ArticlePLOS global public health2025
Contraception and PrEP knowledge, attitudes, and practices among adolescent girls and young women in Nampula, Mozambique.
Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Long-Acting HIV Pre-exposure Prophylaxis Preferences Through Pregnancy and the Postpartum Period Among Women in Kenya: A Latent Transition Analysis.AIDS and behavior · 2026Article
- Bridging HIV prevention and sexual reproductive health services in the context of multi-method PrEP: a qualitative study exploring provider perceptions in South Africa.Frontiers in reproductive health · 2026Article
- Knowledge and experiences of adolescent girls and young women in the use of sexual reproductive health and HIV services at health facilities in Maputo City, Mozambique.Frontiers in reproductive health · 2025Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite widespread availability of ART and PrEP, HIV incidence among adolescent girls and young women (AGYW) in Mozambique remains amongst the highest in Africa. Similarly, modern contraception methods are broadly available in the public sector, but high rates of unplanned pregnancies persist. We explored AGYW's sexual behavior and knowledge of sexual and reproductive health, and HIV prevention practices in Nampula, Mozambique. Between May-June 2022, we conducted a cross-sectional survey among a convenience sample of AGYW 15-25 years whose self-reported HIV status was negative or unknown receiving care at three adolescent health clinics in Nampula province. Information on demographics, sexual behavior, HIV, and contraception and PrEP knowledge and attitudes was collected. Responses were analyzed using descriptive statistics. Of 200 AGYW (median age: 19 years, interquartile range: 17-21.3 years), 55% were in school, 32% completed secondary school and 81% had never been employed. Overall, 77% reported ever having had sex and 26% reported being <16 years at first sex. Nearly all respondents knew about condoms; only half had used a condom at last sex. Male condoms (62%), withdrawal (35%), and implants (25%) were the most commonly previously used contraceptive methods. AGYW were most interested in trying implants (18%), injectables (12%), and the pill (11%), though 31% reported not being interested in trying any new contraceptive method. Respondents had accurate general HIV knowledge; only 26% reported had ever heard of PrEP and 2% reported previous use. However, 64% expressed interest in using PrEP daily pills and 76% in long-acting injectables. AGYW in Nampula reported low usage of modern contraceptive methods and poor knowledge of PrEP. AGYW expressed interest in trying contraception and PrEP and showed positive attitudes toward PrEP usage. More widespread education around family planning and HIV prevention is needed to reduce barriers around improving sexual health among AGYW in Mozambique.
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Registered trials
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