Cash transfer interventions for sexual health : meanings and experiences of adolescent males and females in inner-city Johannesburg
- Khoza, Nomhle, Stadler, Jonathan, MacPhail, Catherine, Chikandiwa, Admire, Brahmbhatt, Heena, Delany-Moretlwe, Sinead
- Authors: Khoza, Nomhle , Stadler, Jonathan , MacPhail, Catherine , Chikandiwa, Admire , Brahmbhatt, Heena , Delany-Moretlwe, Sinead
- Date: 2018
- Subjects: Cash transfers , Adolescents , Girls
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/290017 , uj:31477 , Citation: Khoza, N. et al. Cash transfer interventions for sexual health : meanings and experiences of adolescent males and females in inner-city Johannesburg. BMC Public Health (2018) 18:120 DOI 10.1186/s12889-018-5027-3
- Description: Abstract: Background: In sub-Saharan Africa, there is growing interest in the use of cash transfer (CT) programs for HIV treatment and prevention. However, there is limited evidence of the consequences related to CT provision to adolescents in low-resourced urban settings. We explored the experiences of adolescents receiving CTs to assess the acceptability and unintended consequences of CT strategies in urban Johannesburg, South Africa. Methods: We collected qualitative data during a pilot randomized controlled trial of three CT strategies (monthly payments unconditional vs. conditional on school attendance vs. a once-off payment conditional on a clinic visit) involving 120 adolescents aged 16–18 years old in the inner city of Johannesburg. Interviews were conducted in isiZulu, Sesotho or English with a sub-sample of 49 participants who adhered to study conditions, 6 months after receiving CT (280 ZAR/ 20 USD) and up to 12 months after the program had ended. Interviews were transcribed and translated by three fieldworkers. Codes were generated using an inductive approach; transcripts were initially coded based on emerging issues and subsequently coded deductively using Atlas.ti 7.4. Results: CTs promoted a sense of independence and an adult social identity amongst recipients. CTs were used to purchase personal and household items; however, there were gender differences in spending and saving behaviours. Male participants’ spending reflected their preoccupation with maintaining a public social status through which they asserted an image of the responsible adult. In contrast, female participants’ expenditure reflected assumption of domestic responsibilities and independence from older men, with the latter highlighting CTs’ potential to reduce transactional sexual partnerships. Cash benefits were short-lived, as adolescents reverted to previous behavior after the program’s cessation. Conclusion: CT programs offer adolescent males and females in low-income urban settings a sense of agency, which is vital for their transition to adulthood. However, gender differences in the expenditure of CTs and the effects of ending CT programs must be noted, as these may present potential unintended risks.
- Full Text:
- Authors: Khoza, Nomhle , Stadler, Jonathan , MacPhail, Catherine , Chikandiwa, Admire , Brahmbhatt, Heena , Delany-Moretlwe, Sinead
- Date: 2018
- Subjects: Cash transfers , Adolescents , Girls
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/290017 , uj:31477 , Citation: Khoza, N. et al. Cash transfer interventions for sexual health : meanings and experiences of adolescent males and females in inner-city Johannesburg. BMC Public Health (2018) 18:120 DOI 10.1186/s12889-018-5027-3
- Description: Abstract: Background: In sub-Saharan Africa, there is growing interest in the use of cash transfer (CT) programs for HIV treatment and prevention. However, there is limited evidence of the consequences related to CT provision to adolescents in low-resourced urban settings. We explored the experiences of adolescents receiving CTs to assess the acceptability and unintended consequences of CT strategies in urban Johannesburg, South Africa. Methods: We collected qualitative data during a pilot randomized controlled trial of three CT strategies (monthly payments unconditional vs. conditional on school attendance vs. a once-off payment conditional on a clinic visit) involving 120 adolescents aged 16–18 years old in the inner city of Johannesburg. Interviews were conducted in isiZulu, Sesotho or English with a sub-sample of 49 participants who adhered to study conditions, 6 months after receiving CT (280 ZAR/ 20 USD) and up to 12 months after the program had ended. Interviews were transcribed and translated by three fieldworkers. Codes were generated using an inductive approach; transcripts were initially coded based on emerging issues and subsequently coded deductively using Atlas.ti 7.4. Results: CTs promoted a sense of independence and an adult social identity amongst recipients. CTs were used to purchase personal and household items; however, there were gender differences in spending and saving behaviours. Male participants’ spending reflected their preoccupation with maintaining a public social status through which they asserted an image of the responsible adult. In contrast, female participants’ expenditure reflected assumption of domestic responsibilities and independence from older men, with the latter highlighting CTs’ potential to reduce transactional sexual partnerships. Cash benefits were short-lived, as adolescents reverted to previous behavior after the program’s cessation. Conclusion: CT programs offer adolescent males and females in low-income urban settings a sense of agency, which is vital for their transition to adulthood. However, gender differences in the expenditure of CTs and the effects of ending CT programs must be noted, as these may present potential unintended risks.
