March 3, 20261 citationsOpen Access

“Taking PrEP every day for me is a challenge”: Barriers, and facilitators to accessing HIV pre-exposure prophylaxis (PrEP) services among young people in Gauteng, South Africa

CMConstance Mongwenyana-MakhutleUniversity of the Witwatersrand CHCheryl HendricksonUniversity of the Witwatersrand SDSiyabonga S. DubazanaUniversity of the Witwatersrand

Key Points

Uptake of pre-exposure prophylaxis (PrEP) is influenced by personal barriers and supportive environments, creating challenges for young people.
Findings show that improving service delivery and addressing affordability can significantly enhance adherence rates.
Analysis across various levels—individual, relational, and institutional—highlights the complexity of access to HIV prevention services.
Multilevel strategies are essential for optimizing the implementation of PrEP among youth in Gauteng, indicating a proactive approach is required.

Abstract

Young people's access to PrEP is shaped by interactions across individual, relational, institutional, community, and structural levels. Tailored interventions that address personal barriers, strengthen supportive environments, improve service delivery, and ensure affordability are likely to strengthen uptake and adherence. These findings highlight the need for multilevel strategies to optimize PrEP implementation among youth.

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