Evaluating a Microfinance Intervention for High Risk Women in Mongolia

评估针对蒙古高危妇女的小额信贷干预措施

基本信息

批准号：
8264358
负责人：
Susan S Witte
金额：
$ 30.22万
依托单位：
COLUMBIA UNIV NEW YORK MORNINGSIDE
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-03-01 至 2013-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8264358
关键词：
AIDS prevention Accounting Alcohol dependence Anal Sex Biological Businesses Cognitive Country Development Economic Factors Economics Educational process of instructing Eligibility Determination Employment Employment Opportunities Environmental Risk Factor Female Future Gender HIV Health High Risk Woman Income Institution Intervention Intervention Studies Knowledge Lead Literature Low income Mentorship Modeling Mongolia National Institute of Mental Health Outcome Population Poverty Prevalence Prevention Preventive Intervention Randomized Randomized Clinical Trials Reliance Reporting Research Risk Risk Behaviors Risk Reduction Sampling Savings Sex Behavior Sexual Partners Sexually Transmitted Diseases Staging Testing Time Training Unemployment Vagina Woman Work arm base design evidence base follow up assessment follow-up improved literacy meetings migration novel strategies post intervention programs public health relevance sex sex risk skills social theories

项目摘要

DESCRIPTION (provided by applicant): The proposed study represents the first test of a savings-led microfinance intervention combined with HIV prevention on reductions of sexual risk behaviors among female sex workers (FSWs). The study may advance the gender-specific prevention repertoire for women who are at risk for HIV and STIs globally. More specifically, the US/Mongolian collaborative research team will: (1) integrate social cognitive and asset theories in the development and implementation of a microfinance intervention that will promote women's HIV risk reduction and economic self-sufficiency; (2) test a combination of multiple evidence-based microfinance components (financial literacy, business development training/mentorship, and matched savings), which are derived from asset theory, to promote HIV risk reduction and economic self sufficiency; (3) test a microfinance model that is sensitive to the unique needs of FSWs by (a) providing substantial training for personal financial literacy and business management [which most microfinance institutions do not provide]; (b) teaching women about the risks of credit before referring to loan programs; and (c) providing matched savings to build assets towards business development; and (4) test for the first time whether microfinance with a matched savings component can impact reductions in sexual risk among sex workers in a low income country. We will randomly assign 134 FSWs meeting eligibility criteria and completing a baseline assessment to either an evidence-based HIV sexual risk reduction intervention (HIVSRR) plus microfinance (HIVSRR+MF) or to the HIVSRR alone as a control condition, conducting follow-up assessments at immediate post test, 3 and 6 months post intervention. Evidence suggests that such combination of microfinance and HIV prevention may have a greater potential for risk reduction among women who-- because of their reliance on sexual behavior as a means of economic support-- have a compromised ability to be concerned with longer term health consequences such as HIV or sexually transmitted infections (STIs). This study responds to the identified need in the literature for rigorous testing of combination microfinance and HIV prevention in support of sexual risk reduction among women where individually based interventions are too limited, and gender, economic and migration issues restrict the impact of existing prevention intervention strategies. PUBLIC HEALTH RELEVANCE: The proposed study represents the first test of a savings-led microfinance intervention combined with HIV prevention on reductions of sexual risk behaviors among female sex workers (FSWs). We will randomly assign 134 FSWs meeting eligibility criteria and completing a baseline assessment to either an evidence-based HIV sexual risk reduction intervention (HIVSRR) plus microfinance (HIVSRR+MF) or to the HIVSRR alone as a control condition, conducting follow up assessment at immediate post test, 3 and 6 months post intervention.

描述（由申请人提供）：拟议的研究代表了储蓄领导的小额信贷干预措施的首次测试，并结合了艾滋病毒预防，以减少女性性工作者的性风险行为（FSW）。这项研究可能会推动针对面向全球艾滋病毒和性传播感染风险的女性的性别预防曲目。更具体地说，美国/蒙古合作研究团队将：（1）将社会认知和资产理论整合到小型干预的开发和实施中，这将促进妇女的艾滋病毒降低风险和经济自给自足；（2）测试来自资产理论的多个基于证据的小额信贷组成部分（金融素养，业务发展培训/指导和匹配的储蓄）的组合，以促进降低HIV风险和经济自给自足；（3）测试一个小额信贷模型，该模型对FSW的独特需求敏感，通过（a）为个人财务素养和业务管理提供大量培训（大多数小额信贷机构都不提供）；（b）在参考贷款计划之前向妇女传授信贷风险；（c）提供匹配的储蓄以建立业务发展的资产；（4）首次测试是否具有匹配的储蓄组成部分的小额信贷会影响低收入国家的性工作者的性风险减少。我们将随机分配符合资格标准的134个FSW，并完成基于证据的HIV性风险降低干预措施（HIVSRR）加上小额信贷（HIVSRR+MF）或单独将HIVSRR作为对照状况，在测试后立即进行后续评估，3个月后进行后续评估，3月和6个月后进行随访。有证据表明，这种小额信贷和艾滋病毒预防的组合可能具有更大的潜力，即妇女的风险降低可能性，而妇女（由于她们对性行为作为经济支持的手段的依赖 - 具有关注长期健康后果（例如HIV或性传播感染）（STIS）的能力受损。这项研究回应了文献中确定的对组合小额信贷和艾滋病毒预防的严格测试的需求，以支持基于单独的干预措施过于有限的妇女的性风险减少，并且性别，性别，经济和移民问题限制了现有预防干预策略的影响。公共卫生相关性：拟议的研究代表了储蓄领导的小额信贷干预措施的首次测试，并结合了预防艾滋病毒的女性性工作者（FSWS）性风险行为的降低。我们将随机分配符合资格标准的134个FSW，并完成基于证据的HIV性风险降低干预措施（HIVSRR）加上小额信贷（HIVSRR+MF）或单独将HIVSRR作为对照条件，在测试后立即进行后续评估，在测试后进行后续评估。