PA-512 Behavioural predictors of uptake of HIV and pregnancy prevention products among adolescent girls and young women and female sex workers in Kenya and Uganda

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Background UPTAKE is a programme to accelerate access and facilitate adherence to effective and innovative long-acting technologies to prevent HIV and unintended pregnancy among Adolescent Girls and Young Women (AGYW) and Female Sex Workers (FSW) through behavioural science in Kenya and Uganda. We identified characteristics which predict the use of HIV and pregnancy prevention products and measured the strength of preferences.Methods A quantitative survey was administered to 326 AGYW and 334 FSW in both countries. Descriptive, inferential, and segmentation analysis was applied to reveal user-preferences, behavioural patterns and the predicting factors of product uptake. Results Product usage, particularly for HIV prevention, was lower among AGYW than FSW. Although awareness of long-acting prevention products including implants and intra-uterine devices (IUDs) was high among both groups, uptake remained low, primarily due to perceived side effects. For pregnancy prevention, the male condom was most used among both AGYW and FSW, followed by injectables. For HIV prevention, male condoms were most used, followed by oral pre-exposure prophylaxis (PrEP). Effectiveness and easy accessibility were the most highly valued product features.The influential factors driving and predicting uptake varied by product. At the 0.05 significance level, risk preference, stigma, Intimate Partner Violence (IPV), locus of control, peer influence, subjective risk, country, and age appeared significant in influencing uptake of various products. Segmentation was only found influential for the uptake of implants and male condoms among AGYW. Conclusion More than half of participants are aware of long-acting contraceptive products, though only 17% of AGYW and 22% of FSW used implants, and less than 2% used IUDs. Furthermore, very few recognised the ring as a HIV prevention method, and none used it. Behavioural interventions should be tailored by product and respond to the key influential factors to increase awareness and bridge the gap between awareness and uptake.

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