- Full Text:
Motivations and barriers to uptake and use of female-initiated, biomedical HIV prevention products in sub-Saharan Africa: an adapted meta-ethnography
- Eakle, Robyn, Bourne, Adam, Jarrett, Caitlin, Stadler, Jonathan, Larson, Heidi
- Authors: Eakle, Robyn , Bourne, Adam , Jarrett, Caitlin , Stadler, Jonathan , Larson, Heidi
- Date: 2017
- Subjects: HIV prevention , Biomedical prevention products , Pre-exposure prophylaxis (PrEP)
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/257849 , uj:27098 , Citation: Eakle, R. et al. 2017. Eakle et al. BMC Public Health (2017) 17:968 DOI 10.1186/s12889-017-4959-3.
- Description: Abstract: Background: Women bear a disproportionate burden of HIV throughout the world prompting extensive research into HIV prevention products for women which has met with varied success. With an aim of informing future policy and programming, this review examines the barriers and motivations to the uptake and use of female initiated products in sub-Saharan countries. Methods: We conducted a systematic review as an adapted meta-ethnography of qualitative data focused on actual use of products. After deduplication, 10,581 and 3861 papers in the first and second round respectively were screened. Following the PRISMA guidance, 22 papers were selected and synthesized using Malpass’s definitions of first, second, and third order constructs. First order constructs, consisting of participant data published in the selected papers, were extracted and categorised by second and third order constructs for analysis. A weight of evidence review was conducted to compare and assess quality across the papers. Results: The 22 papers selected span 11 studies in 13 countries. We derived 23 s order constructs that were translated into seven overarching third order constructs: Sexual Satisfaction, Trust, Empowerment and Control, Personal Well-being, Product use in the social-cultural environment, Practical Considerations, Risk Reduction, and Perceptions of Efficacy. Relationships and trust were seen to be as or more important for product use as efficacy. These constructs reveal an inherent inter-relationality where decision making around HIV prevention uptake and use cannot be binary or mono-faceted, but rather conducted on multiple levels. We developed a framework illustrating the central and proximal natures of constructs as they relate to the decision-making process surrounding the use of prevention products. Conclusions: Health systems, structural, and individual level HIV prevention interventions for women should adopt a holistic approach. Interventions should attend to the ways in which HIV prevention products can serve to reduce the likelihood of HIV transmission, as well as help to protect partnerships, enhance sexual pleasure, and take into account woman’s roles in the social environment. Stigma, as well as sexuality, is likely to continue to influence product uptake and use and should be prominently taken into account in large-scale interventions. Trial registration: Not applicable.
- Full Text:
- Authors: Eakle, Robyn , Bourne, Adam , Jarrett, Caitlin , Stadler, Jonathan , Larson, Heidi
- Date: 2017
- Subjects: HIV prevention , Biomedical prevention products , Pre-exposure prophylaxis (PrEP)
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/257849 , uj:27098 , Citation: Eakle, R. et al. 2017. Eakle et al. BMC Public Health (2017) 17:968 DOI 10.1186/s12889-017-4959-3.
