Table 3b. Newly introduced topics in the adapted counselling pamphlet.

Missing in MOH generic counselling messaging	Men specific gaps	Suggested changes	Specific change: Messaging	Specific change: Images
• Treatment as prevention	• MOH focus is on condom use and reducing number pf partners	• Explain how treatment as prevention works	• If you take ART daily, it is unlikely that HIV will be passed to your partner	• (Re) develop imagery that is context specific and relatable to adults
• If you forget taking your ART	• MOH is rigid and stresses taking ART same day and same time	• Explain to the client the scientifically allowed time to take ART	• If you miss taking ART, take immediately; if more than 12 hours late, do not take ART, take the next day	• Picture of man worried about having missed taking ART, next to a man taking ART
• Experiences with health facilities	• MOH does not address facility level barriers	• Introduce facility client services like health advisory committee; highlight client’s rights and responsibilities	• You seek redress form Health Advisory Committee, a different provider or seek transfer out	• Men on waiting area with HAC on the wall
• Male guardian support	• MOH stresses on general guardians the importance of having a male guardian; role of male guardian not highlighted	• Discuss role of male guardian and identify who can be the client’s male guardian	• With client, identify which male guardian would be central to their treatment	• Different scenarios of a man helping another man
• Alcohol	• MOH stresses on stopping alcohol; does not explain why clients must stop and what to do when struggling with alcohol	• Assess client’s knowledge and habits; discuss how alcohol might impact efficiency of ART	• Even if you don’t plan to stop taking alcohol, start taking ART	• Scales of balance of taking one bottle of alcohol vs consuming more
• Mobility	• MOH barely discusses mobility and ART, emergency refills and adherence	• Discuss emergency refills and the requirements for travelling	• Know your regimen, you can get emergency refills at any facility, you can get a refill before your appointment date	• A man packing for a trip, with ART and health passport book on the items to be packed
• Self-compassion and treatment	• MOH does not address challenges in the lifelong/cyclic treatment journey	• Acknowledge decision is difficult and journey has challenges • Establish that there is a way to manage barriers and there is support to slowly but steadily achieve	• Taking ART for life is challenging, but slowly one can learn and overcome challenges	• A picture of a provider helping a client climb a mountain