Table 2 Summary of reported purpose and experience of initial counseling and enrollment

• Assess PrEP eligibility;

• Build rapport, establish trust, and form relationships with clients;

• Explain PrEP purpose and modalities of use;

• Address and allay concerns from the client;

• Give client opportunity to enroll on PrEP if eligible;

• Triage ineligible clients to other services at health facility;

• Discuss alternative HIV prevention avenues with decliners

• Gain greater understanding of PrEP;

• Avenue to ask questions;

• Emotionally process partner’s HIV positive status;

• Deliberate usefulness of PrEP for their personal situation

• Little to no counseling, leading clients to believe they were HIV positive;

• Pressure to enroll on PrEP