Table 2.

Intervention content.

Visit	Video segments	SOV arm	GHP arm
V01	Part 1	Watch 1 h SOV intervention video	Watch 1 h GHP comparator video
		Separate into men and women groups; facilitated by same sex counselor using a complimentary flipchart to the video	Separate into men and women groups; facilitated by same sex counselor using a complimentary flipchart to the video
		“Together HIV Free” plan	“Everyone has an equal responsibility in keeping our family healthy”
		Be monogamous and only have sex with your spouse	Importance of household roles in maintaining good household health
		Always use a condom with outside partners and/or	Health education (risk groups; information on transmission and mechanism of action; signs and symptoms) for Diarrhea and Worms, hypertension, diabetes, and schistomiasis were covered.
		Only have sex with outside partners if you have tested with those partners and you know that they are also HIV-	Modifiable lifestyle choices for prevention of hypertension and diabetes were emphasized
		“Protecting My Spouse” plan	Illustration of portion control with salt and sugar measurements
		Abstain/NOT have sex or use condoms with their spouse until HIV retest in 1 month after the potential exposure	Proper Handwashing technique with practical
		If continuing to have sex with other partner(s)also	Water chlorination 5L and 20 L with practical
		Test for HIV as a couple with that other partner(s). Some couples test for HIV with their spouse and their boy/girlfriend at the same time	Health screenings hypertension, diabetes and schistosomiasis
		Abstain from sex or use condoms with the other partner until they know that partner's HIV status	Barriers to implementing GHP
		Consider ending the relationship with the boyfriend or girlfriend.
	Part 2	Couples All Together	Couples All Together
		Six scripted scenarios covering potential threats to remaining HIV free: Longstanding outside partners; traveling and working away from home; alcohol use; receipt of attention, money and gifts; and sexual inactivity due to wife's postpartum abstinence and menstruation	Game: GHP review (mini-quiz (6 questions)) non-graded
			Couples talked about what the phrase “Everyone has an equal responsibility in keeping our family healthy” meant to them
			Receipt of commodities: low sodium salt, deworming pills for family, chlorine and hand soap
			Treatment and referral for any abnormal result
		“Making Your Plan”	3-way agreement
		3-way agreement	Each of you commits to keeping yourself and your household healthy
		Each person commits to keeping yourself and your spouse HIV free	Counselors commit to help you achieve this goal
		Counselors commit to helping you achieve this goal	The success of implementing these strategies is ultimately your responsibility as individuals and as a family.
		The ultimate responsibility of this agreement lies with you individually as well as a couple
		Not assigning blame if a partner makes a mistake, but trying to focus on the original agreement from today of keeping HIV out of the marriage
		Couples asked to agree that if someone makes a mistake, they will put the health of one another first. After that, you can also discuss how to minimize future threats. Can you agree to that?
		Encourage coupled to go home and discuss and decide on plans together	Encouraged couples to go home and think about keeping a healthy household, keep this key message in mind: “Everyone has an equal responsibility in keeping our family healthy”
		Couples given yellow card
V05	Part 1	All couples watch GHP video for 1 h	All couples watch SOV video for 1 h