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Table 1 Thematic network: from basic themes to global theme

From: How gender norms and ‘good girl’ notions prevent adolescent girls and young women from engaging with PrEP: qualitative insights from Zimbabwe

Basic themes

Organising themes

Global theme

Patriarchy and poverty

1. AGYW in a man’s world

Gendered spheres of influence, underpinned by ‘good girl’ notions preventing AGYW from engaging with PrEP

HIV risk

Taboos surrounding pre-marital sex

2. Stigmatisation as a gender-control mechanism affecting AGYW PrEP use

PrEP-related stigma

PrEP signals infidelity

Need permission to engage with PrEP

3. AGYW’s limited freedom of choice in PrEP use

Need permission to go to health clinic

Lack of privacy at health clinics

4. The struggles of AGYW to keep PrEP use hidden

Perceived healthcare provider attitudes

Lack of nurse confidentiality

Limited privacy at home