The intervention arms were developed using the Information-Motivation-Behavioural Skills Model of Behaviour Change (IMB) [42, 43]; the IMB model has been used extensively to improve medication adherence, including for ART [4244] and daily contraceptives [45]. Intervention arms will incorporate content from the evidence-based intervention Life Steps [46], as well as from the HIV Prevention Trials Network 082 study [47] and the 3Ps for Prevention open-label PrEP demonstration study [48]. Using standardized manuals, adherence support interventions will be delivered in either a group (Arm 1) or one-on-one individual (Arm 2) sessions. Participants randomized to intervention arms will be seen by adherence counsellors monthly for 24 months at a fixed community-based site.

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