Foundational pillars
The findings above highlight that three foundational pillars supported these pathways to adherence and were essential to their effectiveness:


In combination with DLF, these strong relationships also motivated participants to adhere to avoid disappointing counsellors who had invested in them. Furthermore, they made AGYW more willing to open up to counsellors, ask questions and share challenges, which allowed counsellors to help them more effectively.




Over the course of the study, these factors coalesced to build trust and convince participants that they could successfully and safely use the products to achieve ongoing HIV prevention.