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Despite concerted prevention efforts, young South African women remain at the epicenter of the HIV epidemic. We conducted in-depth interviews with 35 pregnant women 22 HIV-uninfected and 13 HIV-infected aged 18—21, 18 healthcare providers, and focus groups Shawnee to male 19 community stakeholders. Among the young women, HIV knowledge was high, and many reported taking some action to prevent pregnancy or HIV; however, these efforts were not routinely implemented. Some novel concepts emerged from the data, including an understanding of Good ways to Gastonia your girlfriend overdependence on the romantic relationship may develop. Current HIV prevention efforts, including traditional HIV counseling and testing, condom distribution, and biomedical agents for HIV prevention, are unlikely to be effective without a broader, ecological up-to-date understanding of the evolving, intertwined, and complex constellation of factors that drive HIV risk behavior in this high-risk population.

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