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Evaluating the Effectiveness of Incentives to Improve HIV Prevention Outcomes for Young Females in Eswatini: Sitakhela Likusasa Impact Evaluation Protocol and Baseline Results
- Source :
- BMC Public Health, BMC Public Health, Vol 20, Iss 1, Pp 1-14 (2020)
- Publication Year :
- 2020
- Publisher :
- Research Square Platform LLC, 2020.
-
Abstract
- Background Eswatini continues to have the highest prevalence of HIV in the world, and one of the highest HIV incidences among adult populations (aged 15–49). This analysis reports on both key elements of study design/protocol and baseline results from an impact evaluation of an intervention incentivizing (i) initiation, enrolment, attendance or completion of some form of education, and (ii) lower risk sexual behaviour. Methods The impact evaluation employs a two by two factorial design in which participants are enrolled in either the incentive for education arm (‘education treatment arm’ providing a conditional cash incentive) or the control arm (‘education control arm’). In each of these arms, 50% of participants were randomized to also be eligible for selection – three times a year – to participate in a conditional raffle conditional on testing negative for curable STIs (syphilis and Trichomonas vaginalis). Results Baseline recruitment and screening occurred in 2016 when a total of 6055 individuals were screened of which 4863 participated in the baseline survey, and 4819 individuals were randomized into one of the study arms. The baseline prevalence of HIV, Trichomonas vaginalis, and syphilis among adolescent girls and young women 8.20% (397/4840), 3.31% (150/4533) and 0.17% (8/4830) respectively. Conclusions An educational cash incentive and raffle incentive impact evaluation that addresses adolescent girls and young women who are in-education and out-of-education has the potential to reduce HIV risk in adolescent girls and young women in Eswatini. Trial registration Name of the registry: Pan African Clinical Trials Registry. Trial registration number: PACTR201811609257043. Date of registration: May 11, 2018 ‘Retrospectively registered’. URL of trial registry record: https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=4685
- Subjects :
- Adult
medicine.medical_specialty
Cash-incentivised
Adolescent
Impact evaluation
Sexually Transmitted Diseases
ESWATINI
HIV Infections
Lower risk
Education
03 medical and health sciences
Young Adult
0302 clinical medicine
Females
Epidemiology
medicine
Humans
030212 general & internal medicine
Syphilis
Randomized Controlled Trials as Topic
Acquired Immunodeficiency Syndrome
Motivation
030505 public health
business.industry
lcsh:Public aspects of medicine
Public health
CASH-INCENTIVISED
Public Health, Environmental and Occupational Health
Attendance
HIV
lcsh:RA1-1270
EDUCATION
Middle Aged
medicine.disease
CCT
Adolescence
Clinical trial
ADOLESCENCE
Female
Biostatistics
0305 other medical science
business
Eswatini
FEMALES
Demography
Research Article
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- BMC Public Health, BMC Public Health, Vol 20, Iss 1, Pp 1-14 (2020)
- Accession number :
- edsair.doi.dedup.....189d3c5b72b883b1ba2897b2d9ac8b84