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:

Youth & Adolescents

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