The negative health spillover effects of universal primary education policy
Ethnographic evidence from Uganda
Bibliographic Data
| ID | 15540944 |
|---|---|
| Authors | Erin V Moore (0000-0003-4426-6428, The Ohio State University, corresponding author), Jennifer S Hirsch (0000-0001-9038-7832, Columbia University), Neema Nakyanjo (0000-0002-1908-7957, Rakai Health Sciences Program), Rosette Nakubulwa (0000-0002-9650-6502, Rakai Health Sciences Program), Bridget Morse-Karzen (Columbia University), Daniel Lee (0000-0003-0789-058X, Columbia University), Esther Spindler (0000-0002-5538-8909, Columbia University), Fred Nalugoda (0000-0001-6119-9293, Rakai Health Sciences Program), John Santelli (0000-0003-2768-1910, Columbia University) |
| Year | 2023 |
| Volume | 18 |
| Issue | 1 |
| Pages | 2221973-2221973 |
| Publication date | 2023-01-02 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2023.2221973 |
| PMID | 37305987 |
| OpenAlex | W4380291011 |
| Language | EN |
| Citations received | 1 |
| References cited | 43 |
Scholars of global health have embraced universal education as a structural intervention to prevent HIV. Yet the costs of school, including fees and other ancillary costs, create an economic burden for students and their families, indicating both the challenge of realising the potential of education for preventing HIV and the ways in which the desire for education may produce vulnerabilities to HIV for those struggling to afford it. To explore this paradox, this article draws from collaborative, team-based ethnographic research conducted from June to August 2019 in the Rakai district of Uganda. Respondents reported that education is the most significant cost burden faced by Ugandan families, sometimes amounting to as much as 66% of yearly household budgets per student. Respondents further understood paying for children's schooling as both a legal requirement and a valued social goal, and they pointed to men's labour migrations to high HIV-prevalence communities and women's participation in sex work as strategies to achieve that. Building from regional evidence showing young East African women participate in transactional, intergenerational sex to secure school fees for themselves, our findings point to the negative health spillover effects of Uganda's universal schooling policies for the whole family
Developing country · Economic growth · Economics · Environmental health · Ethnography · Political science · Population · Sociology · Spillover effect · Transactional sex · Universal Primary Education · Adolescent Sexual and Reproductive Health · HIV/AIDS Impact and Responses · Medicine · Poverty, Education, and Child Welfare
"Love, Money, and HIV"
Age-disparate and intergenerational sex in southern Africa
Ecological systems theory.
The foreign gaze
Child-focused state cash transfers and adolescent risk of HIV infection in South Africa
Grounded Theory in Practice
Second Chances
Love in Africa
Transactional sex, consumer society, and neoliberalism in Uganda
The role of material deprivation and consumerism in the decisions to engage in transactional sex among young people in the urban slums of Blantyre, Malawi
Mobility among youth in Rakai, Uganda
Revisiting the understanding of “transactional sex” in sub-Saharan Africa
Impacts of the universal primary education policy on educational attainment and private costs in rural Uganda
Effect of Economic Assets on Sexual Risk-Taking Intentions Among Orphaned Adolescents in Uganda
Importance of Relationship Context in HIV Transmission
Ties of Dependence
The effect of cash transfers on mental health
A qualitative exploration of mechanisms of intimate partner violence reduction for Zambian couples receiving the Common Elements Treatment Approach (Ceta) intervention
Masculinity, Money, and the Postponement of Parenthood in Nigeria
Provider love in an informal settlement
Female sex workers use power over their day-to-day lives to meet the condition of a conditional cash transfer intervention to incentivize safe sex
Clustered risk
The effect of increased primary schooling on adult women's HIV status in Malawi and Uganda
Interrogating Unemployment Amid Growth
HIV and the Moral Economy of Survival in an East African City
Social grants as safety net for HIV/Aids-affected households in South Africa
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |