Acceptability and feasibility of cash transfers for HIV prevention among adolescent South African women.

Acceptability and feasibility of cash transfers for HIV prevention among adolescent South African women.
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DOI:
10.1007/s10461-013-0433-0
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发表时间:
2013-09
期刊:
影响因子:
4.4
通讯作者:
Pettifor, Audrey
Pettifor, Audrey
中科院分区:
医学2区
文献类型:
--
作者:
MacPhail, Catherine;Adato, Michelle;Kahn, Kathleen;Selin, Amanda;Twine, Rhian;Khoza, Samson;Rosenberg, Molly;Nguyen, Nadia;Becker, Elizabeth;Pettifor, Audrey

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在撒哈拉以南非洲的大部分地区,妇女感染艾滋病毒的风险增加。纵向和横向研究发现,上学和降低艾滋病毒风险之间存在关联。我们报告了南非姆普马兰加农村地区预防艾滋病毒感染的现金转移干预试点的可行性和可接受性结果,该干预措施的条件是向年轻妇女及其家人支付在校率以预防艾滋病毒感染。29名年轻女性被随机分为干预组或对照组,并根据两个月的出勤率支付现金。对同一所学校的年轻女性、家长、教师和年轻男性进行了定量(调查)和定性(焦点小组和访谈)的数据收集。在Atlas.ti中使用框架方法进行定性分析,并在Excel中对量化数据进行基本描述性分析。结果表明,在南非农村的这些人口中引入这种干预措施是可行的,也是可以接受的。尽管在研究界出现了一些谣言,但人们对随机过程和研究的目的有很好的理解。我们讨论了一些必要的改变,以确保主要试验的可接受性和可行性。
Women are at increased risk of HIV infection in much of sub-Saharan Africa. Longitudinal and cross-sectional studies have found an association between school attendance and reduced HIV risk. We report feasibility and acceptability results from a pilot of a cash transfer intervention conditional on school attendance paid to young women and their families in rural Mpumalanga, South Africa for the prevention of HIV infection. Twenty-nine young women were randomised to intervention or control and a cash payment based on school attendance made over a 2 month period. Quantitative (survey) and qualitative (focus group and interview) data collection was undertaken with young women, parents, teachers and young men in the same school. Qualitative analysis was conducted in Atlas.ti using a framework approach and basic descriptive analysis in Excel was conducted on the quantitative data. Results indicate it was both feasible and acceptable to introduce such an intervention among this population in rural South Africa. There was good understanding of the process of randomisation and the aims of the study, although some rumours developed in the study community. We address some of the changes necessary to ensure acceptability and feasibility of the main trial.
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