Public perceptions of HIV/AIDS awareness in the Gulf Council Cooperation countries: a qualitative study

Abstract

Background Awareness of Human Immunodeficiency Virus (HIV) is limited in Muslim countries, even among high-risk populations. Several factors contribute to the misunderstandings and stigma surrounding HIV, including socio-cultural and religious aspects. This study explored people's experiences and perceptions of HIV awareness campaigns in the Gulf Cooperation Council (GCC) region. Methods We conducted a qualitative study using semi-structured interviews with participants from the GCC region. The data were analysed using reflexive thematic analysis methods. Results Twenty-seven participants took p a rt in this study. The data revealed five main themes: The Necessity of HIV/AIDS Awareness, The Contrast Between Traditional and Modern Awareness , Exploring the Balance: Moral vs. Health Messages, HIV/AIDS Awareness in GCC countries, and Key Providers of HIV/AIDS Awareness. All participants emphasised the need to raise awareness about HIV in the GCC, believing that recent societal changes and increased openness justify the need for sexual health education. They stressed the importance of delivering clear and assertive health education to raise awareness while minimising the reliance on fear-based messaging. However, some participants expressed concerns about promoting condom use and HIV treatment, fearing it might encourage extramarital sex. Additionally, the lack of a religious component in the awareness messages raised concerns among some participants, as they believed adhering to religious practices was the best protection against HIV. Conclusions Muslims in the GCC recognise the importance of spreading awareness about HIV. However, they stress the need to balance religious sensitivity with the delivery of open and transparent health messages. Engaging the target community, including high-risk individuals, in planning health campaigns is crucial for improving the acceptance, reach, inclusivity, and understanding of health awareness programs.