AIDS and Behavior

, Volume 17, Issue 7, pp 2301–2312

Acceptability and Feasibility of Cash Transfers for HIV Prevention Among Adolescent South African Women

  • Catherine MacPhail
  • Michelle Adato
  • Kathleen Kahn
  • Amanda Selin
  • Rhian Twine
  • Samson Khoza
  • Molly Rosenberg
  • Nadia Nguyen
  • Elizabeth Becker
  • Audrey Pettifor
Original Paper

DOI: 10.1007/s10461-013-0433-0

Cite this article as:
MacPhail, C., Adato, M., Kahn, K. et al. AIDS Behav (2013) 17: 2301. doi:10.1007/s10461-013-0433-0

Abstract

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.

Keywords

HIV prevention South Africa Women Cash transfers School Social relationships 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Catherine MacPhail
    • 1
    • 2
  • Michelle Adato
    • 3
  • Kathleen Kahn
    • 4
  • Amanda Selin
    • 5
  • Rhian Twine
    • 4
  • Samson Khoza
    • 4
  • Molly Rosenberg
    • 5
  • Nadia Nguyen
    • 5
  • Elizabeth Becker
    • 3
  • Audrey Pettifor
    • 5
  1. 1.Wits Reproductive Health and HIV Institute (WRHI), School of Clinical Medicine, Faculty of Health Sciences, University of the WitwatersrandJohannesburgSouth Africa
  2. 2.Collaborative Research Network (CRN) for Mental Health and Well-being of Rural and Regional Communities, University of New EnglandArmidaleAustralia
  3. 3.Regional Network on AIDS, Livelihoods, and Food Security (RENEWAL), International Food Policy Research Institute (IFPRI)Washington DCUSA
  4. 4.Wits/MRC Rural Public Health and Health Transitions Research Unit (Agincourt), University of the WitwatersrandJohannesburgSouth Africa
  5. 5.Gillings School of Public Health, University of North CarolinaChapel HillUSA

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