{"id":40951,"date":"2022-12-02T10:05:32","date_gmt":"2022-12-02T10:05:32","guid":{"rendered":"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill"},"modified":"2022-12-02T10:16:25","modified_gmt":"2022-12-02T10:16:25","slug":"4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill","title":{"rendered":"4 ways to make it easy to take the HIV prevention pill"},"content":{"rendered":"

Africa-Press – South-Africa. <\/strong><\/span>How would you feel if a nurse held out an enormous blue tablet and said you have to swallow it with water every single day?<\/p>\n

The HIV prevention pill Tenemine (a generic form of the branded drug Truvada) is big and bulky. At nearly 2cm long and almost 1cm wide, it\u2019s about the size of a large jellybean sweet.<\/p>\n

The tablet is made up of two antiretroviral drugs (the medicine used to treat HIV) called tenofovir and emtricitabine. If taken daily, the medicine can reduce someone\u2019s chance of contracting HIV through sex by up to 93% studies have shown. Researchers have also found that taking the medication a day before and for two days after sex worked just as well to prevent infection in men who have sex with men and transgender women.<\/p>\n

This type of protection is called oral pre-exposure prophylaxis, or PrEP. (So, it\u2019s a medicine you take before you\u2019re exposed to a potentially harmful germ.)<\/p>\n

But the high level of protection kicks in only if people actually take the tablets \u2014 and stick to it. The less often someone uses the medication, the lower the level of protection becomes.<\/p>\n

At the Aurum Institute, an HIV and tuberculosis nonprofit, we\u2019ve been running a PrEP programme at five of our Pop Inn wellness centres in KwaZulu-Natal, Gauteng and Mpumalanga. These facilities are set up specifically for men who have sex with men and transgender women, two groups who are more likely to be become infected with HIV, partly because the chance of getting HIV from anal sex can be up to 18 times higher than from vaginal sex.<\/p>\n

The size of the tablet was one of the reasons people were put off from taking the medicine. By September 2019 only about 8% of people visiting Pop Inn clinics in Ehlanzeni, eThekwini, uMgungundlovu, Tshwane and Ekurhuleni were on PrEP.<\/p>\n

But our researchers have figured out how to help people understand that when it comes to protecting yourself against HIV, size doesn\u2019t matter.<\/p>\n

Here\u2019s what we\u2019ve learnt:<\/p>\n

1. When people are on the move, move with them<\/b><\/p>\n

Many of the people we help at Pop Inn clinics are migrants. They move around the country or to other parts of Africa for work or to find better jobs.<\/p>\n

Migrant workers who have moved between 40km and 110km from their hometowns are 1.5 times more likely to contract HIV than those who don\u2019t move around, a 2017 study in the journal Aids found.<\/p>\n

But as people move around more, it also becomes more difficult for them to get PrEP in a convenient way.<\/p>\n

For that reason, we\u2019ve set up a partnership to take the service to people when they can\u2019t come to us.<\/p>\n

CareWorks is a private courier service that helps people to manage their chronic illnesses by taking HIV-prevention medicine, antiretrovirals and self-testing kits to people in hard-to-reach areas.<\/p>\n

This partnership has paid off: Since we joined forces with CareWorks in June, 202 of our Pop Inn clients are already getting their PrEP this way.<\/p>\n

The service reaches people all across the country, even in places that are way off the beaten track or if someone doesn\u2019t have an official address. In those cases, a person can give the courier a reference point for where they live, such as opposite a specific spaza shop for example.<\/p>\n

2. Don\u2019t give a man a fish; teach him how to fish<\/b><\/p>\n

People often don\u2019t think they\u2019re at risk of being infected with HIV, which means they might not take the right steps to protect themselves. At Aurum, we\u2019ve designed a screening tool to help people figure out how likely they are to get infected with HIV.<\/p>\n

PrEP is only useful for people who are HIV negative, so the first thing a client is asked to fill in on the form is what their HIV status is. (They also go for a test later.)<\/p>\n

The rest of the questions in the checklist ask how often someone is having sex, whether they use protection such as condoms, and whether they know their partner\u2019s HIV status.<\/p>\n

Once people have filled in all these details, a nurse will explain how HIV infection spreads and what kind of behaviour could lead to a higher chance of getting the virus. The health worker will also give the person an information pamphlet about how PrEP works.<\/p>\n

We\u2019ve learnt that giving people the explanations they need to make their own decisions in their own time, rather than just telling them what to do, goes a long way to help them take the medicine. For example, our nurses don\u2019t only talk about the benefits of taking the pills, but also discuss the side effects people may experience when they take PrEP, which can include headaches, tiredness, nausea or bone pain.<\/p>\n

The healthcare workers explain what people can do to ease these side effects, such as taking painkillers or getting a check-up at the clinic.<\/p>\n

We found that the more knowledgeable people became, the less worried they were about the size of the pill, for instance. We also give them tips on how to swallow it so it doesn\u2019t get stuck in their throat.<\/p>\n

3. Help people to help each other<\/b><\/p>\n

Our Pop Inn clinics run support groups called adherence clubs. They meet once a month and are led by people who have been on PrEP for a while already. Joining a group like this helps new starters stay on their medicine and encourages them to come back to the clinic regularly to get their pills so that they won\u2019t run out. (It also helps that Aurum covers their transport costs.)<\/p>\n

We\u2019ve found that a buddy system works well too. People who belong to the adherence clubs pair up with someone else in the group so that they can remind each other to take their pills or to fetch their medicine from the clinic.<\/p>\n