- Description: Abstract: Background: Women bear a disproportionate burden of HIV throughout the world prompting extensive research into HIV prevention products for women which has met with varied success. With an aim of informing future policy and programming, this review examines the barriers and motivations to the uptake and use of female initiated products in sub-Saharan countries. Methods: We conducted a systematic review as an adapted meta-ethnography of qualitative data focused on actual use of products. After deduplication, 10,581 and 3861 papers in the first and second round respectively were screened. Following the PRISMA guidance, 22 papers were selected and synthesized using Malpass’s definitions of first, second, and third order constructs. First order constructs, consisting of participant data published in the selected papers, were extracted and categorised by second and third order constructs for analysis. A weight of evidence review was conducted to compare and assess quality across the papers. Results: The 22 papers selected span 11 studies in 13 countries. We derived 23 s order constructs that were translated into seven overarching third order constructs: Sexual Satisfaction, Trust, Empowerment and Control, Personal Well-being, Product use in the social-cultural environment, Practical Considerations, Risk Reduction, and Perceptions of Efficacy. Relationships and trust were seen to be as or more important for product use as efficacy. These constructs reveal an inherent inter-relationality where decision making around HIV prevention uptake and use cannot be binary or mono-faceted, but rather conducted on multiple levels. We developed a framework illustrating the central and proximal natures of constructs as they relate to the decision-making process surrounding the use of prevention products. Conclusions: Health systems, structural, and individual level HIV prevention interventions for women should adopt a holistic approach. Interventions should attend to the ways in which HIV prevention products can serve to reduce the likelihood of HIV transmission, as well as help to protect partnerships, enhance sexual pleasure, and take into account woman’s roles in the social environment. Stigma, as well as sexuality, is likely to continue to influence product uptake and use and should be prominently taken into account in large-scale interventions. Trial registration: Not applicable.
- Full Text:
Risk perception and the influence on uptake and use of biomedical prevention interventions for HIV in sub-Saharan Africa : a systematic literature review
- Emily A. Warren,, Paterson, Pauline, Schulz, William S., Lees, Shelley, Eakle, Robyn, Stadler, Jonathan, Larson, Heidi J.
- Authors: Emily A. Warren, , Paterson, Pauline , Schulz, William S. , Lees, Shelley , Eakle, Robyn , Stadler, Jonathan , Larson, Heidi J.
- Date: 2018
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/290025 , uj:31478 , Citation: Warren EA, Paterson P, Schulz WS, Lees S, Eakle R, Stadler J, et al. (2018) Risk perception and the influence on uptake and use of biomedical prevention interventions for HIV in sub-Saharan Africa: A systematic literature review. PLoS ONE 13 (6): e0198680. https://doi.org/10.1371/journal. pone.0198680
- Description: Abstract: Background Risk perception has been found to be a crucial factor explaining inconsistent or non-use of HIV prevention interventions. Considerations of risk need to expand beyond risk of infection to also include the personal, social, emotional, and economic risks associated with prevention intervention use. Objectives This systematic review of qualitative peer-reviewed literature from sub-Saharan Africa examines perceptions of risk associated with HIV infection and HIV prevention intervention use. Data sources We searched Medline, Embase, PsychInfo, Africa Wide Info, CINAHL, and Global Health for publications and screened them for relevance. Study eligibility criteria Peer-reviewed qualitative studies published since 2003 were eligible for inclusion if they examined risk perception or uncertainty in the context of a medically regulated intervention. Only studies focusing on adults were included...
- Full Text:
- Authors: Emily A. Warren, , Paterson, Pauline , Schulz, William S. , Lees, Shelley , Eakle, Robyn , Stadler, Jonathan , Larson, Heidi J.
