Fact or Cap: SRHR, HIV & Lenacapavir Game Sheet Answers
This reference document contains the complete answer key and detailed explanations for the
Fact or Cap game sheet, covering themes of Gender-Based Violence (GBV), HIV facts,
Lenacapavir (LEN) PrEP, dual protection, and Sexual and Reproductive Health Rights (SRHR).
Answer Key & Explanations Summar
| # | Category | Answer | Explanation & Technical Rational |
| Q1 | GBV, Money & Relationship | CAP (False) | Financial support, gifts, or favors never grant anyone the right to demand sexual activity. Sexual consent must always be freely and explicitly given without coercion. |
| Q2 | GBV, Money & Relationship | FACT (True) | Bodily autonomy is an absolute right. Every individual retains the authority to decline sexual activity at any point, regardless of financial arrangements or relationship history. |
| Q3 | HIV Facts, Stigma & U= | CAP (False) | An individual’s HIV status cannot be determined by visual appearance or physical health indicators. Confidential HIV testing is the sole method for status confirmation. |
| Q4 | HIV Facts, Stigma & U= | FACT (True) | Undetectable equals Untransmittable (U=U). Adhering strictly to prescribed Antiretroviral Therapy (ART) suppresses viral load to undetectable levels, preventing sexual transmission. |
| Q5 | HIV Facts, Stigma & U= | CAP (False) | HIV cannot be transmitted through casual, non-sexual daily interactions such as hugging, shaking hands, sharing eating utensils, or using common sanitary facilities. |
| Q6 | Lenacapavir (LEN) PrE | FACT (True) | Lenacapavir is a long-acting injectable pre-exposure prophylaxis (PrEP) formulation administered twice yearly, delivering sustained viral protection for six months per dose. |
| Q7 | PrEP, PEP & Dual Protectio | CAP (False) | Lenacapavir exclusively targets HIV prevention. It offers no protective efficacy against non-HIV sexually transmitted infections (STIs) or unintended pregnancy. |
| Q8 | PrEP, PEP & Dual Protectio | FACT (True) | Because each Lenacapavir injection maintains protective efficacy for six months, continuous full-year coverage requires only two healthcare clinic visits per year. |
| Q9 | PrEP, PEP & Dual Protectio | FACT (True) | Post-Exposure Prophylaxis (PEP) is a emergency intervention that must be initiated within 72 hours following potential HIV exposure to effectively inhibit viral establishment. |
| Q10 | PrEP, PEP & Dual Protectio | CAP (False) | Dual protection remains necessary even on PrEP or LEN. Barrier methods (condoms) are still required to guard against other STIs and prevent unintended pregnancy. |
| Q11 | PrEP, PEP & Dual Protectio | CAP (False) | Emergency contraception is formulated solely for backup or emergency situations and should not be relied upon as a primary or routine daily contraceptive method. |
| Q12 | STIs, Myths & Health Rights | FACT (True) | Many sexually transmitted infections present without overt physical symptoms for prolonged periods, making regular diagnostic screening essential. |
| Q13 | STIs, Myths & Health Rights | FACT (True) | Adolescents and young people possess fundamental human and health rights to access confidential sexual and reproductive health information and clinical care. |
| Q14 | STIs, Myths & Health Rights | CAP (False) | Vaginal douching does not prevent STI transmission or pregnancy. In fact, it disrupts healthy microbiome balances and can elevate infection risks. |
| Q15 | STIs, Myths & Health Rights | FACT (True) | Proactive wellness strategies, including routine STI testing and self-testing kits, form a standard and effective component of preventive healthcare. |
Detailed Section Breakdown
1. Gender-Based Violence (GBV), Money & Relationships
● Q1 [CAP]: Financial dependence or gift-giving does not constitute consent. Consent must
be voluntary, enthusiastic, and revocable.
● Q2 [FACT]: Personal autonomy gives every individual full authority over their own body
regardless of relationship dynamic or economic exchanges.
2. HIV Transmission, Stigma & U=U
● Q3 [CAP]: Asymptomatic HIV infection is common; physical appearance provides no
indication of serostatus.
● Q4 [FACT]: The U=U scientific consensus proves that people living with HIV who
maintain an undetectable viral load through ART cannot transmit HIV sexually.
● Q5 [CAP]: HIV is transmitted exclusively through specific bodily fluids (blood, semen,
vaginal fluids, breast milk) during unprotective exposure, not casual contact.
3. Innovations in Prevention: Lenacapavir (LEN) PrEP
● Q6 [FACT]: Lenacapavir represents a breakthrough capsid inhibitor PrEP option
administered subcutaneously once every 6 months.
● Q8 [FACT]: The twice-yearly dosing schedule reduces healthcare system burden and
client adherence challenges associated with daily oral pills.
4. Comprehensive Prevention & Emergency Interventions
● Q7 & Q10 [CAP]: PrEP and LEN protect specifically against HIV. Comprehensive sexual
health requires pairing biomedical HIV prevention with condoms for broad STI and
pregnancy protection.
● Q9 [FACT]: Time is critical for PEP; starting within 72 hours (and ideally within 24 hours)
is essential for blocking HIV replication post-exposure.
● Q11 [CAP]: Emergency contraceptive pills do not offer long-term protection and are less
effective than routine contraceptive methods when used continuously.
5. STI Knowledge, Health Rights & Practices
● Q12 [FACT]: Asymptomatic transmission of STIs like chlamydia, gonorrhea, and HPV
makes regular clinical screening vital for sexually active individuals.
● Q13 [FACT]: Youth-friendly health services ensure rights-based, non-judgmental access
to SRHR tools and counseling without mandatory parental notification barriers.
● Q14 [CAP]: The vagina is self-cleansing; internal washing or douching washes away
protective flora and increases susceptibility to pelvic inflammatory diseases and STIs.
● Q15 [FACT]: Regular health checks and self-testing empower individuals to take
ownership of their personal health and safety.