Who Is Watching? Social Audiences and Demand for Menstrual Health Technologies

Last registered on April 16, 2026

Pre-Trial

Trial Information

General Information

Title
Who Is Watching? Social Audiences and Demand for Menstrual Health Technologies
RCT ID
AEARCTR-0018160
Initial registration date
April 08, 2026

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
April 13, 2026, 9:21 AM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Last updated
April 16, 2026, 12:48 PM EDT

Last updated is the most recent time when changes to the trial's registration were published.

Locations

Region

Primary Investigator

Affiliation
Ludwig-Maximilians-Universität München

Other Primary Investigator(s)

PI Affiliation
LMU Munich

Additional Trial Information

Status
In development
Start date
2026-04-09
End date
2026-07-31
Secondary IDs
Prior work
This trial is based on or builds upon one or more prior RCTs.
Abstract
This study examines how social context influences women’s demand for menstrual health technologies in Uganda. While improved menstrual products are increasingly available, adoption remains low even when cost barriers are reduced. We investigate whether social visibility and household dynamics affect willingness to pay for these technologies.

We implement a framed field experiment that varies both information provision and the social context in which choices are made. Participants make incentivized purchase decisions for a set of menstrual products under different conditions. This design allows us to estimate baseline demand, as well as the impact of information and social environment on adoption decisions.

Primary outcomes capture willingness to pay for different products. The study also explores how responses vary across individuals and contexts to shed light on potential barriers to adoption.
External Link(s)

Registration Citation

Citation
Castro, Silvia and Evelina Griniute. 2026. "Who Is Watching? Social Audiences and Demand for Menstrual Health Technologies." AEA RCT Registry. April 16. https://doi.org/10.1257/rct.18160-1.1
Sponsors & Partners

Sponsors

Experimental Details

Interventions

Intervention(s)
The study includes two between-subject interventions.

First, participants are randomly assigned to different information conditions. In some conditions, participants receive only a basic introduction to the products, while in others they receive additional product-related information designed to address potential barriers to adoption.

Second, participants are randomly assigned to different decision-making contexts during the elicitation of willingness to pay. These contexts vary aspects of the environment in which decisions are made.

All participants complete incentivized willingness-to-pay tasks for a set of menstrual health products. The order of these tasks is randomized. One decision is randomly selected and implemented for real to ensure incentive compatibility.

In addition to the main treatment variation, the study includes pre-specified secondary variation to explore potential mechanisms underlying treatment effects. These additional variations are not the primary focus of the main analysis.
Intervention (Hidden)
This study uses a framed field experiment to measure how social observation and long-run cost information shape women's willingness to pay (WTP) for menstrual products in rural Uganda. Willingness to pay is elicited using the Becker-DeGroot-Marschak (BDM) mechanism, implemented as a real-stakes transaction: participants receive a 15,000 UGX endowment and state the maximum they are willing to pay for each of the product bundles (for details on the products please refer to the PAP). A product and a price are each drawn randomly after all prices are recorded; if the drawn price falls at or below the stated maximum for the drawn product, the transaction is binding. Elicitation order across products is randomized within participants. Each bundle is set at approximately 15,000 UGX market value, but quantities differ substantially across products given variation in unit cost, which is made explicit to participants.

Randomization 1: Information condition (crossed with all observer arms)
Respondents are randomized to one of two information conditions:
No-information condition. Respondents receive a standardized product familiarization and BDM explanation but no information about long-run product costs.

Over-time information condition. Respondents receive a printed cost-comparison card before the BDM elicitation begins. The card shows the total cost of each product if used exclusively over 1, 5, and 10 years, computed using local price data and cycle parameters estimated from pilot data collected in the study area (Kayunga District, Uganda). The enumerator reads the figures aloud for all three time horizons and explains that the costs reflect an average woman in this region using only that one product throughout. The card remains visible during the BDM. The information treatment is designed to bring salience about the relative long-run cost of reusable versus disposable products, particularly for products with high upfront costs and long lifespans.

