Heavy HCW workload, poor documentation, HCW perception that PrEP was only for female sex workers (FSW), overly direct wording of screening questions, dislike of and stigma about daily PrEP pills, and discomfort discussing sexual activity were identified as contributors to low PrEP uptake. In January 2022, we trained two AGYW in each facility on PrEP eligibility and screening, benefits, and side effects. They became site-level PrEP peer educators mobilizing AGYW to undergo screening. In addition, we trained HCW at the facilities on PrEP guidelines, revised the screening tool to make it age-appropriate for AGYW, and provided screening logs and guidelines to HCW.  Pre-intervention (October-December 2021), 157 (13%) of 1,195 AGYW testing HIV-negative were screened for PrEP eligibility. Of these, 155 (99%) were FSW, and 48 (31%) were PrEP-eligible; 36 (75%) initiated. Post-intervention (January-June 2022), 1,106 (28%) of 3,914 AGYW testing HIV-negative were screened. Of these, 516 (47%) were FSW and 488 (44%) were PrEP-eligible; 434 (89%) initiated.