INTRODUCTION
Pre‐exposure prophylaxis (PrEP) and post‐exposure prophylaxis (PEP) are highly effective for HIV prevention [Delivery models that provide structured client‐centred choices, including the option to switch between biomedical prevention options (PrEP or PEP) over time, may help overcome these barriers. Several studies of hypothetical choices have been conducted to understand HIV prevention options that people at risk of HIV might prefer [Community‐based screening and prevention delivery offers an opportunity to provide client‐centred choices to persons who face barriers to accessing care at a health facility. However, community‐based delivery must leverage existing infrastructure to be scalable and sustainable. community health workers (CHWs) in Kenya and Uganda currently provide a range of primary healthcare services, including health promotion, management of common childhood illnesses, and follow‐up of expectant mothers and children aged ⩽5 years [We conducted a cluster randomized trial to test the hypothesis that a multi‐component intervention, offering structured client choices for HIV prevention product (PrEP or PEP), service location and testing, and delivered by CHWs with the support of clinicians would increase biomedical prevention coverage compared to referral for HIV prevention services at local health facilities.