Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Conceptualization of Empowerment and Pathways Through Which Cash Transfers Work to Empower Young Women to Reduce HIV Risk

A Qualitative Study in Tanzania

Bibliographic Data

ID15334752
AuthorsJoyce Wamoyi (0000-0002-2956-8666, National Institute for Medical Research, corresponding author), Peter Balvanz (0000-0003-1273-8275, University of North Carolina at Chapel Hill), Kaitlyn Atkins (0000-0001-8302-542X, University of North Carolina at Chapel Hill), Margaret W Gichane (0000-0001-8499-154X, University of North Carolina at Chapel Hill), Margaret Gichane, Esther Majani (0000-0003-2156-270X), Audrey Pettifor (0000-0002-3387-0817, University of North Carolina at Chapel Hill), Suzanne Maman (0000-0003-4048-1585, University of North Carolina at Chapel Hill)
Year2020
Volume24
Issue11
Pages3024-3032
Publication date2020-04-01
Open AccessYes
TypeARTICLE
VenueAIDS and Behavior (JOURNAL)
Journal identifiersISSN: 1090-7165 • E-ISSN: 1573-3254
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-020-02850-0
PMID32236739
OpenAlexW3014449314
LanguageEN
Citations received12
References cited33

Although cash transfers (CT) are hypothesized to reduce AGYW's HIV risk, little is known about the mechanisms through which CT empower AGYW. We explored the impact of a CT intervention on AGYW's sexual decision-making in order to describe the pathways through which the cash may influence risk behavior. The study employed qualitative methods involving: 20 longitudinal in-depth interviews (IDIs), 40 cross-sectional IDIs, 20 narrative IDIs, and two focus group discussions with AGYW ages 15-23 participating in a CT intervention. AGYW's conceptualized empowerment as: "independence", "hope and aspiration". Potential pathways through which CT empowered AGYW were: economic, hope and aspiration for a better future, and access to knowledge. As a result of this empowerment, AGYW reported reductions in transactional sex, experiences of intimate partner violence, and risky-sexual behaviour. A sense of responsibility developed through economic empowerment, enhanced participants' self-esteem and confidence in decision-making leading to changes in AGYW's sexual risk behaviors

Conceptualization · Developmental psychology · Empowerment · Environmental health · Focus group · Health psychology · Political science · Public health · Qualitative research · Sociology · Transactional sex · Adolescent Sexual and Reproductive Health · Medicine · Microfinance and Financial Inclusion · Nursing · Poverty, Education, and Child Welfare · Psychology · Social Psychology

  • Feasibility and acceptability of unconditional cash transfers intervention among unemployed young adults with first-episode psychosis in South Africa

    Open Access•Joyce Mlay, Lise Jamieson et al.•International Journal of Mental…•2026

  • Impact of the DREAMS Partnership on social support and general self-efficacy among adolescent girls and young women

    Open Access•Annabelle Gourlay, Sian Floyd et al.•BMJ Global Health•2022

  • Qualitative Identification of Intervention Preferences to Support Men’s Engagement and Retention in TB Care in South Africa

    Open Access•Andrew Medina-Marino, Dana Bezuidenhout et al.•American Journal of Men s Health•2022

  • “ We just do it … we are dead already ”

    Open Access•Maggie Zgambo, Diana Arabiat et al.•Journal of Adolescence•2022

  • Between a Rock and a Hard Place

    Open Access•Roya Sherafat-Kazemzadeh, Roya Sherafat‐Kazemzadeh et al.•Journal of Global Health•2021

  • How do gender transformative interventions reduce adolescent pregnancy in low- and middle-income countries

    Open Access•Shukla, Shruti Shukla et al.•Journal of Global Health•2025

  • U.S. transgender women’s preferences for microeconomic interventions to address structural determinants of HIV vulnerability

    Open Access•Tonia Poteat, Larissa Jennings Mayo-Wilson et al.•BMC Public Health•2021

  • Gender dynamics of the impact of cash transfer on female educational expenditure of informal settlements in Bangladesh

    Open Access•Abdul Bari, Ghulam Dastgir Khan et al.•World Development Perspectives•2024

  • Giving adolescent girls and young women a foothold

    Open Access•Andrew Hartnack, Jenny Mcloughlin et al.•African Journal of AIDS Research•2024

  • Gender-responsive and -transformative interventions in HIV, TB and malaria programmes

