Cash transfers for HIV prevention: what do young women spend it on? Mixed methods findings from HPTN 068

dc.contributor.authorCatherine MacPhail
dc.contributor.authorNomhle Khoza
dc.contributor.authorAmanda Selin
dc.contributor.authorAimée Julien
dc.contributor.authorRhian Twine
dc.contributor.authorRyan G. Wagner
dc.contributor.authorXavier Goméz-Olivé
dc.contributor.authorKathy Kahn
dc.contributor.authorJing Wang
dc.contributor.authorAudrey Pettifor
dc.date.accessioned2023-09-12T11:52:32Z
dc.date.available2023-09-12T11:52:32Z
dc.date.issued2018
dc.departmentSA-MRC/Wits Agincourt UnitE
dc.description.abstractBackground Social grants have been found to have an impact on health and wellbeing in multiple settings. Who receives the grant, however, has been the subject of discussion with regards to how the money is spent and who benefits from the grant. Methods Using survey data from 1214 young women who were in the intervention arm and completed at least one annual visit in the HPTN 068 trial, and qualitative interview data from a subset of 38 participants, we examined spending of a cash transfer provided to young women conditioned on school attendance. Results We found that spending was largely determined and controlled by young women themselves and that the cash transfer was predominately spent on toiletries, clothing and school supplies. In interview data, young women discussed the significant role of cash transfers for adolescent identity, specifically with regard to independence from family and status within the peer network. There were almost no negative consequences from receiving the cash transfer. Conclusions We established that providing adolescents access to cash was not reported to be associated with social harms or negative consequences. Rather, spending of the cash facilitated appropriate adolescent developmental behaviors. The findings are encouraging at a time in which there is global interest in addressing the structural drivers of HIV risk, such as poverty, for young women.
dc.description.librarianPM2023
dc.identifier.urihttp://hdl.handle.net/10539/35884
dc.language.isoen
dc.schoolPublic HealthE
dc.titleCash transfers for HIV prevention: what do young women spend it on? Mixed methods findings from HPTN 068
dc.typeArticle
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