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. 2020 Oct;22(10):1112-1127.
doi: 10.1080/13691058.2019.1655591. Epub 2019 Sep 9.

The effects of a cash transfer intervention on sexual partnerships and HIV in the HPTN 068 study in South Africa

Marie C D Stoner  1 , Kelly Kilburn  1   2 , Lauren M Hill  3   4 , Catherine MacPhail  5   6   7 , Amanda Selin  1 , Linda Kimaru  1   5 , Nomhle Khoza  7 , Jennifer Hove  5 , Rhian Twine  5 , Kathleen Kahn  5   8   9 , Audrey Pettifor  5   9   10
Affiliations

The effects of a cash transfer intervention on sexual partnerships and HIV in the HPTN 068 study in South Africa

Marie C D Stoner et al. Cult Health Sex. 2020 Oct.

Abstract

Evidence on cash transfer interventions for HIV prevention in adolescent girls and young women is unclear and indicates that they may not work uniformly in all settings. Qualitative interviews were conducted with 22 girls and young women post-intervention to determine how a cash transfer study (HPTN 068) in South Africa was perceived to influence sexual behaviours and to explore mechanisms for these changes. Participants described how the intervention motivated them to increase condom use, have fewer partners, end risky relationships and access HIV testing services at local primary health clinics. Changes were attributed to receipt of the cash transfer, in addition to HIV testing and sexual health information. Processes of change included improved communication with partners and increased negotiation power in sexual decision-making. Economic empowerment interventions increase confidence in negotiating behaviours with sexual partners and are complementary to sexual health information and health services that provide young women with a foundation on which to make informed decisions about how to protect themselves.

Keywords: Cash transfer intervention; HIV prevention; adolescent girls and young women; empowerment; sexual behaviour.

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Conflict of interest statement

Declaration of Interest Statement

We have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:
Intervention processes of influence emerging from participants’ narratives.
See this image and copyright information in PMC

References

    1. Ashburn Kim, and Warner Ann. 2010. “Can Economic Empowerment Reduce Vulnerability of Girls and Young Women to HIV?” Washington, DC: International Center for Research on Women.
    1. Baird Sarah, Chirwa Ephraim, McIntosh Craig, and Ozler Berk. 2010. “The Short-Term Impacts of a Schooling Conditional Cash Transfer Program on the Sexual Behavior of Young Women.” Health Economics 19 Suppl: 55–68. 10.1002/hec.1569. - DOI - PubMed
    1. Baird Sarah J., Garfein Richard S., McIntosh Craig T., and Özler Berk. 2012. “Effect of a Cash Transfer Programme for Schooling on Prevalence of HIV and Herpes Simplex Type 2 in Malawi: A Cluster Randomised Trial.” The Lancet 379 (9823): 1320–29. 10.1016/S0140-6736(11)61709-1. - DOI - PubMed
    1. Baird Sarah J., Chirwa Ephraim, De Hopp Jacobus, and Özler Berk. 2013. “Girl Power: Cash Transfers and Adolescent Welfare. Evidence from a Cluster-Randomied Experience in Malawi.” 19479 NBER Working Paper; Cambridge, MA.
    1. Baird Sarah Jane, Mcintosh Craig, and Ozler Berk. 2016. “When the Money Runs out : Do Cash Transfers Have Sustained Effects on Human Capital Accumulation?” The World Bank, Policy Research Working Paper Series: 7901. http://documents.worldbank.org/curated/en/495551480602000373/pdf/WPS7 90....

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