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

Inclusion Criteria: * Men and women age 18 years or older. * Receiving care at Bwaila STI clinic. * Report recent heavy drinking (greater than or equal to 4 drinks a day in the past 30 days for men and greater than or equal to 3 drinks a day in the past 30 days for women * Willing to receive an HIV test at study enrollment, if not previously diagnosed Report not taking ART, recent suboptimal adherence to ART, or recent history of unsuppressed HIV viral load \[for PWH\] or no recent oral PrEP use (self-reported taking no PrEP pills in past 7 days) \[for those at risk of HIV\] * Plan to reside in the Lilongwe area for at least 6 months. * Not participating in other HIV or alcohol programs * Ability and willingness of participant to provide informed consent. * Willingness to provide contact/locator information to be contacted for follow up study activities. Exclusion Criteria: * Unable to participate in study activities due to psychological disturbance, cognitive impairment, or threatening behavior * Pregnant or breastfeeding * At risk of experiencing alcohol-related withdrawal symptoms * Acute physical or mental illness, including suicidal thoughts or behaviors * Participating in in other HIV or alcohol programs * Active drug dependence that would interfere with adherence to study requirements. * History of using injectible PrEP * Any other condition that in the opinion of the study investigator would compromise the safety of the study participant or study staff or would prevent proper conduct of the study.