Effects of a prosocial intervention among sellers of HIV and reproductive health supplies on young women’s health
艾滋病毒和生殖健康用品销售者的亲社会干预对年轻女性健康的影响
基本信息
- 批准号:10706507
- 负责人:
- 金额:$ 8.08万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-09-20 至 2024-08-31
- 项目状态:已结题
- 来源:
- 关键词:AIDS preventionAfrica South of the SaharaAgeAreaAutomobile DrivingAwardBaseline SurveysBehaviorBusinessesCaringCharacteristicsCluster randomized trialCommunity HealthCommunity ServicesComplementContraceptive AgentsContraceptive DistributionsContraceptive methodsDiagnostic Reagent KitsEffectivenessElectronicsEnrollmentEnsureEquipment and supply inventoriesExclusionFaceFailureFeedbackFemale AdolescentsFriendsFutureGoalsGoldHIVHealthHealth systemHeterogeneityHuman immunodeficiency virus testImageInterventionLiteratureMarketingMeasuresMethodsMotivationOutcomeParentsPerformancePersonsPharmaceutical PreparationsPhasePopulation DynamicsPositioning AttributePreventivePreventive Health ServicesPricePrivate SectorPrivatizationProviderPublic HealthRandomizedRandomized, Controlled TrialsReportingReproductive HealthReproductive Health ServicesResearch InfrastructureResearch PriorityResourcesRoleSalesSamplingService provisionServicesSexual HealthSideSurveysSystemTanzaniaTestingTimeWomen&aposs HealthWorkarmbehavior changebehavioral economicsconsumer demandcost effectivedesignexperiencegirlsinnovationinsightintervention programnovelpeerpilot testpoint of carepregnancy preventionprevention serviceprimary endpointprimary outcomeprogramsprovider behaviorsecondary endpointsecondary outcomeself testingservice uptakesocialtheoriestrendunintended pregnancyuptakewillingness to payyoung woman
项目摘要
SUMMARY
In sub-Saharan Africa, adolescent girls and young women (AGYW; ages 15-24) face the dual threats of
unintended pregnancy and HIV, but struggle to access critical preventive health services, such as HIV testing
and contraception. As discreet and convenient access points, private sector drug shops have the potential to
amplify access among AGYW, as demonstrated by our R34 pilot of our Malkia Klabu (“Queen Club”)
intervention in Tanzania, a loyalty program that creates AGYW-friendly drug shops where AGYW can access
contraception and HIV prevention services. While our pilot showed great potential for Malkia Kalbu to increase
AGYW demand for such services at drug shops, shopkeepers were reluctant to continue service provision to
AGYW beyond the study period. AGYW products were perceived to yield low profits, despite shopkeepers
recognizing the benefit of increased AGYW patronage and expressing desires to support broader community
health in their role as first point of care. Thus, private providers need additional motivation to independently
support service provision to AGYW, even when consumer demand is high.
Building on our planned cluster-randomized control trial (CRCT) our Malkia Klabu AGYW program in Tanzania
(R01MH12451601), we proposed to pilot-test 2 strategies that bolster shopkeepers’ motivations to distribute
AGYW SRH products: (1) privately giving AGYW customer feedback to shopkeepers to leverage prosocial
motivation, and; (2) publicly giving AGYW customer feedback with peer comparisons to leverage social image
motivations. Based on insights from behavioral economics (BE) and the mixed-methods results from our pilot,
our novel interventions aim to harness shopkeepers’ intrinsic prosocial motivation towards AGYW and
tendency to compare themselves with their peers. We hypothesize that providing customer feedback from
AGYW to socially-motivated shopkeepers will encourage distribution of contraception and HIVST, especially
when feedback is publicly displayed.
To that end, we have designed a mixed-methods R03 study that leverages the research infrastructure and
implementation from our parent R01 CRCT. Our proposed study will assess the effect of these strategies on
shopkeepers’ distribution of HIVST and contraceptives to AGYW (Aim 1), and use mixed-methods to
understand shopkeepers’ experiences and assess to what extent treatment mechanisms through prosocial
motivation and social image theory drive behavior change (Aim 2). Specifically, we will cross-randomize the
initial condition (i.e., No Feedback, Private Feedback, and Public Feedback) across the parent R01 CRCT’s
120 enrolled drug shops, with progressive phase-in of additional intervention conditions for each group over 18
months. If feasible and with preliminary evidence of effectiveness, we will develop our enhanced Malkia Klabu
program for a future R01 sustainability study. Our study’s focus on increasing AGYW’s access to contraception
matches the Population Dynamics Branch’s research priorities.
总结
项目成果
期刊论文数量(0)
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科研奖励数量(0)
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专利数量(0)
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Jenny Xin Liu其他文献
Jenny Xin Liu的其他文献
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{{ truncateString('Jenny Xin Liu', 18)}}的其他基金
Effects of a prosocial intervention among sellers of HIV and reproductive health supplies on young women’s health
艾滋病毒和生殖健康用品销售者的亲社会干预对年轻女性健康的影响
- 批准号:
10509329 - 财政年份:2022
- 资助金额:
$ 8.08万 - 项目类别:
Exploring influences of the socio-ecological environment on the Queen Club program for adolescent girls in Tanzania
探索社会生态环境对坦桑尼亚少女女王俱乐部计划的影响
- 批准号:
10642303 - 财政年份:2022
- 资助金额:
$ 8.08万 - 项目类别:
AmbassADDOrs for Health: Supporting young women's health through girl-friendly drug vendors
AmbassADDOrs for Health:通过对女孩友好的毒贩支持年轻女性的健康
- 批准号:
10805668 - 财政年份:2021
- 资助金额:
$ 8.08万 - 项目类别:
AmbassADDOrs for Health: Supporting young women's health through girl-friendly drug vendors
AmbassADDOrs for Health:通过对女孩友好的毒贩支持年轻女性的健康
- 批准号:
10160620 - 财政年份:2021
- 资助金额:
$ 8.08万 - 项目类别:
AmbassADDOrs for Health: Supporting young women's health through girl-friendly drug vendors
AmbassADDOrs for Health:通过对女孩友好的毒贩支持年轻女性的健康
- 批准号:
10402324 - 财政年份:2021
- 资助金额:
$ 8.08万 - 项目类别:
AmbassADDOrs for Health: Supporting young women's health through girl-friendly drug vendors
AmbassADDOrs for Health:通过对女孩友好的毒贩支持年轻女性的健康
- 批准号:
10612014 - 财政年份:2021
- 资助金额:
$ 8.08万 - 项目类别:
Reaching 90 90 90 in Adolescents in Zambia: Using all our SKILLZ
使赞比亚青少年达到 90 90 90 岁:利用我们所有的技能
- 批准号:
10448370 - 财政年份:2018
- 资助金额:
$ 8.08万 - 项目类别:
Reaching 90 90 90 in Adolescents in Zambia: Using all our SKILLZ
使赞比亚青少年达到 90 90 90 岁:利用我们所有的技能
- 批准号:
10212923 - 财政年份:2018
- 资助金额:
$ 8.08万 - 项目类别:
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