Abstract / Summary
Aim/Background: This study examined the perceived effectiveness of HIV prevention programmes in the O.R. Tambo District Municipality from the perspectives of both clients and healthcare professionals. Although a range of interventions is available—such as condom distribution, HIV testing, pre-exposure prophylaxis (PrEP), and prevention of mother-to-child transmission (PMTCT)—HIV prevalence in the area remains high. Methods: A qualitative, exploratory design guided by the Health Belief Model (HBM) was employed to explore the factors influencing the utilisation of these services. Data were collected through semi-structured interviews with clients and focus group discussions with healthcare professionals. Participants were selected using purposive sampling, and the data were analysed thematically. Results: The findings show that the perceived effectiveness of these programmes is shaped by several factors, including adherence, service accessibility, stigma, and levels of knowledge and awareness. While participants generally acknowledged the benefits of the programmes, their impact was limited by inconsistent use, restricted access, and prevailing misconceptions. Conclusions: The study concludes that there is a need to strengthen educational efforts, improve access to services, and address social barriers in order to enhance programme utilisation and ultimately reduce HIV transmission.