Piloting a Savings-Led Microfinance Intervention with Women Engaging in Sex Work in Mongolia: Further Innovation for HIV Risk Reduction.
Piloting a Savings-Led Microfinance Intervention with Women Engaging in Sex Work in Mongolia: Further Innovation for HIV Risk Reduction.
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DOI：
10.2174/1874291201105010026
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发表时间：
2011-12-30
期刊：
影响因子：
--
通讯作者：
Riedel M
中科院分区：
文献类型：
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作者：
Tsai LC;Witte SS;Aira T;Altantsetseg B;Riedel M
本文描述了一项试点研究，该研究测试了一种以储蓄为主导的创新型小额信贷干预在增加蒙古从事性工作的妇女的经济赋权和减少性风险行为方面的可行性。妇女的经济脆弱性可能会增加她们感染艾滋病毒的风险，因为这会损害她们与伴侣协商安全性行为的能力，并增加她们为生存而交换性行为的可能性。小额信贷被认为是针对从事性工作的妇女的一种潜在的强有力的结构性艾滋病毒预防战略，因为收入来源的多样化可能会提高妇女谈判更安全的性交易的能力。蒙古报告的所有女性艾滋病毒病例中有50%是在从事性工作的妇女中发现的，因此对从事性工作的妇女进行直接预防干预是防止蒙古城市中艾滋病毒感染可能迅速增加的一个机会。试点干预措施包括一项匹配储蓄计划，其中匹配的储蓄可用于商业发展或职业教育，同时为从事性工作的妇女提供金融知识和商业发展培训。试点结果表明，参与者对自己理财能力的信心增强，追求职业目标的希望更大，在金融知识方面的知识有所增加，九名参与者中有五名初步从性工作过渡到其他创收方式。试点结果强调了这种干预措施的潜力，以及开展临床试验的必要性，以检验储蓄主导的小额信贷项目在降低蒙古从事性工作的妇女感染艾滋病毒风险方面的效果。
This paper describes a pilot study testing the feasibility of an innovative savings-led microfinance intervention in increasing the economic empowerment and reducing the sexual risk behavior of women engaging in sex work in Mongolia. Women’s economic vulnerability may increase their risk for HIV by compromising their ability to negotiate safer sex with partners and heightening the likelihood they will exchange sex for survival. Microfinance has been considered a potentially powerful structural HIV prevention strategy with women conducting sex work, as diversification of income sources may increase women’s capacity to negotiate safer transactional sex. With 50% of all reported female HIV cases in Mongolia detected among women engaging in sex work, direct prevention intervention with women conducting sex work represents an opportunity to prevent a potentially rapid increase in HIV infection in urban Mongolia. The piloted intervention consisted of a matched savings program in which matched savings could be used for business development or vocational education, combined with financial literacy and business development training for women engaging in sex work. Results of the pilot demonstrate participants’ increased confidence in their ability to manage finances, greater hope for pursuing vocational goals, moderate knowledge gains regarding financial literacy, and an initial transition from sex work to alternative income generation for five out of nine participants. The pilot findings highlight the potential for such an intervention and the need for a clinical trial testing the efficacy of savings-led microfinance programs in reducing HIV risk for women engaging in sex work in Mongolia.