Acceptance of HIV/AIDS Lived Experiences Storytelling Approach in Fostering Assertiveness for Anti-Premarital Sexual Behaviour of in-School Adolescents in Kabwe, Zambia

The sd-PLWHIV intervention, grounded in Mezirow's transformative learning theory, aimed to promote assertiveness against premarital sex as an HIV prevention strategy among in-school adolescents in Kabwe, Zambia. This qualitative descriptive study explored the acceptability of using HIV/AIDS lived experiences storytelling to promote anti-premarital sexual behaviour. Thirty-eight purposively selected pupils participated, with data collected through open reflection questionnaires, focus group discussions, and in-depth interviews. In combination with thematic analysis, Sekhon's Theoretical Framework of Acceptability guided the analysis, revealing high acceptance (89.5%) of the approach. Key factors driving acceptance included emotional messaging and emotional support, confidentiality and anonymity, facilitators' credibility, and the safe space created for sharing experiences. Participants reported increased knowledge, self-efficacy, and motivation to abstain from premarital sex. While limited by a small sample size, the study's in-depth exploration of adolescents' experiences is a strength. The sd-PLWHIV intervention shows promise for HIV prevention; prioritising confidentiality, autonomy, and emotional support can enhance effectiveness.