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

Study Overview
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Brief Summary
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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
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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.

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

Conditions
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Hiv, Contraception

Intervention / Treatment
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* Behavioral: Harnessing prosocial and social image motivations for behavior change


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Shopkeepers enrolled in the parent CRCT Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Randomized controlled trial; the investigators will phase in the 2 interventions (Private and Public Feedback) on a staggered basis. All shops will receive No Feedback during the first 6 months. One third of shops ( N=40) will be assigned to No Feedback between 6-12 months and Private Feedback between 12-18 months; one third of shops ( N=40) will be assigned to Private Feedback between 6-12 months and Public Feedback between 12-18 months; one third of shops ( N=40) will be assigned to Public Feedback between 6-18 months.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: No feedback<br>AGYW customer feedback will be collected but not shared with shopkeepers | Behavioral: Harnessing prosocial and social image motivations for behavior change<br>* 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<br>|
| Experimental: Private feedback<br>Biweekly summarized reports of AGYW customer feedback will be given directly to shopkeepers | Behavioral: Harnessing prosocial and social image motivations for behavior change<br>* 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<br>|
| Experimental: Public feedback<br>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 | Behavioral: Harnessing prosocial and social image motivations for behavior change<br>* 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<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quantity of HIV self-test kits distributed | Mean number of HIV self-test kits distributed per shop every 2 weeks | 12 months | 
| Quantity of HIV self-test kits distributed | Mean number of HIV self-test kits distributed per shop every 2 weeks | 18 months | 
| Quantity of contraceptives distributed | Mean number of contraceptives distributed per shop every 2 weeks | 12 months | 
| Quantity of contraceptives distributed | Mean number of contraceptives distributed per shop every 2 weeks | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quantity of HIV self-test kits stocked | Mean number of HIV self-test kits stocked per shop every 2 weeks | 12 months | 
| Quantity of HIV self-test kits stocked | Mean number of HIV self-test kits available in the shop to be sold every 2 weeks | 18 months | 
| Quantity of contraceptives stocked | Mean number of contraceptives available in the shop to be sold every 2 weeks | 12 months | 
| Quantity of contraceptives stocked | Mean number of contraceptives available in the shop to be sold every 2 weeks | 18 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Drug shops, Pro-sociality, Adolescent health, HIV self-testing, Contraception