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Bridging the gap between community and provider perspectives: formative research for HIV prevention radio programming in Zambia

2025/10/02 by Robert J. Vanaria, Mary C. T. El-Afandi, Natalia Gabriela Cereser Aguirre +7 · 1 voice
Health Professions · Computer Science · Medicine · #Adolescent Sexual and Reproductive Health #ICT in Developing Communities #HIV/AIDS Research and Interventions

paper · doi:10.1080/17538068.2025.2586949

openalex publication_date 2025/10/02 · openalex created_date 2025/11/13 · openalex updated_date 2026/07/28

Abstract

BACKGROUND: Zambia's Copperbelt Province maintains HIV prevalence of 11.9% among adults. PMC-Zambia conducted formative research in five districts (Ndola, Kitwe, Chingola, Kalulushi, Mpongwe) to inform a Radio Talk Show (RTS) addressing HIV prevention and pre-exposure prophylaxis (PrEP) uptake. METHODS: We employed focus group discussions (FGDs) and key informant interviews (KIIs) across the districts. Semi-structured guides explored HIV perceptions, stigma, and PrEP awareness. Thematic and narrative analyses identified patterns and stakeholder perspectives. RESULTS: Significant perception gaps emerged between healthcare workers reporting decreased stigma and community members describing persistent discrimination. PrEP awareness remained critically low with widespread misconceptions confusing prevention with lifelong treatment. Youth particularly feared partner suspicion and peer judgment, while older adults cited religious influences and relationship concerns as barriers. CONCLUSIONS: Findings reveal urgent need for targeted health communication bridging provider-community perception gaps, addressing misconceptions through expert dialogue, and leveraging interactive formats to reduce stigma while promoting informed HIV prevention decision-making.

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