Exploring knowledge, uptake, and strategic interventions for pre-exposure prophylaxis in south African rural communities: A case of Ga-Makushane Village, Phalaborwa, South Africa

Abstract

Pre-Exposure Prophylaxis (PrEP) has been proven effective in preventing the transmission of HIV among high-risk individuals. However, in South African rural areas, the awareness and uptake of PrEP remain relatively low. This study aims to explore intervention strategies to strengthen the awareness and uptake of PrEP in these underserved communities. This study adopted a quantitative research design. The study used both primary and secondary data collection techniques. Both open-ended online questionnaires and a literature review were employed. The study was conducted in Ga-Makushane village, Phalaborwa, South Africa, with a sample size of thirty (n=30) participants selected using probability sampling. The empirical result shows that a minority of 33% (n=10) of participants reported they have knowledge and awareness of PrEP, while the majority, 67% (n=20) have no knowledge and awareness. In Ga-Makhushane Village, the survey findings revealed that there is no availability and accessibility of PrEP. This conclusion is supported by 63.3% (n=19) of the participants. Based on the findings above, a set of targeted intervention strategies was proposed, including community education and sensitization campaigns, training programs for healthcare providers, peer support networks, mobile clinics, and tailored messaging through culturally appropriate communication channels. These strategies aimed to address the unique socio-cultural and geographical contexts of rural areas and empower individuals with accurate information and access to PrEP services. The study concluded by offering recommendations and intervention strategies to improve the awareness and uptake of PrEP in South African rural areas.