Reaching Adolescent Girls and Young Women With HIV Self-Testing and Contraception at Girl-Friendly Drug Shops: A Randomized Trial in Tanzania.

Hunter, LA ; Rao, A ; et al.

In: The Journal of adolescent health : official publication of the Society for Adolescent Medicine, Jg. 72 (2023), Heft 1, S. 64

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Purpose: We 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.

Methods: We 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.

Results: By 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.

Discussion: The 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.

Titel:	Reaching Adolescent Girls and Young Women With HIV Self-Testing and Contraception at Girl-Friendly Drug Shops: A Randomized Trial in Tanzania.
Autor/in / Beteiligte Person:	Hunter, LA ; Rao, A ; Napierala, S ; Kalinjila, A ; Mnyippembe, A ; Hassan, K ; Bertozzi, SM ; Mfaume, R ; Njau, P ; Liu, JX ; McCoy, SI
Link:	Zum Volltext
Zeitschrift:	The Journal of adolescent health : official publication of the Society for Adolescent Medicine, Jg. 72 (2023), Heft 1, S. 64
Veröffentlichung:	New York, NY : Elsevier, c1991-, 2023
Medientyp:	academicJournal
ISSN:	1879-1972 (electronic)
DOI:	10.1016/j.jadohealth.2022.08.013
Schlagwort:	Pregnancy Adolescent Female Humans Young Adult Adult Tanzania Contraception Family Planning Services Self-Testing HIV Infections diagnosis HIV Infections prevention & control
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Randomized Controlled Trial; Journal Article; Research Support, N.I.H., Extramural Language: English [J Adolesc Health] 2023 Jan; Vol. 72 (1), pp. 64-72. <i>Date of Electronic Publication: </i>2022 Oct 12. MeSH Terms: Self-Testing* ; HIV Infections* / diagnosis ; HIV Infections* / prevention & control ; Pregnancy ; Adolescent ; Female ; Humans ; Young Adult ; Adult ; Tanzania ; Contraception ; Family Planning Services References: BMC Public Health. 2019 Oct 15;19(1):1289. (PMID: 31615461) ; Glob Health Action. 2020 Dec 31;13(1):1775992. (PMID: 32588782) ; Reprod Health. 2018 Dec 19;15(1):212. (PMID: 30567545) ; Reprod Health. 2021 Dec 11;18(1):245. (PMID: 34895267) ; Lancet. 2001 Apr 14;357(9263):1191-4. (PMID: 11323066) ; PLoS One. 2013;8(2):e54978. (PMID: 23405101) ; Cult Health Sex. 2017 Oct;19(10):1092-1107. (PMID: 28276918) ; Health Policy Plan. 2021 Nov 11;36(10):1562-1573. (PMID: 34313728) ; Contraception. 2008 Jul;78(1):73-8. (PMID: 18555821) ; Annu Rev Public Health. 2018 Apr 1;39:453-469. (PMID: 29328877) ; PLoS One. 2016 Nov 8;11(11):e0164332. (PMID: 27824876) ; Reprod Health. 2017 Oct 17;14(1):130. (PMID: 29041936) ; Bull World Health Organ. 2016 Apr 1;94(4):267-75. (PMID: 27034520) ; Int Perspect Sex Reprod Health. 2018 Mar 1;44(1):19-29. (PMID: 30028307) ; J Pharm Policy Pract. 2015 Sep 25;8:23. (PMID: 26413304) ; Contraception. 2015 Aug;92(2):143-51. (PMID: 25869629) ; PLoS One. 2017 Nov 1;12(11):e0186744. (PMID: 29091935) ; AIDS. 2017 Jul 1;31 Suppl 3:S203-S212. (PMID: 28665878) ; BMC Health Serv Res. 2021 May 6;21(1):434. (PMID: 33957903) ; Reprod Health Matters. 2015 May;23(45):58-67. (PMID: 26278833) ; Annu Rev Public Health. 2000;21:171-92. (PMID: 10884951) ; EClinicalMedicine. 2020 Apr 18;21:100327. (PMID: 32322811) Grant Information: R34 MH116804 United States MH NIMH NIH HHS Contributed Indexing: Keywords: Adolescent girls and young women; Contraception; Drug shops; HIV self-testing; Human-centered design; Tanzania Molecular Sequence: ClinicalTrials.gov NCT04045912 Entry Date(s): Date Created: 20221014 Date Completed: 20221220 Latest Revision: 20230214 Update Code: 20240513 PubMed Central ID: PMC9893895

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