    Open Access•Anjana Bhushan, A Naga Bhushan et al.•BMC Public Health•2026

  • Systematic review of cash plus or bundled interventions targeting adolescents in Africa to reduce HIV risk

    Open Access•Kate Rogers, Rikke Le Kirkegaard et al.•BMC Public Health•2024

  • Transactional Sex, HIV Testing and Receipt of Results Among Adolescents and Young Women

    Open Access•Grace Esther Amuge, Paulino Ariho et al.•AIDS and Behavior•2026

  • Empowerment and Poverty Reduction

    Devika Narayan, Deepa Narayan-Parker et al.•Empowerment and poverty reduction•2002

  • Transactional Sex Amongst Aids-Orphaned and Aids-Affected Adolescents Predicted by Abuse and Extreme Poverty

    Lucie D Cluver, Lucie Cluver et al.•JAIDS Journal of Acquired Immune…•2011

  • Structural approaches to HIV prevention

    Open Access•Geeta Rao Gupta, Justin O Parkhurst et al.•The Lancet•2008

  • Food Insufficiency Is Associated with High-Risk Sexual Behavior among Women in Botswana and Swaziland

    Open Access•Sheri D Weiser, Karen Leiter et al.•PLoS Medicine•2007

  • Transactional sex and risk for HIV infection in sub‐Saharan Africa

    Open Access•Joyce Wamoyi, Kirsten Stobeanau et al.•Journal of the International AIDS…•2016

  • Transactional sex amongst young people in rural northern Tanzania

    Open Access•Joyce Wamoyi, Daniel Wight et al.•Reproductive Health•2010

  • Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi

    Open Access•Sarah J Baird, Albert Adrian Penna et al.•The Lancet•2012

  • The effect of a conditional cash transfer on HIV incidence in young women in rural South Africa (HPTN 068)

    Open Access•Audrey Pettifor, Catherine Macphail et al.•The Lancet Global Health•2016

  • Gender‐Based Violence and HIV

    Open Access•Kristin Dunkle, Kristin L Dunkle et al.•American Journal of Reproductive…•2013

  • Child-focused state cash transfers and adolescent risk of HIV infection in South Africa

    Open Access•Lucie D Cluver, Lucie Cluver et al.•The Lancet Global Health•2013

  • Women Empowerment and Economic Development

    Esther Duflo•Journal of Economic Literature•2012

  • Rational Action Theory for Sociology

    John H Goldthorpe•British Journal of Sociology•1998

  • Transactional sex and HIV risks – evidence from a cross-sectional national survey among young people in Uganda

    Open Access•Vikas Choudhry, Anne‐Emmanuelle Ambresin et al.•Global Health Action•2015

  • Using participant-empowered visual relationship timelines in a qualitative study of sexual behaviour

    Open Access•Tamar Goldenberg, Catherine Finneran et al.•Global Public Health•2016

  • Cash transfers for HIV prevention

    Open Access•Catherine Macphail, Nomhle Khoza et al.•BMC Public Health•2017

  • Socio-economic context and the sexual behaviour of Ugandan out of school youth

    Lisa Bohmer, Edward Kirumbira•Culture Health & Sexuality•2000

  • Socio-economic change and parent-child relationships

    Joyce Wamoyi, Angela Fenwick et al.•Culture Health & Sexuality•2011

  • Revisiting the understanding of “transactional sex” in sub-Saharan Africa

    Open Access•Kirsten Stoebenau, Lori Heise et al.•Social Science & Medicine•2016

  • Conceptualising women's empowerment in societies in Cameroon

    Joyce B Endeley•Gender & Development•2001

  • Opening Up Pandora’s Box

    Open Access•Sara Handa, Amber Peterman et al.•World Development•2009

  • We Might Get Some Free Beers”

    Open Access•Anna L Bowring, Nakhornphet Pasomsouk et al.•Archives of Sexual Behavior•2017

  • Impact of the Kenya Cash Transfer for Orphans and Vulnerable Children on early pregnancy and marriage of adolescent girls

    Open Access•Sara Handa, Sudhanshu Handa et al.•Social Science & Medicine•2015

  • Resources, Agency, Achievements

    Open Access•Naila Kabeer•Development and Change•1999

Citations per year2.4
Citation span2021 - 2026 (6)
Highly citedNo

Tools

Open DOISci-HubOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae