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| Name | Class |
|---|---|
| Foundation for Professional Development | UNKNOWN |
| Future Families | UNKNOWN |
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This study evaluates whether the integration of an Economic Strengthening program with an HIV-prevention education program produce synergistic effects on economic and health outcomes for South African youth ages 14-17 years old.
In South Africa, the overall HIV prevalence of 12.2% can be reviewed based on a number of factors: age, province, type of locality, race, economic household conditions, and marital status. Those to be reached through the ASPIRES intervention and evaluation are economically disadvantaged Black African youth, male and female, located in urban localities in Gauteng province, and are situated within a setting of high risk and vulnerability for HIV. The ASPIRES project is providing technical assistance to provide economic strengthening (ES) and HIV prevention education programming for adolescents. The ASPIRES ES intervention includes financial capability building through the provision of financial education in combination with access to appropriate youth-friendly savings mechanisms. The HIV prevention education intervention Vhutshilo 2.2 will be used in this study.
This study will assess whether the integration of an ES intervention with an HIV-prevention education intervention improves economic and health outcomes beyond singular interventions, estimate the resources required at the program level to support the ES and HIV-prevention education interventions; and describe whether the interventions were perceived as effective in addressing economic and health outcomes and to describe how and why the interventions were perceived as effective or not.
This study will enroll up to 2000 youth ages 14-17 and randomly assign them to either 1) ES intervention only, 2) HIV prevention intervention only, 3) combined ES and HIV intervention, or 4) no intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ES + HIV Prevention | Experimental | Economic Strengthening + HIV prevention education combined intervention consists of 2 parts. Impumelelo: This intervention consists of 15 one-hour long sessions on financial education in combination with access to appropriate youth-friendly savings mechanisms. Vhutshilo 2.2: . This intervention consists of 15 one-hour long sessions that are interactive, skills focused, and cover such topics as expressing one's feelings; dealing with loss and grief; decision-making; coping; gender violence; understanding HIV and other sexually transmitted infections; healthy relationships and staying safe in sexual relationships; and contraception and risks associated with unplanned pregnancy. |
|
| ES only | Experimental | Economic Strengthening (Impumelelo): This intervention consists of 15 one-hour long sessions on financial education in combination with access to appropriate youth-friendly savings mechanisms. |
|
| HIV only | Experimental | HIV Prevention Education (Vhutshilo 2.2): This intervention consists of 15 one-hour long sessions that are interactive, skills focused, and cover such topics as expressing one's feelings; dealing with loss and grief; decision-making; coping; gender violence; understanding HIV and other sexually transmitted infections; healthy relationships and staying safe in sexual relationships; and contraception and risks associated with unplanned pregnancy. |
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| No intervention (control) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Economic Strengthening (Impumelelo) | Behavioral | Economic Strengthening (Impumelelo): This intervention consists of 15 one-hour long sessions on financial education in combination with access to appropriate youth-friendly savings mechanisms. |
| Measure | Description | Time Frame |
|---|---|---|
| STI prevalence Endline 1 | Prevalence of gonorrhea, trichomoniasis or chlamydia infection (lab report) | Nine months after baseline interview |
| STI prevalence Endline 2 | Prevalence of gonorrhea, trichomoniasis or chlamydia infection (lab report) | eighteen months after baseline interview |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of pregnancy Endline 1 | Prevalence of pregnancy among female participants (lab report) | Nine months after baseline interview |
| Prevalence of pregnancy Endline 2 | Prevalence of pregnancy among female participants (lab report) |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Holly Burke, PhD | FHI 360 | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| community Based Recruitment | Pretoria | Gauteng | South Africa |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32355569 | Derived | Burke HM, Chen M, Murray K, Bezuidenhout C, Ngwepe P, Bernholc A, Medina-Marino A. The effects of the integration of an economic strengthening and HIV prevention education programme on the prevalence of sexually transmitted infections and savings behaviours among adolescents: a full-factorial randomised controlled trial in South Africa. BMJ Glob Health. 2020 Apr 7;5(4):e002029. doi: 10.1136/bmjgh-2019-002029. eCollection 2020. |
