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| ID | Type | Description | Link |
|---|---|---|---|
| RSB: RF-P109215-RESE-BBRSB | Other Grant/Funding Number | World Bank |
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| Name | Class |
|---|---|
| World Bank | OTHER |
| University of California, San Diego | OTHER |
| University of Malawi | OTHER |
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This study is designed to evaluate a two-year randomized intervention in Malawi that provides cash transfers to current schoolgirls (and young women who have recently dropped out of school) to stay in (and return to) school in order to understand the possible effects of such programs on the sexual behavior of the beneficiaries and their subsequent HIV risk.
Motivation:
Education has been suggested as a "social vaccine" to prevent the spread of HIV (Jukes, Simmons, and Bundy, 2008), but almost all of the evidence we have on the link between school attendance (or attainment) and the risk of HIV infection comes from cross-sectional studies. Furthermore, the role of income (especially that of women's poverty) has been hypothesized as a significant factor in the spread of HIV in SSA, but again there is no credible evidence showing a causal link between income and HIV risk. A randomized intervention, such as the one proposed here, that provides randomly varied amounts of cash transfers to young individuals and their guardians is the perfect setting to examine the possible existence of such causal relationships.
Objectives:
The objective of the proposed study here is to provide credible evidence on issues about which we still know very little. Specifically, the main questions the study will try to answer are the following:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Unconditional cash transfers | Experimental | Monthly cash transfers given to households with school aged girls with no strings attached. Transfer amounts randomized within this arm. |
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| Conditional Cash Transfer | Experimental | Monthly cash transfers given to households with school aged girls conditional on regular school attendance (80%). Transfer amounts randomized within this arm. |
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| Control Group | No Intervention | No cash transfer program implemented in this group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zomba Cash Transfer Program | Behavioral | Cash transfers were provided monthly to a randomly selected sample of school aged girls. Amounts were also varied in both treatment arms. |
| Measure | Description | Time Frame |
|---|---|---|
| Sexually Transmitted Infections | HIV prevalence HSV-2 prevalence | 18 months |
| Schooling | school enrollment | 12 months/24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Sexually Transmitted Infections | syphilis | 18 months |
| Marriage and fertility | ever married currently pregnant | 12 months/24 months |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Berk Ozler, PhD | World Bank | Principal Investigator |
| Craig T McIntosh, PhD | University of California, San Diego | Principal Investigator |
| Sarah J Baird, PhD | George Washington University | Principal Investigator |
| Ephraim Chirwa, PhD | University of Malawi | Principal Investigator |
| Richard S Garfein, PhD | University of California, San Diego | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zomba District, Malawi | Zomba | Malawi |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19946887 | Result | Baird S, Chirwa E, McIntosh C, Ozler B. The short-term impacts of a schooling conditional cash transfer program on the sexual behavior of young women. Health Econ. 2010 Sep;19 Suppl:55-68. doi: 10.1002/hec.1569. | |
| 22341825 | Derived | Baird SJ, Garfein RS, McIntosh CT, Ozler B. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial. Lancet. 2012 Apr 7;379(9823):1320-9. doi: 10.1016/S0140-6736(11)61709-1. Epub 2012 Feb 15. |
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| sexual behavior | new sexual debut unprotected sexual intercourse weekly sexual intercourse had a sexual partner 25 or older | 12 months/ 24 months |
| HIV Awareness | ever tested for HIV received health training on HIV HIV knowledge | 12 months/24 months |