{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:07:52Z","timestamp":1777853272624,"version":"3.51.4"},"reference-count":54,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Agence Fran\u00e7aise d\u2019Expertise Technique Internationale","award":["SUBVENTION N\u00b020-SB1361"],"award-info":[{"award-number":["SUBVENTION N\u00b020-SB1361"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>In 2017, Morocco became the first Arab country to incorporate pre-exposure prophylaxis (PrEP) in its HIV-prevention program. Yet no research has been published on PrEP from Morocco. Although female sex workers are one of the target populations of PrEP in Morocco, their enrollment in PrEP is lower than men who have sex with men. In this study, we conducted 38 semi-structured interviews with female sex workers, physicians who prescribe PrEP, policymakers, and community advocates to identify problems associated with access to and use of PrEP. We also investigated preferences for daily oral, vaginal ring, and long-acting injectable PrEP. A reflexive thematic analysis revealed seven themes: PrEP stigma; stigmatization and criminalization of sex work; one size doesn\u2019t fit all; knowledge and misconceptions about PrEP; economic burden; inconvenience of PrEP pills; and preferred PrEP modalities. This paper discusses the implications of the findings for increasing access and use of PrEP in Morocco.<\/jats:p>","DOI":"10.1177\/23259582241266691","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T04:32:47Z","timestamp":1722832367000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Barriers to Oral PrEP: A Qualitative Study of Female Sex Workers, PrEP Prescribers, Policymakers, and Community Advocates in Morocco"],"prefix":"10.1177","volume":"23","author":[{"given":"Amal Ben","family":"Moussa","sequence":"first","affiliation":[{"name":"Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco"},{"name":"Community-Based Research Laboratory, Coalition PLUS, Pantin, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6230-7700","authenticated-orcid":false,"given":"Abdallah M","family":"Badahdah","sequence":"additional","affiliation":[{"name":"School of Psychology, Sociology and Rural Studies, South Dakota State University, Brookings, SD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khadija","family":"Hidous","sequence":"additional","affiliation":[{"name":"Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rime","family":"Barakad","sequence":"additional","affiliation":[{"name":"Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fodi\u00e9","family":"Diallo","sequence":"additional","affiliation":[{"name":"ARCAD Sant\u00e9 PLUS\/Centre Integr\u00e9 de Recherche, de Soins et d'Action Communautaire (CIRSAC) de Bamako, Bamako, Mali"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariam","family":"Traor\u00e9","sequence":"additional","affiliation":[{"name":"ARCAD Sant\u00e9 PLUS\/Centre Integr\u00e9 de Recherche, de Soins et d'Action Communautaire (CIRSAC) de Bamako, Bamako, Mali"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niloufer","family":"Khodabocus","sequence":"additional","affiliation":[{"name":"Pr\u00e9vention Information et Lutte contre le Sida, Port Louis, Mauritius"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annette","family":"Ebsen Treebhoobun","sequence":"additional","affiliation":[{"name":"Pr\u00e9vention Information et Lutte contre le Sida, Port Louis, Mauritius"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemary","family":"Delabre","sequence":"additional","affiliation":[{"name":"Community-Based Research Laboratory, Coalition PLUS, Pantin, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Rojas Castro","sequence":"additional","affiliation":[{"name":"Community-Based Research Laboratory, Coalition PLUS, Pantin, France"},{"name":"Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant\u00e9 & Traitement de l\u2019Information M\u00e9dicale, ISSPAM, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lahoucine","family":"Ouarsas","sequence":"additional","affiliation":[{"name":"Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco"},{"name":"Community-Based Research Laboratory, Coalition PLUS, Pantin, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehdi","family":"Karkouri","sequence":"additional","affiliation":[{"name":"Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco"},{"name":"Community-Based Research Laboratory, Coalition PLUS, Pantin, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,5]]},"reference":[{"key":"bibr1-23259582241266691","unstructured":"World Health Organization. WHO continues to support its conditional recommendation for the dapivirine vaginal ring as an additional prevention option for women at substantial risk of HIV\n                      .\n                      Accessed December 18, 2023. https:\/\/www.who.int\/news\/item\/09-12-2021-who-continues-to-support-its-conditional-recommendation-for-the-dapivirine-vaginal-ring."},{"key":"bibr2-23259582241266691","unstructured":"U.S. Food and Drug Administration. FAD approves first injectable treatment for HIV pre-exposure prevention. Accessed December 18, 2023. https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-first-injectable-treatment-hiv-pre-exposure-prevention."},{"key":"bibr3-23259582241266691","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(21)00127-2"},{"key":"bibr4-23259582241266691","unstructured":"UNAIDS. Country factsheets. Morocco, 2022. 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