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This paper examines how family dynamics and normative role expectations inform disclosure decisions of young lesbian, gay, bisexual, transgender and intersex (LGBTI) people within a changed legal context, drawing on semi-structured, biographical narrative interviews and focus groups involving 116 LGBTI youth (16–24 years) who were enrolled through a network-based recruitment method in three Provincial capitals. We conducted a thematic analysis with data from digitally recorded interviews transcribed verbatim. Conformity to heteronormative sexuality formed an important part of childhood socialization, and deviance became a growing source of parental-child conflict during puberty. Secrecy, which was commonplace among participants, was a critical strategy to protect against deteriorating family relationships, and financial hardship. Mediation by family elders helped restore communications post-disclosure, and positively influenced the parental role in protecting the child against discriminatory practices. Tension between the legal and social normative framework demonstrates that liberalizing contentious rights in law cannot be transformative without social change strategies. The government has to ensure access and investment in educational interventions that foster critical consciousness on gender and sexuality in family, and other socializing agents such as schools, with a view to addressing a key driver of discrimination against LGBTI people in Mozambique and promoting their social inclusion. [ABSTRACT FROM AUTHOR]

Background: Knowledge and use of sexual reproductive health and human immunodeficiency virus (SRH and HIV) services are crucial for the prevention of pregnancy and sexually transmitted infections (STIs) among adolescent girls and young women (AGYW). This study aims to assess the knowledge and perceptions of AGYW about the SRH and HIV services offered in health facilities in Maputo, Mozambique., Material and Methods: A cross-sectional descriptive study was conducted based on exit surveys with AGYW held at Zimpeto and 1° de Junho Health Facilities in Maputo City, between May 1, and June 9, 2023. Data were analyzed through descriptive statistics, t-test and ANOVA, using SPSS version 20., Results: 590 AGYW, aged 15-24 years of age, were included in the study. In general, knowledge of SRH and HIV services was fairly high, with knowledge of each specific service offered ranging between 38% and 97%. Knowledge about SRH and HIV services differed depending on the health facility where the AGYW sought SRH and HIV services; the participant's age; their occupation; their religion, and who they lived with. Counseling services were the most commonly reported services attended, with >90% of participants reporting having received counseling for each of the following: STI and HIV and pregnancy prevention, sexuality, and safer sex practices. The quality of SRH and HIV services, and attitudes of the providers were considered good by >90% of AGYW. Roughly 95% of AGYW at Zimpeto Health Facility were either "satisfied" or "very satisfied". Whereas at 1° de Junho Health Facility, only roughly 75% of AGYW were either "satisfied" or "very satisfied", and roughly 20% of AGYW were "little satisfied that their needs had been met that day., Conclusions: Among AGYW there is high levels of knowledge about counseling services in contrast to diagnostics, treatment and clinical care. Specific attention should be given to ensuring appropriate physical infrastructure, such as dedicated adolescent friendly spaces and comfortable seating, and targeted interventions designed and implemented for those health facilities's identified. Targeted interventions should be designed and implemented for those HF's identified with lower AGYW perceived quality of service delivery., Competing Interests: Competing interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.