The investigators are conducting a study in Botswana to see if offering STI testing along with expanded HIV prevention options (PrEP) helps more pregnant women start and continue using PrEP during and after pregnancy. Pregnant women (n=600) seeking antenatal care in Botswana will be enrolled and randomly assigned to receive the standard of care (standard STI assessment with no STI testing) versus STI testing for Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis during pregnancy and postpartum. The investigators' hypothesis is that providing STI testing alongside PrEP offer will encourage more women to start and continue using PrEP.
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PrEP initiation among pregnant women seeking antenatal care
Timeframe: Enrolment to 1 month post enrolment
PrEP persistence
Timeframe: Enrolment to 9 months postpartum
PrEP adherence
Timeframe: Enrolment to 9 months postpartum
Chelsea Morroni, MBChB, DFSRH, MPH, PhD