The factors influencing the adaptation of HIV pre-exposure prophylaxis uptake among young mothers aged 18 to 25 in Namibia

Abstract

This study investigates the factors influencing the adaptation of HIV Pre-Exposure Prophylaxis (PrEP) among young mothers aged 18 to 25 in Namibia. Utilizing a quantitative research approach. In this study the population were the female clients between the ages 18-25 years. The researchers employed simple random sampling as the chosen method for participant selection. The sample size was calculated using the Yamane’s formula. The study randomly selected 158 participants from the target population to ensure a representative sample. The use of a closed-ended questionnaire was deemed highly suitable for data collection in this study due to several compelling reasons that align with the research objectives. Before commencing data collection, the researcher took proactive steps to obtain ethical clearance and necessary permissions to conduct the study from both the International University of Management and the Ministry of Health and Social Services in the Khomas region. Data analysis for this study was conducted using both descriptive and inferential statistics to provide a comprehensive understanding of the factors influencing the use of Pre-Exposure Prophylaxis (PrEP) among the participants. To ensure validity a pilot test was conducted prior to the actual data collection to assess the clarity and relevance of the questions, allowing for adjustments based on feedback received from a small sample of participants. The research aims to identify both the barriers and facilitators affecting PrEP uptake within this demographic. Key findings highlight significant cultural, logistical, and psychological barriers that hinder young mother's engagement with PrEP services. Cultural beliefs and stigma surrounding HIV prevent open discussions about sexual health, leading to misconceptions and reduced awareness of PrEP's benefits. Logistical challenges, such as limited access to healthcare facilities and transportation issues, further complicate the process of obtaining PrEP. Additionally, psychological factors, including fear of side effects and anxiety about discussing sexual health with healthcare providers, significantly impact adherence to medication. The study emphasizes the necessity for tailored public health strategies that address these multifaceted factors to enhance awareness, improve accessibility, and increase adherence to PrEP among young women.