Table II:

HIV prevention information, motivation, and behavioral skills clients discussed with Health Scouts

	Information discussed with Health Scouts		Associated client Motivation		Behavioral Skills supporting behavior	Client Example
	Mis-information	Accurate Information	Personal Motivation	Social Motivation
Using PrEP (32 clients coded)	PrEP can cause HIV PrEP can cause death PrEP harms reproductive system	PrEP is a pill taken daily which prevents HIV infection PrEP prevents HIV without use of condom PrEP is available and monitored at health clinic	Remaining HIV negative, living longer Feeling a sense of safety Daily pill burden, fear of side effects	Desire to stay healthy for children or family Desire for protection regardless of partner’s sexual behavior or condom use	Access: Going to health clinic for screening and supply of PrEP Resilience: Confidence in protecting oneself from HIV infection	“The [PrEP] medicine is working for me because I know the virus has nowhere to pass… [My Health Scout] simply gave me information and I made a choice about how to live my life. So, I decided to swallow PrEP.” (Fisherman, 25 years old)
Using condoms (36 clients coded)		Condoms protect against HIV infection, STIs and pregnancy Condoms prevent reinfection from a different strain of HIV How to correctly use a condom, including proper application and single usage Condoms should be used when having multiple partners and when a partner’s HIV status is unknown	Preventing HIV and STIs, enabling sex with HIV positive partner Difficulty putting on a condom Side effects of decreased sexual pleasure, dryness, pain from friction, itching or abdominal pain	Alcohol use and social gatherings impede condom use Partner prefers or expects not to use a condom Male partner resists using a condom, potentially forcefully	Access: Acquiring condoms from collection boxes or Health Scout Planning: Ensuring you have condoms at time of sexual encounter Resilience: Autonomy in deciding to use condoms	“I have learned [from my Health Scout] about things regarding sex. There are times when you may not know someone’s status, in that case you have to use a condom…I started using condoms in every sexual encounter, and refrained from having sex with people who refused to use condoms.” (Student, 19 years old)
Sexual behaviors (37 clients coded)		Reducing number of sexual partners decreases HIV risk	Feeling organized, careful, and healthy Preventing HIV Freedom from fear of acquiring HIV Resisting sexual attraction and sex drive	Commitment or emotional connection to a single partner Suspicion of partner infidelity Alcohol use and social gatherings encourage risky sexual behaviors	Planning: Choosing to reduce number of sexual partners rather than taking PrEP or using condoms, deciding to reduce alcohol intake	“The challenge we discussed was about getting exposed to HIV reinfection through having sex with sex partners… my attitude and behaviors changed because I stopped having other sex partners. I have spent over five years now without having other sex partners. I only stick to one partner…I adjusted my conduct after talking to my Health Scout.” (Fisherman, 34 years old)
HIV Testing (31 clients coded)		If you test HIV positive, you can live a long and healthy life by adhering to ART If you test HIV negative, you should maintain HIV prevention behaviors You should get tested for HIV with a new partner before sex	Living a healthy life without worry Avoiding health problems observed in others living with HIV Fear of testing HIV positive	Reassurance and counseling from Health Scout Encouragement from friends or sexual partner Fear of negative or violent reactions from partner	Systems Navigation: Knowing where and when to go for HIV testing Planning: Testing with new partner before sex, planning to get tested for HIV at regular intervals	“She told me to go to the clinic to find out what my status is although I wasn’t ready to come to the clinic because I was scared. She encouraged me and counselled me and I came to the clinic. I was tested and diagnosed as HIV positive…she comforted me and told me that she is also HIV positive, and she has been on ART for a long time. I found the strength to do the same.” (Fisherman, 24 years old)

Key: = Influence towards HIV prevention behavior change (activating)

= Influence away from HIV prevention behavior change