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 12 months.
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 Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
144
The investigators will collect AGYW customer feedback using a short USSD-based survey and randomize whether shopkeepers receive 1) No feedback; 2) Private feedback; or 3) Public feedback
Mwanza Province
Mwanza, Tanzania
Shinyanga
Shinyanga, Tanzania
Quantity of HIV Self-test Kits Distributed
Mean number of HIV self-test kits sold per shop every month
Time frame: 12 months
Quantity of HIV Self-test Kits Distributed
Mean number of HIV self-test kits distributed per shop every 2 weeks
Time frame: 18 months
Quantity of Sexual and Reproductive Health Products Sold
Mean number of sexual and reproductive health products sold per shop every month
Time frame: 12 months
Quantity of Contraceptives Distributed
Mean number of contraceptives distributed per shop every 2 weeks
Time frame: 18 months
Quantity of All Products Sold
Mean number of all products sold per shop per month
Time frame: 12 months
Quantity of Condoms Sold
Mean number of condoms sold per shop every month
Time frame: 12 months
Quantity of Emergency Contraception Sold
Mean number of emergency contraception sold per shop every month
Time frame: 12 months
Quantity of Oral Contraception Sold
Mean number of oral contraception sold per shop every month
Time frame: 12 months
Quantity of Pregnancy Tests Sold
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Mean number of pregnancy tests sold per shop every month
Time frame: 12 months