Sizakuyenza
Shion Matsumoto, Josephine Bowen, Abigail Roane, and David Lech with Sizakuyenza staff
The intravaginal ring is a potential innovative solution to the South African HIV, STI, and unplanned pregnancy epidemic. In clinical trials, adherence has limited product efficacy. However, the factors underlying adherence (or lack thereof) have yet to be examined. This project explored this gap by interviewing 28 community members and five external stakeholders in Cape Town. Familiarity with similar vaginal products (i.e., tampons and female condoms), negotiation of product use with relationship partners, and avenues for product distribution were identified as major factors influencing IVR adherence and need to be considered to advise product education and marketing. In the future, more in-depth interviews should be conducted to explore thematic correlations with demographic groups.