Use of antipsychotic medication with weight-inducing potential in first-episode psychosis.

HIV self-testing (HIVST) is acceptable among adolescents and young people in sub-Saharan Africa and can overcome barriers such as stigma, lack of privacy and negative experiences with facility-based testing; however, evidence on peer-to-peer distribution models among adolescents in Uganda remains limited, particularly regarding implementation challenges and social dynamics. This study shows that peer-to-peer HIVST distribution is perceived by adolescents in Ugandan fishing communities as both practical and socially appropriate, driven by peer trust, emotional safety and autonomy. It also reveals previously underexplored challenges, including confidentiality risks, emotional burden on peer distributors, logistical constraints and potential exclusion of socially isolated adolescents. The findings highlight the need for peer-led HIVST models to incorporate structured training, ongoing mentorship, emotional support mechanisms and deliberate equity strategies. Integrating peer distributors within existing health systems and community structures may strengthen sustainability, safeguard confidentiality and support scale-up of youth-friendly HIV testing services in high-prevalence settings.