Randomization 2: Observer condition
Respondents are randomized to one of three observer arms, which vary the social environment during BDM elicitation:
A) Private arm. The respondent completes the BDM alone with the enumerator. No observer is present. This arm establishes the unconstrained preference baseline.
B) Peer-observed arm. A known female community peer is present throughout the BDM. Both women are study participants. Role order (who completes the BDM first) is determined by a within-session random draw. The first mover completes all product BDMs while the second mover observes; roles then reverse. By design, the second mover observes the first mover's stated prices before completing her own elicitation. This generates within-arm variation in exposure to a peer's choices, which is pre-specified as the primary mechanism analysis for peer effects (social learning and social pressure).
C)Husband-observed arm. The respondent's husband or male partner is invited into the session at the start of the BDM module (after the Module 1 baseline survey, which is conducted privately). Within this arm, respondents are further assigned to one of two sub-conditions: (a) woman decides alone — the husband observes while the woman states her own prices; (b) joint decision — the husband and wife are asked to discuss and agree on a single price together for each product. This within-arm variation is pre-specified as the primary mechanism analysis for intra-household bargaining and husband audience effects, distinguishing pure observability from active decision-making authority.

Baseline survey (Module 1, prior to randomization)
All respondents complete a baseline survey before any randomization or observer entry. The survey collects demographics, male partner involvement in household financial decisions, menstrual history and physiology, period poverty and material constraints, current and past product use, and attitudes toward menstruation and menstrual products. The attitude and norms module includes personal stigma and concealment scale injunctive norm vignettes, and social learning items. All study products are introduced and demonstrated to respondents during Module 1 in a fixed sequence; respondents report prior awareness, concerns, and hypothetical willingness to use each product privately and for free.
Intervention Start Date
2026-04-09
Intervention End Date
2026-07-31

Primary Outcomes

Primary Outcomes (end points)
Incentivized willingness to pay
Primary Outcomes (explanation)
Incentivized willingness to pay elicited via BDM method

Secondary Outcomes

Secondary Outcomes (end points)
Secondary Outcomes (explanation)

Experimental Design

Experimental Design
This study uses a framed field experiment to measure women's willingness to pay for menstrual health products in rural Uganda. Respondents are randomized across conditions that vary the social environment during the elicitation and the information available to them at the time of the decision. Willingness to pay is elicited using an incentive-compatible mechanism with real transactions. The study is conducted among women aged 25 and older in Kayunga District, Uganda, in partnership with Smart Girls Uganda.
Experimental Design Details
This study uses a framed field experiment design to measure how social observation and long-run cost information shape women's willingness to pay (WTP) for familiar and unfamiliar menstrual products in rural Uganda. The design combines a between-subject factorial randomization across two independent treatment dimensions with an incentive-compatible WTP elicitation mechanism and a comprehensive pre-randomization baseline survey. The study is conducted among women aged 25 and older who menstruated in the past three months, residing in Kayunga District, Uganda, in partnership with Smart Girls Uganda and ESONGA.

Factorial structure

The two treatment dimensions are crossed, generating a 3 × 2 factorial design with six experimental cells. The first dimension is the observer condition (three levels: private, peer-observed, husband-observed). The second dimension is the information condition (two levels: information, no information). Randomization to both dimensions is conducted at the individual level prior to Module 2 of the survey instrument. The observer condition is implemented physically — it determines who is present in the room during the WTP elicitation — while the information condition determines whether a printed cost-comparison card is delivered before elicitation begins.

