Cash transfers for HIV prevention: considering their potential
Cash transfers for HIV prevention: considering their potential
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DOI：
10.7448/ias.16.1.18615
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发表时间：
2013-08-23
影响因子：
6
通讯作者：
Watts, Charlotte
中科院分区：
文献类型：
--
作者：
Heise, Lori;Lutz, Brian;Watts, Charlotte
导言：向弱势家庭和/或个人支付现金作为减少贫困、改善健康和实现其他与发展有关成果的一种手段日益受到关注。最近来自马拉维和坦桑尼亚的证据表明，现金转移可以影响与艾滋病毒相关的行为和结果，因此可以作为艾滋病毒预防工作的重要补充。讨论：本文回顾了现金转移预防艾滋病的现有证据，并提出了有待进一步研究的未解决问题。差距包括：(1)对现金转移影响艾滋病毒相关结果的机制和途径了解更多；(2)解决关键的业务问题，包括潜在的可行性以及不同的转移和条件模式的成本和收益；(3)评估和加强现金转移支付对卫生和发展的更广泛影响。结论：正在进行的和未来的研究应以目前的发现为基础，解开未解决的问题，并收集更多的证据，证明在不同环境下转移的多重影响。此外，为了解决可持续性问题，现金转移方案需要与其他部门和解决结构性因素的方案结合起来，例如教育和方案编制，以促进两性平等和解决艾滋病毒问题。
Introduction: Cash payments to vulnerable households and/or individuals have increasingly garnered attention as a means to reduce poverty, improve health and achieve other development-related outcomes. Recent evidence from Malawi and Tanzania suggests that cash transfers can impact HIV-related behaviours and outcomes and, therefore, could serve as an important addition to HIV prevention efforts.Discussion: This article reviews the current evidence on cash transfers for HIV prevention and suggests unresolved questions for further research. Gaps include (1) understanding more about the mechanisms and pathways through which cash transfers affect HIV-related outcomes; (2) addressing key operational questions, including the potential feasibility and the costs and benefits of different models of transfers and conditionality; and (3) evaluating and enhancing the wider impacts of cash transfers on health and development.Conclusions: Ongoing and future studies should build on current findings to unpack unresolved questions and to collect additional evidence on the multiple impacts of transfers in different settings. Furthermore, in order to address questions on sustainability, cash transfer programmes need to be integrated with other sectors and programmes that address structural factors such as education and programming to promote gender equality and address HIV.