{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T04:48:03Z","timestamp":1782362883678,"version":"3.54.5"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Glob. Women\u2019s Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pharmacies might create opportunities for pregnant women to initiate HIV prevention services earlier and more regularly, but their role in HIV prevention during pregnancy\u2014a high-risk period for HIV acquisition\u2014remains relatively unexplored. We evaluated whether women of childbearing age have different preferences for accessing HIV prevention services in Western Kenya.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We administered a discrete choice experiment (DCE) survey to women aged 15\u201344 in Western Kenya from June to November 2023. The survey asked women to choose among HIV prevention services described by seven attributes: service location, travel time, type of HIV test, sexually transmitted infection (STI) testing, partner HIV testing, pre-exposure prophylaxis (PrEP), and service fee. We used a latent-class model with effects-coded attribute levels to explore preference heterogeneity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 599 women included in the final analysis, the median age was 23 years (IQR: 18\u201327). 213 (33%) were married or living with a partner, and 311 (52%) had a prior pregnancy. The latent class analysis identified four distinct groups: the clinic-seeking group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009108, 18.0%), the all-about-PrEP group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009187, 31.2%), the all-about-STI testing group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009224, 37.4%), and the price-sensitive group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200980, 13.4%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women in this study exhibited heterogeneous preferences for accessing HIV prevention services. Future service design goals might prioritize STI testing and PrEP implementation, ensure targeted improvements to clinic-based services for women who value this setting, and offer flexible pricing to accommodate price-sensitive individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fgwh.2026.1810230","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T04:21:16Z","timestamp":1782361276000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Heterogeneity in preferences for HIV prevention service delivery among women of reproductive age in western Kenya: a latent class analysis"],"prefix":"10.3389","volume":"7","author":[{"given":"Melissa Latigo","family":"Mugambi","sequence":"first","affiliation":[{"name":"Department of Global Health, University of Washington","place":["Seattle, WA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben O.","family":"Odhiambo","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington","place":["Seattle, WA, United States"]},{"name":"Department of Research and Programs, Kenyatta National Hospital","place":["Nairobi, Kenya"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annabell","family":"Dollah","sequence":"additional","affiliation":[{"name":"UW-Kenya","place":["Nairobi, Kenya"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary M.","family":"Marwa","sequence":"additional","affiliation":[{"name":"Department of Research and Programs, Kenyatta National Hospital","place":["Nairobi, Kenya"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Nyakina","sequence":"additional","affiliation":[{"name":"UW-Kenya","place":["Nairobi, Kenya"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Kinuthia","sequence":"additional","affiliation":[{"name":"Department of Research and Programs, Kenyatta National Hospital","place":["Nairobi, Kenya"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"John-Stewart","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington","place":["Seattle, WA, United States"]},{"name":"Department of Medicine, University of Washington","place":["Seattle, WA, United States"]},{"name":"Department of Epidemiology, University of Washington","place":["Seattle, WA, United States"]},{"name":"Department of Pediatrics, University of Washington","place":["Seattle, WA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruanne Vanessa","family":"Barnabas","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Massachusetts General Hospital and Harvard Medical School","place":["Boston, MA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett","family":"Hauber","sequence":"additional","affiliation":[{"name":"The Comparative Health Outcomes, Policy and Economics (CHOICE) Institute, Department of Pharmacy, University of Washington","place":["Seattle, WA, United States"]},{"name":"Pfizer, Inc","place":["New York, NY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"B1","volume-title":"Kenya Demographic and Health Survey 2022","year":"2023"},{"key":"B2","doi-asserted-by":"publisher","first-page":"416","DOI":"10.1186\/s12913-017-2382-1","article-title":"Can formalizing links among community health workers, accredited drug dispensing outlet dispensers, and health facility staff increase their collaboration to improve prompt access to maternal and child care? 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