Understanding barriers to pre-exposure prophylaxis (PrEP) uptake among young people in Lower Gweru, Zimbabwe. A qualitative study

Abstract

Pre-exposure prophylaxis (PrEP) is a highly effective strategy for preventing HIV infection when taken as prescribed. Most studies have focused on adult populations and other vulnerable groups, such as men who have sex with men (MSM) while few studies have explored the barriers young people face toward PrEP uptake yet they contribute a worrying percentage of new infections and HIV related deaths. We conducted 17 in-depth interviews with young people aged 15–24 years and key informants in Lower Gweru, Zimbabwe. Findings highlighted that young people face numerous barriers such as fear of side effects, pill burden, and lack of PrEP awareness. We concluded that addressing challenges to PrEP uptake requires a multifaceted approach that includes improving accessibility and education, as well as addressing cultural and social barriers. Implementing these recommendations can significantly enhance PrEP uptake, ultimately contributing to national HIV prevention goals and better health outcomes for young populations