Preparing for the rollout of pre-exposure prophylaxis (PrEP): A vignette survey to identify intended sexual behaviors among women in Kenya and South Africa if using PrEP

The findings suggest that women may choose to reduce or stop using other risk reduction practices, such as condoms, when they start taking pre-exposure prophylaxis (PrEP) for HIV. Given the high efficacy of PrEP, their risk of acquiring HIV will be significantly reduced. However, women using PrEP alone or with inconsistent condom use may be at risk for other sexually transmitted infections and pregnancy. It is recommended that women taking PrEP receive enhanced counseling to promote informed decision making about their overall sexual health.