Obstacles to Accessing Pre-exposure Prophylaxis for Rural Zimbabwean Female Learners with Profound Hearing Impairments: Proposed Solutions

Abstract

This qualitative study explored obstacles faced by rural Zimbabwean female learners with profound hearing impairments in accessing pre-exposure prophylaxis. Utilizing case study research design, methodology allowed for comprehensive examination of contextual realities influencing this marginalized group. A purposive sampling strategy identified 15 participants, including five female learners, educators, health representatives, and community leaders, ensuring a diverse perspective on barriers to pre-exposure prophylaxis. Data were collected through open-ended questionnaires, which provided rich insights into participants' lived experiences. Thematic analysis revealed several challenges, including communication barriers, stigma, and lack of tailored health services. Ethical considerations were prioritized throughout research, with informed consent and confidentiality measures in place to protect participant identities. One significant finding indicated that inadequate communication strategies significantly hindered access to pre-exposure prophylaxis among participants. Based on this, recommendation was made to develop inclusive health communication programs that cater specifically to the needs of women with hearing impairments.