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<p>Johannesburg, South Africa is a major destination for men moving from within and outside the country. Mobile men face challenges across the HIV care continuum. From March to May 2023, we conducted in-depth interviews with 29 mobile men and focus groups with 12 healthcare providers to explore factors influencing HIV prevention and care for mobile men. We used semi-structured guides, recorded and transcribed interviews, and analyzed data using inductive and deductive thematic analysis. Participants had a median age of 34. They described how relocating to Johannesburg created stress that deprioritized healthcare. They reported barriers at five key stages of status-neutral HIV care: awareness, decision to access care, experience of care, uptake of PrEP/ART, and adherence. Socio-economic needs, mobility, and masculine norms influenced men’s engagement, and providers highlighted language barriers. Interventions to improve service uptake should address poverty, offer peer support, facilitate clinic transferability, and accommodate multiple languages to strengthen HIV services.</p>

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HIV Care for Men on the Move: A Qualitative Study to Inform Status-Neutral HIV Service Delivery for Mobile Men in Johannesburg, South Africa

  • 期刊论文

  • 发表日期：

    2025年3月3日

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  • Maria Francesca Nardell,
  • Caroline Govathson,
  • Amanda Fata,
  • Sophia Fend,
  • Sithabile Mngadi,
  • Eliana DaCunha,
  • Salomé Garnier,
  • Lawrence Long,
  • Mark Lurie,
  • Lisa Butler,
  • Sophie Pascoe,
  • Ingrid Theresa Katz

摘要

Johannesburg, South Africa is a major destination for men moving from within and outside the country. Mobile men face challenges across the HIV care continuum. From March to May 2023, we conducted in-depth interviews with 29 mobile men and focus groups with 12 healthcare providers to explore factors influencing HIV prevention and care for mobile men. We used semi-structured guides, recorded and transcribed interviews, and analyzed data using inductive and deductive thematic analysis. Participants had a median age of 34. They described how relocating to Johannesburg created stress that deprioritized healthcare. They reported barriers at five key stages of status-neutral HIV care: awareness, decision to access care, experience of care, uptake of PrEP/ART, and adherence. Socio-economic needs, mobility, and masculine norms influenced men’s engagement, and providers highlighted language barriers. Interventions to improve service uptake should address poverty, offer peer support, facilitate clinic transferability, and accommodate multiple languages to strengthen HIV services.