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| ID | Term |
|---|---|
| D015658 | HIV Infections |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
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| No Intervention |
The control group will not receive the ES or HIV prevention interventions. They will receive the basic package of services available to all beneficiaries of Future Families. |
| HIV Prevention Education (Vhutshilo 2.2) | Behavioral | HIV Prevention Education (Vhutshilo 2.2): This intervention consists of 15 one-hour long sessions that are interactive, skills focused, and cover such topics as expressing one's feelings; dealing with loss and grief; decision-making; coping; gender violence; understanding HIV and other sexually transmitted infections; healthy relationships and staying safe in sexual relationships; and contraception and risks associated with unplanned pregnancy. |
|
| eighteen months after baseline interview |
| Percent of adolescents engaging in protective sexual behavior Endline 1 | Percent of adolescents engaging in protective sexual behavior, defined as self-reported abstinence or consistent condom use (a condom used every time) over the past 6 months | In the 6 month time period prior to the date of the follow up visit |
| Percent of adolescents engaging in protective sexual behavior Endline 2 | Percent of adolescents engaging in protective sexual behavior, defined as self-reported abstinence or consistent condom use (a condom used every time) over the past 6 months | In the 6 month time period prior to the date of the follow up visit |
| Percent of adolescents engaging in transactional sex in past 6 months Endline 1 | self-reported | In the 6 months prior to the date of the follow up visit |
| Percent of adolescents engaging in transactional sex in past 6 months Endline 2 | self-reported | In the 6 months prior to the date of the follow up visit |
| Percent of adolescents reporting two or more sexual partners in the past 6 months Endline 1 | self-reported | In the 6 months prior to the date of the follow up visit |
| Percent of adolescents reporting two or more sexual partners in the past 6 months Endline 2 | self-reported | In the 6 months prior to the date of the follow up visit |
| Mean HIV knowledge score Endline 1 | HIV knowledge score calculated based on the answers to survey questions | Nine months after baseline interview |
| Mean HIV knowledge score Endline 2 | HIV knowledge score calculated based on the answers to survey questions | Eighteen months after baseline interview |
| Mean financial literacy score Endline 1 | Financial literacy score calculated based on the answers to survey questions | Nine months after baseline interview |
| Mean financial literacy score Endline 2 | Financial literacy score calculated based on the answers to survey questions | eighteen months after baseline interview |
| Percent of adolescents participating in savings group Endline 1 | Percent of adolescents participating in savings group (self report) | Nine months after baseline interview |
| Percent of adolescents participating in savings group Endline 2 | Percent of adolescents participating in savings group (self report) | eighteen months after baseline interview |
| Percent of adolescents opening savings account Endline 1 | Percent of adolescents opening savings account (self report) | Nine months after baseline interview |
| Percent of adolescents opening savings account Endline 2 | Percent of adolescents opening savings account (self report) | eighteen months after baseline interview |
| Mean total amount of savings in past 1 year Endline 1 | Mean total amount of savings starting from prior to enrollment in the study up to 9 months of participation in the study | In the one year prior to the date of the 9 month follow up visit |
| Mean total amount of savings in past 1 year Endline 2 | Mean total amount of savings in past 1 year reported by adolescents (self report) | In the one year prior to the date of the 18 month follow up visit |
| Percent of adolescents saving for education Endline 1 | Percent of adolescents saving for education (self report) | Nine months after baseline interview |
| Percent of adolescents saving for education Endline 2 | Percent of adolescents saving for education (self report) | eighteen months after baseline interview |
| Percent of adolescents whose caregiver provided money for savings Endline 1 | Percent of adolescents whose caregiver provided money for savings (self report) | Nine months after baseline interview |
| Percent of adolescents whose caregiver provided money for savings Endline 2 | Percent of adolescents whose caregiver provided money for savings (self report) | eighteen months after baseline interview |
| Percent of adolescents who participate in household budgeting Endline 1 | Percent of adolescents who participate in household budgeting (self report) | Nine months after baseline interview |
| Percent of adolescents who participate in household budgeting Endline 2 | Percent of adolescents who participate in household budgeting (self report) | eighteen months after baseline interview |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |