HIV prevention at drug shops: awareness and attitudes among shop dispensers and young women about oral pre-exposure prophylaxis and the dapivirine ring in Shinyanga, Tanzania

Abstract Background HIV risk remains high among adolescent girls and young women (AGYW, ages 15–24) in Tanzania. Many AGYW experience stigma provider bias at health facilities, deterring their use of prevention services. Privately-owned drug shops, ubiquitous many communities, may be an effective accessible channel to deliver products AGYW, including oral pre-exposure prophylaxis (PrEP) the dapivirine vaginal ring. Methods In July–August 2019, we enrolled 26 shops Shinyanga, Tanzania ongoing study create “girl-friendly” where can access self-testing contraception. At baseline, all shop dispensers were given basic information about PrEP ring asked interest stocking each. During next 3–5 months, surveyed (n = 56) customers Results Among dispensers, median age was 42 years 77% female. Overall, 42% had heard a medication for prevention. Almost reported some (92%) (96%). Most (85%) they would provide who requested it. customers, 17 years; 29% married or steady partner 18% children. Only 20% prevent HIV, yet 64% 43% expressed using ring, respectively, after receiving products. higher partnered Conclusions Despite low prior awareness found levels both groups. Community-based represent promising strategy make more AGYW.