Reaching Adolescent Girls and Young Women With HIV Self-Testing and Contraception at Girl-Friendly Drug Shops: A Randomized Trial in Tanzania
| Autor: | Lauren A. Hunter, Aarthi Rao, Sue Napierala, Atuganile Kalinjila, Agatha Mnyippembe, Kassim Hassan, Stefano M. Bertozzi, Rashid Mfaume, Prosper Njau, Jenny X. Liu, Sandra I. McCoy |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
Adult
Adolescent Drug shops Clinical Trials and Supportive Activities HIV self-testing HIV Infections Reproductive health and childbirth Tanzania Medical and Health Sciences Article Education Human-centered design Young Adult Pregnancy Clinical Research Behavioral and Social Science Humans Pediatric Prevention Contraception/Reproduction Psychology and Cognitive Sciences Public Health Environmental and Occupational Health Gender Equality Psychiatry and Mental health Contraception Self-Testing Good Health and Well Being Family Planning Services Pediatrics Perinatology and Child Health HIV/AIDS Female Public Health Adolescent girls and young women Infection |
| Zdroj: | The Journal of adolescent health : official publication of the Society for Adolescent Medicine, vol 72, iss 1 J Adolesc Health |
| ISSN: | 1054-139X |
| DOI: | 10.1016/j.jadohealth.2022.08.013 |
| Popis: | PurposeWe hypothesized that an intervention designed to create girl-friendly drug shops would increase access to sexual and reproductive health products and services among adolescent girls and young women (AGYW) (ages 15-24 years) in Tanzania.MethodsWe conducted a four-month randomized trial at 20 drug shops in Shinyanga, Tanzania from August-December 2019 to determine if the Malkia Klabu ("Queen Club") intervention increased AGYW patronage and the provision of HIV self-testing (HIVST), contraception, and health facility referrals to AGYW (primary outcomes). Drug shops were randomized 1:1 to the intervention or comparison arm. All shops were provided with OraQuick HIVST kits to give to AGYW for free. Intervention shops implemented Malkia Klabu, a loyalty program for AGYW created using human-centered design through which AGYW could also access free contraception. We compared outcomes in intention-to-treat analyses using shop observations and shopkeeper records.ResultsBy endline, shops implementing Malkia Klabu had higher AGYW patronage than comparison shops (rate ratio: 4.4; 95% confidence interval: 2.0, 9.8). Intervention shops distributed more HIVST kits (median per shop: 130.5 vs. 58.5, P= .02) and contraceptives (325.5 vs. 7.0, P < .01) to AGYW and provided more referrals for HIV, family planning, or pregnancy services combined (3.5 vs. 0.5, P= .02) than comparison shops.DiscussionThe Malkia Klabu intervention increased AGYW patronage and the provision of HIVST kits, contraception, and referrals to AGYW at drug shops, despite HIVST kits being freely available at all participating shops. Enhancing drug shops with girl-friendly services may be an effective strategy to reach AGYW with sexual and reproductive health services. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect