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Conceptualization of Empowerment and Pathways through Which Cash Transfers Work to Empower Young Women to Reduce HIV Risk: A Qualitative Study in Tanzania

Citation

Wamoyi, Joyce; Balvanz, Peter; Atkins, Kaitlyn; Gichane, Margaret W.; Majani, Esther; Pettifor, Audrey E.; & Maman, Suzanne (2020). Conceptualization of Empowerment and Pathways through Which Cash Transfers Work to Empower Young Women to Reduce HIV Risk: A Qualitative Study in Tanzania. AIDS and Behavior, 24(11), 3024-3032. PMCID: PMC7728638

Abstract

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.

URL

http://dx.doi.org/10.1007/s10461-020-02850-0

Reference Type

Journal Article

Article Type

Regular

Year Published

2020

Journal Title

AIDS and Behavior

Series Title

Wamoyi J, Balvanz P, Atkins K, Gichane M, Majani E, Pettifor A, Maman S. Correction to: Conceptualization of Empowerment and Pathways Through Which Cash Transfers Work to Empower Young Women to Reduce HIV Risk: A Qualitative Study in Tanzania. AIDS Behav. 2020 Dec 17. doi: 10.1007/s10461-020-03114-7. Epub ahead of print. Erratum for: AIDS Behav. 2020 Nov;24(11):3024-3032. PMID: 33331987. PMCID: PMC7919767

Author(s)

Wamoyi, Joyce
Balvanz, Peter
Atkins, Kaitlyn
Gichane, Margaret W.
Majani, Esther
Pettifor, Audrey E.
Maman, Suzanne

PMCID

PMC7728638

Data Set/Study

The Sauti Project

Continent/Country

Sub-Saharan Africa