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UNESCO HIV and Health Education Clearinghouse

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  1. The effect of a conditional cash transfer on HIV incidence in young women in rural South Africa (HPTN 068): a phase 3, randomised controlled trial

    Cash transfers have been proposed as an intervention to reduce HIV-infection risk for young women in sub-Saharan Africa. However, scarce evidence is available about their effect on reducing HIV acquisition. The authors aimed to assess the effect of a conditional cash transfer on HIV incidence among young women in rural South Africa. Based on their research findings, the authors draw the conclusion that cash transfers conditional on school attendance did not reduce HIV incidence in young women. School attendance significantly reduced risk of HIV acquisition, irrespective of study group. …

  2. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial

    Lack of education and an economic dependence on men are often suggested as important risk factors for HIV infection in women. The authors assessed the efficacy of a cash transfer programme for schooling to reduce the risk of sexually transmitted infections in young women. Based on their findings the authors conclude that cash transfer programmes can reduce HIV and HSV-2 infections in adolescent schoolgirls in low-income settings. Structural interventions that do not directly target sexual behaviour change can be important components of HIV prevention strategies.

  3. Accessing the ‘right’ kinds of material and symbolic capital: the role of cash transfers in reducing adolescent school absence and risky behaviour in South Africa

    This article investigates how well South Africa’s Child Support Grant (CSG) responds to the material and psychosocial needs of adolescents, and the resultant effects on schooling and risky behaviour. One driver of schooling decisions is shame related to poverty and the ‘social cost’ of school, where a premium must often be paid for fashionable clothes or accessories. The other driver relates to symbolic and consumptive capital gained through engaging in sexual exchange relationships. The anticipated impacts from the CSG are partial because of these non-material drivers of adolescent choices. …

  4. Structural drivers and social protection: mechanisms of HIV risk and HIV prevention for South African adolescents

    Social protection is high on the HIV-prevention agenda for youth in sub-Saharan Africa. However, questions remain: How do unconditional cash transfers work? What is the effect of augmenting cash provision with social care? And can “cash plus care” social protection reduce risks for adolescents most vulnerable to infection? This study tackles these questions by first identifying mediated pathways to adolescent HIV risks and then examining potential main and moderating effects of social protection in South Africa.

  5. Co-financing HIV programmes improves overall development results

    This brief provides evidence-backed advice to policymakers on how to get greater impact from HIV financing. RethinkHIV is a new research initiative, funded by the Rush Foundation, that aims to conduct and evaluate cutting-edge research to inform long-term planning and resource-allocation for the treatment and management of HIV/AIDS.

  6. Discussion paper: Cash transfers and HIV prevention

    This discussion paper synthesizes the evidence for the effectiveness of cash transfers for HIV prevention and explores implications and opportunities for advancing research and policy agendas. Much of this evidence centres on girls and young women, who bear significant HIV burdens, particularly in sub-Saharan Africa, and often have less control over their sexual choices than do men. Many forms of transfers exist that may contribute to HIV prevention. …

  7. Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: a propensity-score-matched case-control study

    Background: Effective and scalable HIV prevention for adolescents in sub-Saharan Africa is needed. Cash transfers can reduce HIV incidence through reducing risk behaviours. However, questions remain about their effectiveness within national poverty-alleviation programmes, and their effects on different behaviours in boys and girls. Methods: In this case-control study, we interviewed South African adolescents (aged 10–18 years) between 2009 and 2012. …

  8. Social protection and cash transfers to strengthen families affected by HIV and AIDS

    Based on a review of over 300 documents, this monograph examines how social protection can be used to protect children and families affected by HIV and AIDS. It reviews evidence on the impacts of 10 unconditional cash transfer (UCT) programs in southern and East Africa and 10 conditional cash transfer (CCT) programs in Latin America. …

  9. The Impact of a Comprehensive Microfinance Intervention on Depression Levels of AIDS-Orphaned Children in Uganda

    The relationship between poverty and mental health functioning is well documented. Poverty affects not only families’ ability to physically care for children, but also families’ stability, functioning, and psychosocial well-being. In this article, we examine the impact of a comprehensive microfinance intervention, intended to reduce the risk of poverty, on depression among adolescent youth who have lost either one or both parents to AIDS.A child who has been affected by AIDS is more likely to have increased levels of anxiety, depression, and reduced self-esteem. …

  10. Cash transfers in an epidemic context: the interaction of formal and informal support in rural Malawi

    This paper investigates the short-run consumption expenditure dynamics and the interaction of public and private arrangements of ultra-poor and labor-constrained households in Malawi using an original dataset from the Mchinjii social cash transfer pilot project (one of the first experiments of social protection policies based on unconditional cash transfers in Sub-Saharan Africa). …

  11. Social cash transfers to support children and families affected by HIV/AIDS

    In response to the critical need of affected children and families, the compelling evidence for their benefits, and the receptive environment on the part of governments and donors, several local and international organizations are piloting cash transfers programmes as a mechanism to mitigate the impact of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) on affected communities in sub- Saharan Africa. Few programmes, however, are conceptualized or implemented within a broader framework of social protection, socioeconomic development or human rights. …

  12. AIDS is Money: how donor preferences reconfigure local realities

    There is growing concern that the global response to AIDS in sub-Saharan Africa is compromising the region's human development more broadly. Through a case study of Malawi, I examine the impact of AIDS prioritization by international donors on the country's NGOs and analyze why AIDS wields such influence on development work. In the last 20 years the Malawian NGO sector has evolved to favor AIDS above all else. AIDS has come to possess prestige and legitimacy that other development sectors are denied. …

  13. Is there an association between PEPFAR funding and improvement in national health indicators in Africa? A retrospective study

    The US President's Emergency Plan for AIDS Relief (PEPFAR) was reauthorized in June 2008 with a threefold increase in funds, and a broader, more explicit mandate to improve health in the low- and middle-income countries that it funded. However, the ability of a disease-specific, or vertical, programme to have a spill-over effect and improve health outcomes has been questioned. …

  14. Using conditional cash transfers to control sexual transmitted infections and HIV

    This dicusssion paper aims to summarise the existing knowledge regarding the utilisation and results of CCT programmes within the wider context of STI and HIV prevention.

  15. The long run costs and financing of HIV/AIDS in South Africa

    The aids2031-South Africa project aimed to estimate the influence of several factors on the magnitude, nature, costs and impacts of the national response to HIV/AIDS in South Africa. …

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