They can also ask our teams questions on WhatsApp or Facebook and make clinic appointments on these platforms.<\/p>\n

4. PrEP to suit people\u2019s sex lives<\/b><\/p>\n

Since we\u2019ve started explaining to people how they can lower their risk of HIV infection, almost four times more of our clinic users are asking for PrEP. By September 2019, 2 596 people were getting HIV prevention pills from us; today we have 10 305 PrEP clients.<\/p>\n

Plus, fewer people are asking for HIV prevention pills you take afterpossibly having been exposed to HIV, say, during unprotected sex. (This is called post-exposure prophylaxis, or PEP and for the medication to work it needs to be taken within 72 hours of possibly being exposed to HIV \u2014 the sooner it\u2019s taken after possible exposure, the better it works.) At our eThekwini clinic, for example, the number of requests for PEP almost halved this year \u2014 from more than 50 in 2021 to only 27 in 2022.<\/p>\n

We\u2019ve also found that many people, especially those who aren\u2019t in stable or long-term relationships, prefer to use \u201con-demand\u201d PrEP, meaning that they take two doses of the drug 24 hours before sex and one tablet every day afterwards for the next two days. (This is sometimes called the 2+1+1 method.)<\/p>\n

Since the on-demand PrEP project started in 2022, over 700 people have received pills this way from our clinics.<\/p>\n

Although the shorter course of treatment is easier for people to take, there\u2019s still a chance that they may forget one of the pills, which could lower the protection they\u2019d get from the medicine. For that reason we encourage our 2+1+1 patients to also join an adherence club and the buddy system<\/p>\n

What\u2019s next?<\/b><\/p>\n

The biggest takeaway from this project is that people are keen to take care of their health; they just need the right information and a supportive environment.<\/p>\n

We\u2019re confident that our PrEP project will keep growing. Since we started sharing educational messages on community radio stations such as GugsFM and social media platforms like Facebook in April, we\u2019ve reached more than 100 000 people already, our data reveals.<\/p>\n

It\u2019s far more effective, and also economical, to prevent HIV infection than to treat it \u2014 studies from around the world confirms it. We should act on that data.<\/p>\n

This story was produced by theBhekisisa Centre for Health Journalism. Sign up for thenewsletter.<\/p>\n

Maria Sibanyoni<\/b> is The Aurum Institute’s senior technical advisor for all of the organisations projects for sex workers, men who have sex with men, transgender women, and young women.<\/p>\n

Jacqueline Pienaar<\/b> is technical director at The Aurum Institute. She\u2019s a public health specialist with a background in sexual and reproductive health and HIV prevention and treatment.<\/p>\n

Vuyolwethu Ncube<\/b> is a research co-ordinator at The Aurum Institute – her research interests include violence against women and public health.<\/p>\n

Matshidiso Chabane<\/b> is a clinical associate. She leads The Aurum Institute\u2019s Pop Inn project for transgender women and men who have sex with men.<\/p>\n

For More News And Analysis About South-Africa<\/a> Follow Africa-Press<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – South-Africa. How would you feel if a nurse held out an enormous blue tablet and said you have to swallow it with water every single day? The HIV prevention pill Tenemine (a generic form of the branded drug Truvada) is big and bulky. At nearly 2cm long and almost 1cm wide, it\u2019s about […]<\/p>\n","protected":false},"author":84,"featured_media":40949,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,3],"tags":[274,315,4031,478,227,3657,500,250,275],"class_list":["post-40951","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-news","category-community","tag-africa-press","tag-africa-press-south-africa","tag-aids","tag-department-of-health","tag-health","tag-hiv","tag-service-delivery","tag-south-africa","tag-south-africa-2"],"yoast_head":"\n4 ways to make it easy to take the HIV prevention pill - South Africa<\/title>\n<meta name=\"description\" content=\"How would you feel if a nurse held out an enormous blue tablet and said you have to swallow it with water every single d ...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"4 ways to make it easy to take the HIV prevention pill\" \/>\n<meta property=\"og:description\" content=\"How would you feel if a nurse held out an enormous blue tablet and said you have to swallow it with water every single d ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill\" \/>\n<meta property=\"og:site_name\" content=\"South Africa\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/AfricaPressTunisiaa\" \/>\n<meta property=\"article:published_time\" content=\"2022-12-02T10:05:32+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-12-02T10:16:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.africa-press.net\/south-africa\/sites\/31\/2022\/12\/postQueueImg_1669962939.89.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"720\" \/>\n\t<meta property=\"og:image:height\" content=\"476\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"cfeditoren\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"cfeditoren\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill\"},\"author\":{\"name\":\"cfeditoren\",\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/#\/schema\/person\/068c7ab4e9634ae78ec5d54ec46598bb\"},\"headline\":\"4 ways to make it easy to take the HIV prevention pill\",\"datePublished\":\"2022-12-02T10:05:32+00:00\",\"dateModified\":\"2022-12-02T10:16:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill\"},\"wordCount\":1502,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/south-africa\/sites\/31\/2022\/12\/postQueueImg_1669962939.89.jpg\",\"keywords\":[\"Africa Press\",\"Africa Press-South-Africa\",\"aids\",\"department of health\",\"Health\",\"hiv\",\"service delivery\",\"South Africa\",\"South-Africa\"],\"articleSection\":[\"all news\",\"community\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill\",\"url\":\"https:\/\/www.africa-press.net\/south-africa\/all-news\/4-ways-to-make-it-easy-to-take-the-hiv-prevention-pill\",\"name\":\"4 ways to make it easy to take the HIV prevention pill - 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