ASSESSING THE ACCEPTABILITY OF, AND WILLINGNESS TO PAY FOR, EVENT-DRIVEN PRE-EXPOSURE PROPHYLAXIS AMONG CISGENDER MEN IN CAPE TOWN, SOUTH AFRICA

Event-driven PrEP was highly acceptable to 86.7% of 150 cisgender men surveyed at mobile clinics in Cape Town, South Africa, despite 24.7% prior awareness.

• Why it matters: Although South Africa has expanded PrEP access, evidence on ED-PrEP acceptability and willingness to pay among cisgender men in Cape Town is limited, leaving implementation needs unclear.
• What they did: A cross-sectional survey (Oct–Nov 2025) measured acceptability with five-point Likert items using the Theoretical Framework of Acceptability and elicited WTP via a contingent valuation bidding game.
• The result: Among those accepting ED-PrEP (n=130), 30.8% accepted an initial US$16.64 bid and 10.0% reported WTP=US$0; median maximum WTP was US$5.55 (IQR US$2.77–US$16.64), with higher income linked to higher stated maximum WTP.

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