Selections among dynamic prevention choices over time
HIV self‐testing
At baseline, PrEP was selected as an initial prevention product by 98% of participants in ANC, 84% of participants in OPD and 40% of participants in the community (Figure Choice of prevention options: (PrEP—pre‐exposure prophylaxis; PEP—post exposure prophylaxis, condoms or nothing) with each bar representing choices among participants seen at baseline, week 4 (W4), week 12 (W12) and week 24 (W24) in the ANC (left), OPD (middle) and community (right) settings. The different colours represent the different preferences and choice of prevention option. Abbreviations: ANC, antenatal clinics; OPD, outpatient departments.Participants from the three study settings differed in preference for visit location; off‐site delivery of prevention services was initially selected by 93% of community participants, compared to 22% of ANC and 8% of OPD participants. Personal preference for off‐site visits remained high in the community setting (99% at week 24) and increased over time in ANC and OPD (with 51% in ANC and 36% in OPD opting for off‐site delivery at week 24). Across the trials, the most common choice for off‐site visits was homes (86%), followed by phone/virtual visits (7%), trading centres (2%) and schools (2%).At baseline, HIV self‐testing was selected by 34% of ANC participants, 26% of OPD participants and 52% of community participants. In all three settings, personal/individual interest in alternative HIV testing modalities increased over time (57% ANC, 52% OPD and 65% community at week 24).