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. 2020 Nov;24(11):3024-3032.
doi: 10.1007/s10461-020-02850-0.

Conceptualization of Empowerment and Pathways Through Which Cash Transfers Work to Empower Young Women to Reduce HIV Risk: A Qualitative Study in Tanzania

Joyce Wamoyi  1 , Peter Balvanz  2 , Kaitlyn Atkins  2 , Margaret Gichane  2 , Esther Majani  3 , Audrey Pettifor  4   5 , Suzanne Maman  2
Affiliations

Conceptualization of Empowerment and Pathways Through Which Cash Transfers Work to Empower Young Women to Reduce HIV Risk: A Qualitative Study in Tanzania

Joyce Wamoyi et al. AIDS Behav. 2020 Nov.

Erratum in

Abstract

Although cash transfers (CT) are hypothesized to reduce AGYW's HIV risk, little is known about the mechanisms through which CT empower AGYW. We explored the impact of a CT intervention on AGYW's sexual decision-making in order to describe the pathways through which the cash may influence risk behavior. The study employed qualitative methods involving: 20 longitudinal in-depth interviews (IDIs), 40 cross-sectional IDIs, 20 narrative IDIs, and two focus group discussions with AGYW ages 15-23 participating in a CT intervention. AGYW's conceptualized empowerment as: "independence", "hope and aspiration". Potential pathways through which CT empowered AGYW were: economic, hope and aspiration for a better future, and access to knowledge. As a result of this empowerment, AGYW reported reductions in transactional sex, experiences of intimate partner violence, and risky-sexual behaviour. A sense of responsibility developed through economic empowerment, enhanced participants' self-esteem and confidence in decision-making leading to changes in AGYW's sexual risk behaviors.

Keywords: Adolescent girls; Cash transfers; Empowerment; Sexual and reproductive health; Tanzania; Young women.

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Figures

Fig. 1
Fig. 1
Pathways through a cash transfer intervention empowered AGYW to reduce HIV risk
See this image and copyright information in PMC

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