Supporting Young Women's Reproductive Health by Harnessing Prosociality Among Drug Shopkeepers

Not Applicable

Completed

• Conditions: Hiv; Contraception
• Interventions: Behavioral: Harnessing prosocial and social image motivations for behavior change

• Registration Number: NCT05525533
• Lead Sponsor: University of California, San Francisco

Brief Summary

The goal of the study is to operationalize and test the preliminary impact of providing regular customer feedback from adolescent girls and young women (AGYW) to drug shopkeepers on the distribution of contraceptives and HIV self-testing to AGYW over 18 months.

Detailed Description

The investigators will cross-randomize 120 drug shops enrolled in the parent Malkia Klabu effectiveness cluster-randomized controlled trial (CRCT; NCT05357144), stratified by CRCT study arm, to one of three initial conditions: 1. No feedback. AGYW customer feedback will be collected, but not shared with the shopkeeper. 2. Private feedback. Biweekly summarized reports of AGYW customer feedback will be given directly to shopkeepers. 3. Public feedback: Shopkeepers will get biweekly summarized reports of AGYW customer feedback, gold stars reflecting the level of AGYW customer feedback (e.g., 1-5 star rating) will be placed in the shop in a visible location, and shopkeepers will be invited to an awards ceremony every 6 months to recognize shopkeepers who receive high levels of positive AGYW customer feedback. The investigators will phase in the 2 interventions (Private and Public Feedback) on a staggered basis to control for both shop-specific and time-specific trends for the primary outcomes.

Study Timeline

• Study First Submitted: 2022-08-30
• Study First Submitted QC: 2022-08-30
• Study First Posted: 2022-09-01
• Study Start: 2023-05-01
• Primary Completion: 2024-03-15
• Study Completion: 2024-03-15
• Status Verified: 2025-01
• Last Update Submitted: 2025-01-10
• Last Update Posted: 2025-01-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 147

Inclusion Criteria

• Shopkeepers enrolled in the parent CRCT

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Private feedback	Harnessing prosocial and social image motivations for behavior change	Biweekly summarized reports of AGYW customer feedback will be given directly to shopkeepers
No feedback	Harnessing prosocial and social image motivations for behavior change	AGYW customer feedback will be collected but not shared with shopkeepers
Public feedback	Harnessing prosocial and social image motivations for behavior change	Shopkeepers will get biweekly summarized reports of AGYW customer feedback, gold stars reflecting the level of AGYW customer feedback (e.g., 1-5 star rating) will be placed in the shop in a visible location, and shopkeepers will be invited to an awards ceremony every 6 months to recognize shopkeepers who receive high levels of positive AGYW customer feedback

Primary Outcome Measures

Name	Time	Method
Quantity of HIV self-test kits distributed	18 months	Mean number of HIV self-test kits distributed per shop every 2 weeks
Quantity of contraceptives distributed	18 months	Mean number of contraceptives distributed per shop every 2 weeks

Secondary Outcome Measures

Name	Time	Method
Quantity of contraceptives stocked	18 months	Mean number of contraceptives available in the shop to be sold every 2 weeks
Quantity of HIV self-test kits stocked	18 months	Mean number of HIV self-test kits available in the shop to be sold every 2 weeks

Trial Locations

Locations (2)

Mwanza Province; 🇹🇿 Mwanza, Tanzania

Shinyanga; 🇹🇿 Shinyanga, Tanzania