The result—Malkia Klabu—is a loyalty program designed to enhance drug shops’ role as HIV prevention and sexual and reproductive health providers.
In Malkia Klabu, AGYW earn punches for shop purchases, including free HIV self-tests, redeemable for small prizes of increasing value; free SRH products could be requested discreetly by pointing to punch card symbols.
Our four-month pilot among 40 shops (1:1 intervention/control) showed that intervention ADDOs had higher AGYW patronage, distributed more HIVST contraception to AGYW, and made more referrals compared to business-as-usual ADDOs. Following the successful pilot, we launched a cluster randomized controlled trial (c-RCT) among 120-140 ADDOs in 40 wards in Shinyanga and Mwanza regions of Tanzania.
We will assess the population impact of the intervention on the primary outcomes HIV diagnoses and antenatal care registrations using routine health facility data. We will also assess implementation outcomes, evaluating program exposure through surveys with AGYW and assessing shop-level delivery strategies that bolster success.
Our HCD-grounded program will be one of the first rigorously evaluated through a c-RCT and will be well-positioned for scale-up should Malkia Klabu be effective. The study will provide timely evidence on closing the gap between evidence and practice for interventions designed to improve uptake of HIV self-testing and contraception among Tanzanian AGYW.
Check out our videos on the successful pilot program below. If you want to learn more, download our impact brief.