Paper ID: TAGJ2025008

Factors Affecting Uptake of Prep Among Most Risk Populations in Rural Areas in Tanzania

Abdulrazak Gurnah

Department of Public Health, University of Dar es salaam, Tanzania

Abstract

HIV/AIDS remains a significant public health challenge in Tanzania, particularly among high-risk populations in rural areas. This study assessed the factors affecting the uptake of pre-exposure prophylaxis (PrEP) among these populations. The research aimed to examine the level of awareness of PrEP, identify individual factors influencing its uptake, and evaluate the institutional factors that affect access to PrEP. A cross-sectional study design was employed, utilizing quantitative data collection methods. The study targeted individuals from the most at-risk populations. The findings revealed that 70% of respondents were aware of PrEP as an HIV prevention method, with healthcare providers (40%) and community outreach programs (20%) being the primary sources of information. Friends or family (30%) and social media (10%) also played significant roles in spreading awareness. However, 60% of respondents reported challenges in accessing PrEP, citing cost (20%) and community stigma (30%) as major barriers. The availability of PrEP was perceived as adequate by 40% of respondents, while 30% considered it somewhat available. Meanwhile, 20% reported it as rarely available, and 10% said it was not available at all. The study concluded that healthcare providers and community outreach programs have effectively raised awareness about PrEP. However, individual and institutional factors such as cost and stigma significantly influence its uptake. The study recommends that the government prioritize HIV prevention by allocating more funds to PrEP programs, including subsidies to reduce costs for high-risk populations.

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