AMBASSADDORS FOR HEALTH
This is an initiative designed in response to the dual threats of HIV infection and unintended pregnancy among Adolescent girls and young women (ages 15-24). Further, the initiative has taken into account health systems challenges in resource limited settings. This innovative project will be implemented in Shinyanga region, Tanzania.
The goal is to develop ‘girl-friendly’ drug shops (known as Accredited Drug Dispensing Outlets, or ADDOs, in Tanzania) as a venue where young women can access HIV prevention services and contraception. The motivation for this approach is the growing recognition that drug shops, which are widely located in urban and rural settings, can promote beneficial health behaviors, bridge gaps in health services, and mitigate health workforce shortages. Human centered design methodology will be deployed to select and refine the best solutions from behavioral economics to optimize the girl-friendly approach.
At girl-friendly drug shops, will distribute HIV self-test kits and contraception. Demand for these products and whether drug shops are a suitable venue for their distribution will be measured. We will also provide linkages to local health care providers in case a young woman requires a clinical evaluation (e.g., for HIV infection). Our long-term goal is to provide guidance about whether community-based distribution of HIV testing at drug shops is an effective strategy for decreasing the incidence of HIV and unintended pregnancies among girls and young women. Our approach can be summarized as follows:
Using a patient- centered design approach to facilitate a co designing process with end beneficiaries to address the drivers of poor adherence to ART treatment.
Developing adolescents in partnership with Save the Children Tanzania, Dalberg, Health for a Prosperous Nation, & supported by Bill & Melinda Gates Foundation.
HPON has a pool of experts with commendable experience in Research, Monitoring, Learning and Evaluation of development programs in partnership with stakeholders
Tanzania faces a high rate of Maternal deaths (556 per 100,000 live births) that are potentially preventable. Rate of newborn deaths is still unacceptably high.