Development of a mHealth pathway to expand and enhance comprehensive sexual and reproductive health services for young people in Zambia

赞比亚的青少年和年轻人受艾滋病毒和性传播感染的影响特别大，他们获得方便、非评判性和保密的性健康和生殖健康服务，包括艾滋病毒/性传播感染检测和避孕的机会有限。我们将利用以社区为基础的参与性研究，与AYP一起设计和开发一个服务规范，以提供更方便、隐私和保密的服务，从而为青少年提供友好、数字支持的护理途径，以克服获得服务的障碍。该途径将包括：一个移动的手机应用程序，用于接收健康信息和性健康测试结果;位于社区的自动售货机，分发一系列产品，包括艾滋病毒自我检测试剂盒、性病（淋病、衣原体、滴虫、梅毒、艾滋病毒）采样试剂盒和避孕药具;以及一个网络应用程序，用于对测试结果和治疗处方进行医学审查。该项目将完成应用程序、自动售货机界面和Web应用程序的服务规范和原型版本，以便在未来的试验中实施。

Adolescents and young people in Zambia are disproportionately affected by HIV and sexually transmitted infections (STI) and have limited access to convenient, non-judgmental, and confidential sexual and reproductive health services including HIV/ STI testing and contraception. We will use community-based, participatory research to design and develop with AYP a service specification for a youth-friendly, digitally-supported pathway of care to overcome barriers to service access by offering increased convenience, privacy and confidentiality. The pathway will include: a mobile phone app for receiving health information and sexual health test results; vending machines located in-community dispensing a range of products including HIV self-testing kits, sampling kits for STIs (Gonorrhea, Chlamydia, Trichomonas, Syphilis, HIV) and contraceptives; and a web application for medical review of test results and treatment prescription.? A service specification and prototype versions of the app, vending machine interface, and web application will be completed in this project, ready for implementation in a future trial.?