, AU - Dabash,Rasha, AU - Bracken,Hillary, Y1 - 2006/04/05/ PY - 2004/12/07/received PY - 2006/4/8/pubmed PY - 2006/12/9/medline PY - 2006/4/8/entrez SP - 968 EP - 78 JF - Social science & medicine (1982) JO - Soc Sci Med VL - 63 IS - 4 N2 - Qualitative research was conducted in South Africa to determine perceptions about intra-vaginal microbicides in order to better understand the socioeconomic, cultural and structural contexts for the support of future introduction of this new HIV prevention method. Focus group discussions and in-depth interviews were conducted at community, health service, and policy levels of inquiry. The main study site was a black working class urban area close to Cape Town. "Desperation" in response to the HIV/AIDS epidemic, rape, sexual coercion and unplanned consensual sex emerged as major reasons to support microbicides, while concerns about the partial effectiveness of microbicide protection and its hypothetical nature elicited a more cautious approach. Other key findings included the likelihood that microbicides would be "mainstream", the possible impact on sexual practices and gender norms, issues of condom substitution/migration and potential avenues for education and distribution. We found that microbicides have the potential to meet diverse needs beyond that suggested by prior research. This included a desire for products that could protect against HIV infection following rape, sexual coercion and unplanned sex, and the finding that a wider range of people than previously suggested would potentially use microbicides. The challenge for microbicide introduction will be to develop products that can meet diverse needs not only in South Africa, but also in the broader global context. SN - 0277-9536 UR - https://www.unboundmedicine.com/medline/citation/16600447/Challenges_to_microbicide_introduction_in_South_Africa_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0277-9536(06)00110-9 DB - PRIME DP - Unbound Medicine ER -