- Date: 2018
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/290025 , uj:31478 , Citation: Warren EA, Paterson P, Schulz WS, Lees S, Eakle R, Stadler J, et al. (2018) Risk perception and the influence on uptake and use of biomedical prevention interventions for HIV in sub-Saharan Africa: A systematic literature review. PLoS ONE 13 (6): e0198680. https://doi.org/10.1371/journal. pone.0198680
- Description: Abstract: Background Risk perception has been found to be a crucial factor explaining inconsistent or non-use of HIV prevention interventions. Considerations of risk need to expand beyond risk of infection to also include the personal, social, emotional, and economic risks associated with prevention intervention use. Objectives This systematic review of qualitative peer-reviewed literature from sub-Saharan Africa examines perceptions of risk associated with HIV infection and HIV prevention intervention use. Data sources We searched Medline, Embase, PsychInfo, Africa Wide Info, CINAHL, and Global Health for publications and screened them for relevance. Study eligibility criteria Peer-reviewed qualitative studies published since 2003 were eligible for inclusion if they examined risk perception or uncertainty in the context of a medically regulated intervention. Only studies focusing on adults were included...
- Full Text:
‘Hold on’ (Bambelela)! Lyrical interpretations of participation in an HIV prevention clinical trial
- Stadler, Jonathan, MacGregor, Hayley, Saethre, Eirik, Delany-Moretlwe, Sinead
- Authors: Stadler, Jonathan , MacGregor, Hayley , Saethre, Eirik , Delany-Moretlwe, Sinead
- Date: 2018
- Subjects: Lyrics , HIV prevention , Clinical trials
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/289219 , uj:31376 , Citation: Jonathan Stadler, Hayley MacGregor, Eirik Saethre & Sinead Delany-Moretlwe (2018) ‘Hold on’ (Bambelela)! Lyrical interpretations of participation in an HIV prevention clinical trial, Culture, Health & Sexuality, 20:11, 1199-1213, DOI: 10.1080/13691058.2017.1422151
- Description: Abstract: During a five-day workshop, former clinical trial participants and local musicians wrote the lyrics and recorded a song about an HIV prevention trial. Born of concerns about misconceptions regarding experimental drug trials, the aim was to engender engagement with medical researchers and open dialogue about the risks and benefits of trial participation. Composing lyrics that highlighted their credibility as communicators of medical scientific knowledge and their selfless sacrifice to stem the transmission of HIV, women performed their social positioning and cultural authority in contrast to men as well as other women not part of the trial. While involvement in HIV prevention initiatives often attracts stigma, scorn and criticism, the song’s lyrics highlighted women’s new-found identities as heroines searching for a solution to the spread of HIV, challenging these stereotypes. Methodologically, the paper describes a novel approach that uses artistic expression for public engagement with biomedical research.
- Full Text:
- Authors: Stadler, Jonathan , MacGregor, Hayley , Saethre, Eirik , Delany-Moretlwe, Sinead
- Date: 2018
- Subjects: Lyrics , HIV prevention , Clinical trials
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/289219 , uj:31376 , Citation: Jonathan Stadler, Hayley MacGregor, Eirik Saethre & Sinead Delany-Moretlwe (2018) ‘Hold on’ (Bambelela)! Lyrical interpretations of participation in an HIV prevention clinical trial, Culture, Health & Sexuality, 20:11, 1199-1213, DOI: 10.1080/13691058.2017.1422151
- Description: Abstract: During a five-day workshop, former clinical trial participants and local musicians wrote the lyrics and recorded a song about an HIV prevention trial. Born of concerns about misconceptions regarding experimental drug trials, the aim was to engender engagement with medical researchers and open dialogue about the risks and benefits of trial participation. Composing lyrics that highlighted their credibility as communicators of medical scientific knowledge and their selfless sacrifice to stem the transmission of HIV, women performed their social positioning and cultural authority in contrast to men as well as other women not part of the trial. While involvement in HIV prevention initiatives often attracts stigma, scorn and criticism, the song’s lyrics highlighted women’s new-found identities as heroines searching for a solution to the spread of HIV, challenging these stereotypes. Methodologically, the paper describes a novel approach that uses artistic expression for public engagement with biomedical research.
- Full Text:
- «
- ‹
- 1
- ›
- »