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

NCT ID: NCT05525533

Last Updated: 2025-06-19

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

144 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-01

Study Completion Date

2024-03-15

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 12 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.

Conditions

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Hiv Contraception

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

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; one third of shops (\~N=40) will be assigned to Private Feedback between 6-12 months; one third of shops (\~N=40) will be assigned to Public Feedback between 6-12 months.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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No feedback

AGYW customer feedback will be collected but not shared with shopkeepers

Group Type EXPERIMENTAL

Harnessing prosocial and social image motivations for behavior change

Intervention Type BEHAVIORAL

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

Private feedback

Biweekly summarized reports of AGYW customer feedback will be given directly to shopkeepers

Group Type EXPERIMENTAL

Harnessing prosocial and social image motivations for behavior change

Intervention Type BEHAVIORAL

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

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

Group Type EXPERIMENTAL

Harnessing prosocial and social image motivations for behavior change

Intervention Type BEHAVIORAL

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

Interventions

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Harnessing prosocial and social image motivations for behavior change

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

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Shopkeepers enrolled in the parent CRCT

Exclusion Criteria

* None
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of California, Berkeley

OTHER

Sponsor Role collaborator

Health for a Prosperous Nation

OTHER

Sponsor Role collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jenny X Liu, PhD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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Mwanza Province

Mwanza, , Tanzania

Site Status

Shinyanga

Shinyanga, , Tanzania

Site Status

Countries

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Tanzania

References

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Hunter LA, McCoy SI, Rao A, Mnyippembe A, Hassan K, Njau P, Mfaume R, Liu JX. Designing drug shops for young women in Tanzania: applying human-centred design to facilitate access to HIV self-testing and contraception. Health Policy Plan. 2021 Nov 11;36(10):1562-1573. doi: 10.1093/heapol/czab084.

Reference Type BACKGROUND
PMID: 34313728 (View on PubMed)

Chiu C, Hunter LA, McCoy SI, Mfaume R, Njau P, Liu JX. Sales and pricing decisions for HIV self-test kits among local drug shops in Tanzania: a prospective cohort study. BMC Health Serv Res. 2021 May 6;21(1):434. doi: 10.1186/s12913-021-06432-1.

Reference Type BACKGROUND
PMID: 33957903 (View on PubMed)

Chiu C, Mnyippembe A, Sheira LA, Packel L, Katabaro E, Maokola W, Liu JX. Boosting health provider performance with non-financial incentives: A cluster-randomized controlled trial in Tanzania. PLoS One. 2025 Sep 11;20(9):e0330989. doi: 10.1371/journal.pone.0330989. eCollection 2025.

Reference Type DERIVED
PMID: 40934247 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

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Document Type: Informed Consent Form

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Other Identifiers

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R03HD109561-01

Identifier Type: NIH

Identifier Source: secondary_id

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R03HD109561-01

Identifier Type: NIH

Identifier Source: org_study_id

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