Acceptability and Feasibility of Cash Transfers for HIV Prevention Among Adolescent South African Women
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Women are at increased risk of HIV infection in much of sub-Saharan Africa. Longitudinal and cross-sectional studies have found an association between school attendance and reduced HIV risk. We report feasibility and acceptability results from a pilot of a cash transfer intervention conditional on school attendance paid to young women and their families in rural Mpumalanga, South Africa for the prevention of HIV infection. Twenty-nine young women were randomised to intervention or control and a cash payment based on school attendance made over a 2-month period. Quantitative (survey) and qualitative (focus group and interview) data collection was undertaken with young women, parents, teachers and young men in the same school. Qualitative analysis was conducted in Atlas.ti using a framework approach and basic descriptive analysis in Excel was conducted on the quantitative data. Results indicate it was both feasible and acceptable to introduce such an intervention among this population in rural South Africa. There was good understanding of the process of randomisation and the aims of the study, although some rumours developed in the study community. We address some of the changes necessary to ensure acceptability and feasibility of the main trial.
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- Acceptability and Feasibility of Cash Transfers for HIV Prevention Among Adolescent South African Women
AIDS and Behavior
Volume 17, Issue 7 , pp 2301-2312
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
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- HIV prevention
- South Africa
- Cash transfers
- Social relationships
- Industry Sectors
- Author Affiliations
- 1. Wits Reproductive Health and HIV Institute (WRHI), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
- 2. Collaborative Research Network (CRN) for Mental Health and Well-being of Rural and Regional Communities, University of New England, Room 261A, Botany Building, Armidale, NSW, 2350, Australia
- 3. Regional Network on AIDS, Livelihoods, and Food Security (RENEWAL), International Food Policy Research Institute (IFPRI), Washington DC, USA
- 4. Wits/MRC Rural Public Health and Health Transitions Research Unit (Agincourt), University of the Witwatersrand, Johannesburg, South Africa
- 5. Gillings School of Public Health, University of North Carolina, Chapel Hill, NC, USA