Supporting Contraceptive Decision-Making in the Intermediated Pharmacy Setting in Kenya

Adolescent girls and young women (AGYW) in sub-Saharan Africa face unique barriers to contraceptive access and lack AGYW-centered contraceptive decision-support resources. To empower AGYW to make informed choices and improve reproductive health outcomes, we developed a tablet-based application to provide contraceptive education and decision-making support in the pharmacy setting -a key source of contraceptive services for AGYW -in Kenya. We conducted workshops with AGYW and pharmacy providers in Kenya to gather app feedback and understand how to integrate the intervention into the pharmacy setting. Our analysis highlights how intermediated interactions -a multiuser, cooperative effort to enable technology use and information access -could inform a successful contraceptive intervention in Kenya. The potential strengths of intermediation in our setting inform implications for technological health interventions in intermediated scenarios in low-and middle-income countries, including challenges and opportunities for extending impact to different populations and integrating technology into resource-constrained healthcare settings.

• Human-centered computing → Empirical studies in HCI; • Social and professional topics → Adolescents.