WTP elicitation mechanism
Willingness to pay is elicited using the Becker-DeGroot-Marschak (BDM) mechanism for the product bundles (for details on the product bundles please check the PAP). Each bundle is set at approximately 15,000 UGX market value, with quantities varying across products to reflect their unit costs. Respondents receive a 15,000 UGX participation endowment at the start of Module 2. For each product, respondents state the maximum price they are willing to pay. After all prices are recorded, one product is drawn at random from a lottery pot and one price is drawn at random from a set of 16 price cards ranging from 0 to 15,000 UGX in 1,000 UGX increments. If the drawn price is at or below the respondent's stated maximum for the drawn product, the transaction is binding and real: the respondent pays the drawn price and receives the bundle, keeping the remainder of the endowment. If the drawn price exceeds the stated maximum, no transaction occurs and the respondent keeps the full endowment. The order of product elicitation is randomized within participants by SurveyCTO. The BDM mechanism makes truthful revelation of maximum WTP the dominant strategy, removing incentives to understate or overstate.

Observer condition: implementation
In the private arm, the respondent completes the BDM alone with the enumerator. No observer is present at any point during Module 2. This arm establishes the unconstrained preference baseline.
In the peer-observed arm, a known female community peer is present throughout Module 2. Both women are study participants recruited together. Role order — who completes the BDM first — is determined by a random draw at the start of the session. The first mover completes all product BDMs while the second mover observes. Roles then reverse: the second mover completes all BDMs while the first mover waits quietly. By design, the second mover observes the first mover's stated prices before completing her own elicitation. This within-arm variation in observational exposure is pre-specified as a mechanism analysis and is not the primary definition of the peer treatment.
In the husband-observed arm, the respondent's husband or male partner is invited into the session at the start of Module 2, after the Module 1 baseline survey has been completed privately. Within this arm, respondents are further assigned to one of two pre-specified sub-conditions: in the woman-decides sub-arm, the husband is present and observes silently while the woman states her own prices independently; in the joint-decision sub-arm, the husband and wife are asked to discuss and agree on a single price together for each product. The husband receives a brief standardized introduction to the products at the start of his participation, since he has not attended Module 1. The within-arm variation between woman-decides and joint-decision is pre-specified as a mechanism analysis targeting intra-household bargaining and audience effects, and is not the primary definition of the husband treatment.
Information condition: implementation
In the no-information condition, respondents receive a standardized product familiarization and BDM explanation with no additional information about product costs.
In the information condition, respondents receive a printed cost-comparison card before the BDM elicitation begins. The card is delivered by a designated research team member at the start of Module 2, prior to SurveyCTO data entry, and remains visible throughout the elicitation. The card displays the total cost of using each of the products exclusively for 1, 5, and 10 years, computed using local retail prices and menstrual cycle parameters estimated from pilot data collected in the study area. The enumerator reads the figures aloud for all three time horizons and explains that the costs reflect an average woman in this region using only that one product throughout. Where relevant, the enumerator connects the long-run cost figures to the specific bundle the respondent could take home today.
Pre-analysis and mechanism structure
The primary treatment comparisons are the three observer arms (private, peer, husband) and the two information conditions, estimated as main effects and interactions in the factorial design. The within-arm variation in the peer arm (first mover vs. second mover) and the husband arm (woman decides vs. joint decision) are pre-specified mechanism analyses, distinguished from the primary treatment comparisons in the pre-analysis plan. Heterogeneity analyses by baseline stigma, period poverty, partner involvement, and product awareness are pre-specified as secondary analyses.
Randomization Method
Randomization in the field by lottery
Randomization Unit
Individual
Was the treatment clustered?
No

Experiment Characteristics

Sample size: planned number of clusters
Individual level
Sample size: planned number of observations
1,600 minimum
Sample size (or number of clusters) by treatment arms
is individual level randomization
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
IRB

Institutional Review Boards (IRBs)

IRB Name
INSEAD IRB
IRB Approval Date
2026-04-08
IRB Approval Number
2026-24
Analysis Plan

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Post-Trial

Post Trial Information

Study Withdrawal

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Intervention

Is the intervention completed?
No
Data Collection Complete
Data Publication

Data Publication

Is public data available?
No

Program Files

Program Files
Reports, Papers & Other Materials

Relevant Paper(s)

Reports & Other Materials