Sexual history and behavior of AGYW (N = 200).

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