Some peer visits created awkward situations and risked inadvertent disclosure of gender identity
TGW who lived with their parents or moved in with them during the COVID‐19 pandemic found it hard to explain the presence of a stranger and the purpose of their visit to family members in a setting where health workers did not routinely conduct home visits. Peers concurred that visiting study participants at their parents’ homes could be awkward. TGW opted to offer partial information, conceal the true purpose of the peer visit and choose another venue for peer visits (i.e. a partner's house) to avoid inadvertent disclosure of gender identity to family members. However, this strategy created new problems when intimate partners thought that peers were potential rivals.


Some peer visits were arranged at places of work. Peer delivery services were inconvenient when the peer visited the client at their workplace or called to request a visit when the client could not receive them because co‐workers were present. Picking up samples for STI testing was challenging if privacy was limited at the workplace, or the peer was unavailable when the participant could provide samples.

