Motivations for reducing other HIV risk-reduction practices if taking pre-exposure prophylaxis: Findings from a qualitative study among women in Kenya and South Africa

Women at high risk for HIV in Kenya and South Africa described numerous reasons for reducing or stopping the use of condoms if they were to start taking pre-exposure prophylaxis (PrEP) for HIV prevention. These findings suggest that enhanced counseling is needed to promote informed decision making and to ensure overall sexual health for women using PrEP, particularly with respect to the prevention of pregnancy and other sexually transmitted infections when PrEP is used alone.