Effects of Cash Transfer and Community Mobilization in Young South African Women

现金转移和社区动员对南非年轻妇女的影响

基本信息

批准号：
8056817
负责人：
Audrey Pettifor
金额：
$ 50.03万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-07-01 至 2014-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8056817
关键词：
21 year old AIDS prevention AIDS/HIV problem Address Africa South of the Sahara African Age Area Attention Automobile Driving Awareness Behavior Communities Complement Country Economics Education Educational workshop Ensure Environment Epidemic Event Face Family Gender Gender Issues Goals HIV HIV Infections Health High Prevalence Household Household Heads Individual Infection Infection prevention Intervention Interview Knowledge Life Measures Outcome Participant Positioning Attribute Poverty Preventive Intervention Province Public Health Randomized Recruitment Activity Reporting Research Resources Risk Risk Behaviors Risk Reduction Role Rural Sampling Schools Sex Behavior Site Societies South Africa Surveys Time Training Unsafe Sex Woman Youth arm base community intervention condoms cost delay sexual debut high risk high school improved innovation male member men outreach partner violence post intervention pregnant prevent primary outcome programs public health relevance secondary outcome social success

项目摘要

DESCRIPTION (provided by applicant): We propose to determine the effect of an innovative, multi-level HIV prevention intervention that will jointly address both structural and social factors that contribute to young women's increased vulnerability to HIV. We propose providing cash transfers to the families of young women conditional on the young women attending school with the goal of reducing the young women's HIV risk by keeping her in school by improving her family's economic resources (structural factors). The structural level intervention will be complemented by a community level mobilization intervention focused on engaging young men around the issues of gender norms and HIV risk and encouraging them to take action to protect young women and reduce HIV risk in their communities. This study will be situated in the Agincourt sub-district of Bushbuckridge of rural Mpumalanga Province in South Africa. Approximately 84,000 individuals live in Agincourt in 25 villages, and the area is a Households Demographic Surveillance Site (Agincourt HDSS). We will use the AHDSS as the platform from which we will identify eligible households and young women for the cash transfer intervention (Aim 1). Young women will be recruited at the end of grade 9 and randomly allocated to the intervention (n=200/arm), a cash transfer to the household conditional on school attendance. The cash transfer will be provided for 3 years (until the expected completion of high school, grade 12). To examine the effect of the conditional cash transfers, young women will be interviewed at baseline and then every 12 months until the end of the intervention (3 years post baseline). After households are identified for the cash transfer intervention, villages will be randomized to receive the community mobilization intervention (Aim 2). We will select community mobilizers (n=15) who will conduct mobilization activities in the intervention villages (n=12), including one-on-one contact, workshops and community events to promote awareness around the role of negative gender norms and HIV risk and to encourage young men and community members to take action to reduce young women's HIV risk. To assess the effect of the community mobilization intervention on changes in gender norms and sexual behavior, we will select a sample of young people (age 18-35) from the 25 villages in whom we will conduct a survey at baseline and 3 years post baseline. We will also assess the combined effect of the cash transfer intervention and community mobilization intervention in young women (Aim 3). PUBLIC HEALTH RELEVANCE: In South Africa, young women are infected at 3-4 times the rate of young men and by the time a woman reaches age 21, she has a 1 in 3 chance of being infected. We propose providing cash transfers to the families of young women conditional on the young women attending school with the goal of reducing the young women's HIV risk by keeping her in school by improving her family's economic resources (structural factors). The structural level intervention will be complemented by a community level mobilization intervention focused on engaging young men around the issues of gender norms and HIV risk and encouraging them to take action to protect young women and reduce HIV risk in their communities.

描述（由申请人提供）：我们建议确定创新的多层次艾滋病毒预防干预措施的效果，该干预措施将共同解决导致年轻女性更容易感染艾滋病毒的结构性和社会因素。我们建议向年轻女性的家庭提供现金转移，条件是年轻女性上学，目的是通过改善家庭经济资源（结构性因素）让年轻女性继续上学，从而降低年轻女性感染艾滋病毒的风险。结构层面的干预措施将得到社区层面动员干预措施的补充，重点是让年轻男性参与性别规范和艾滋病毒风险问题，并鼓励他们采取行动保护年轻女性并降低社区的艾滋病毒风险。该研究将位于南非普马兰加省农村地区 Bushbuckridge 的 Agincourt 分区。大约 84,000 人居住在阿金库尔的 25 个村庄，该地区是一个家庭人口统计监测点 (Agincourt HDSS)。我们将使用 AHDSS 作为平台，从中确定符合现金转移干预条件的家庭和年轻女性（目标 1）。年轻女性将在 9 年级结束时被招募，并随机分配到干预组（n = 200/组），即以上学为条件向家庭提供现金转移。现金转移将提供 3 年（直到预计完成高中 12 年级）。为了检验有条件现金转移支付的效果，我们将在基线时对年轻女性进行访谈，然后每 12 个月进行一次访谈，直至干预结束（基线后 3 年）。在确定接受现金转移干预的家庭后，村庄将被随机分配以接受社区动员干预（目标 2）。我们将选择社区动员者（n = 15），他们将在干预村（n = 12）开展动员活动，包括一对一接触、研讨会和社区活动，以提高人们对负面性别规范和艾滋病毒风险的认识鼓励年轻男性和社区成员采取行动，降低年轻女性感染艾滋病毒的风险。为了评估社区动员干预对性别规范和性行为变化的影响，我们将从 25 个村庄中选择年轻人（18-35 岁）样本，我们将在基线和基线后 3 年进行调查。我们还将评估现金转移干预和社区动员干预对年轻女性的综合影响（目标 3）。公共卫生相关性：在南非，年轻女性的感染率是年轻男性的 3-4 倍，当女性年满 21 岁时，她有三分之一的机会被感染。我们建议向年轻女性的家庭提供现金转移，条件是年轻女性上学，目的是通过改善家庭经济资源（结构性因素）让年轻女性继续上学，从而降低年轻女性感染艾滋病毒的风险。结构层面的干预措施将得到社区层面动员干预措施的补充，重点是让年轻男性参与性别规范和艾滋病毒风险问题，并鼓励他们采取行动保护年轻女性并降低社区的艾滋病毒风险。