Enhancing HIV Prevention and Reducing Alcohol Use Among People Receiving STI Care in Lilongwe, Malawi

This study tests a program to reduce heavy alcohol use and improve HIV prevention among people attending a sexually transmitted infection (STI) clinic in Lilongwe, Malawi. Participants receive counseling and support tailored to both alcohol reduction and HIV prevention or management. **You may be eligible if...** - You are 18 or older and receiving care at the Bwaila STI clinic - You drink heavily (4+ drinks/day for men or 3+ drinks/day for women in the past 30 days) - You are willing to get an HIV test at enrollment - You plan to stay in the Lilongwe area for at least 6 months **You may NOT be eligible if...** - You are pregnant or breastfeeding - You have a serious mental illness or are at risk of alcohol withdrawal symptoms - You have active drug dependence that would prevent participation - You are already enrolled in another HIV or alcohol program - You have previously used injectable PrEP Talk to your doctor to see if this trial is right for you.