Abstract:
Background:
In Tabora, PrEP continuity 6 months after among newly enrolled among Key and Priority Population
(KPP) is low at 47%. However, information on reasons influencing to PrEP continuity in KPP in
Tabora is limited. We report study findings from nine (9) health facilities (HFs) in the Tabora region.
Methodology:
This was a cross-sectional survey, deployed both quantitative and qualitative methods. 425 current
or previous PrEP beneficiaries started PrEP between July 2020 to January 2021 were administered
with a structured questionnaire, whereby 157 participants were purposively selected for 18 focused
group discussions (FGDs). Recruitment of study participants carried between February to April 2022.
Results:
A total of 425 KPPs, aged 15-70 years with average 30 years, the majority 288(58%) were FSWs, the
proportion of interruption was 25(20.5%). Reported reasons for PrEP interruptions, (57%) were due
to drug side effects and the least was migration (3%). There was an association between interruptions
and clients’ age (P<0.05), area of service offered (P=0.010.) and being knowledgeable about PrEP:
(P<0.05). There is significant relationship between awareness and PrEP interruptions, though in
proportions of those aware and had interruptions was at 33%.
Conclusion:
Drugs side effects, misconception, stigma, pill burden and migration were cited among influencing
reasons for PrEP interruptions.
Recommendations :
Interventional study recommended to explore on the reasons cited for PrEP discontinuity in reaching
PrEP goals in prevention services.
