Influências de fatores culturais e sociais na aceitação da profilaxia pré-exposição na prevenção ao HIV no Centro de Saúde da Polana Cimento

Abstract

This study analyzes the influence of social and cultural factors on the acceptance of HIV Pre-Exposure Prophylaxis (PrEP) among users of the Polana Cimento Health Center in Maputo, Mozambique.

This is a descriptive investigation, with a mixed methodological approach (qualitative and quantitative), involving users of that health facility. Data collection was carried out through questionnaires with open and closed questions and semi-structured interviews.

The results indicate that 77.3% of participants have already used PrEP; however, only 36.4% maintained its use during the data collection period. A high level of knowledge about PrEP was observed (98%); however, negative perceptions persist regarding its effectiveness (54.5%) and the social stigma associated with its use (72.7%). The main factors influencing adherence and continuity of use include social stigma, adverse effects, the fragility of social support networks, and failures in the supply of medication.

It is concluded that initial adherence to PrEP is significant, but continuity of use is conditioned by social factors. It is recommended to strengthen strategies for communication, community mobilization, stigma reduction in health services, and individualized clinical follow-up, aiming to consolidate PrEP in HIV prevention in Mozambique at the national level.(TRADUÇÃO NOSSA)