For 27 years, Esther Shiyayo and her husband have navigated life in a discordant marriage. Esther is HIV‑positive while he remains HIV‑negative. To maintain his status, he faithfully took a daily dose of pre‑exposure prophylaxis (PrEP).
“It hasn’t been easy. Some days he feels exhausted and wants to quit, but I keep encouraging him,” says Esther. Despite the physical toll of the pill regimen, the couple have raised six HIV‑negative children, thanks to strict adherence to PrEP and Esther’s suppressed viral load.