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Table 2 Summary of thematic and disconfirming case analyses

From: Strategies for increasing impact, engagement, and accessibility in HIV prevention programs: suggestions from women in urban high HIV burden counties in the Eastern United States (HPTN 064)

Themes

Subthemes

Example Quotes

Thematic Analysis Results

 Promote Multilevel Empowerment

Personal Empowerment

Relational Empowerment

Multilevel Empowerment

“So, she needs education first [then] empowerment and self-esteem reinforcement … All that and prevention needs to be available.”

Black woman, Raleigh

 Create Engaging Program Content

 

“…Half the time somebody hands me a brochure, I’m not gonna read it. I don’t care what it’s got on it… I want something hands on.”

Black woman, Raleigh

 Build “Market Demand”

Branding

[Programs need] “to make somebody’s mouth water for it.”

Black woman, Bronx

 Ensure Accessibility

 

“I would just make everything accessible … Because it’ll make a person come on in. Design a program with folks – to bring women in.”

Black woman, Washington DC

Disconfirming Case Analysis Results

 Address Structural Risk Factors

Reduce Poverty as a Risk Factor

Employ Policy to Mandate Prevention Participation

“Most times, it’s finances, and women … take higher risks to get what has to get paid, so there [needs to be] more programs out to help them pay their bills, and feed their children, and clothe them.”

Black woman, Bronx

 Expand Awareness of and Access to Prevention Resources

 

“The free condoms, even though they’re free, they’re not available in every corner store. It’s not in walking distance… So I would say just, promote more condoms.”

Hispanic woman, Bronx

 Increase Engagement via Pleasure Promotion

 

“My point is … there should be … ways to make safe sex fun… knowing that you’re talking about your safety or whatever, maybe you find different ways to make it fun.” Hispanic woman, Bronx