Microfinance and HIV/AIDS Prevention: Assessing its Promise and Limitations

Dworkin, Shari L.; Blankenship, Kim M.

doi:10.1007/s10461-009-9532-3

Cited by 140 publications

(129 citation statements)

References 47 publications

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“…In contrast, in Stepping Stones and Creating Futures [68] there was no specific skills training, but rather the intervention focused on promoting critical thinking and reflection around livelihoods and job opportunities. There was a greater focus on younger people in these programmes, with four interventions (out of eight) targeting youth participants [10–24] and typically both women and men were included [67–69,74]. …”

Section: Resultsmentioning

confidence: 99%

“…In recognising how poverty shapes IPV and HIV-vulnerability, there has been significant research around using economic interventions to prevent HIV and IPV [6,22–24]. Broadly there are three conceptual approaches.…”

Section: Introductionmentioning

confidence: 99%

“…Currently there exist a number of reviews of this evidence base, but these have been limited in scope. Reviews have focused only on economic interventions [22], or only on HIV outcomes or IPV outcomes, or have been of limited geographical scope [6,24,25]. None have sought to review any economic interventions including combined economic and gender transformative interventions and include HIV and/or IPV as outcomes.…”

Section: Introductionmentioning

confidence: 99%

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A global comprehensive review of economic interventions to prevent intimate partner violence and HIV risk behaviours

Gibbs

Jacobson²,

Wilson³

2017

Global Health Action

110

112

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Background: Intimate partner violence (IPV) and HIV are co-occurring global epidemics, with similar root causes of gender and economic inequalities. Economic interventions have become a central approach to preventing IPV and HIV.Objective/Methods: We undertook a comprehensive scoping review of published evaluations of economic interventions that sought to prevent IPV and/or HIV risk behaviours.Results: Forty-five separate analyses of interventions met our criteria. Broadly, unconditional cash transfer interventions showed either flat or positive outcomes; economic strengthening interventions had mixed outcomes, with some negative, flat and positive results reported; interventions combining economic strengthening and gender transformative interventions tended to have positive outcomes.Conclusions: The review highlighted a number of gaps. Specifically, there were limited studies evaluating the impact of economic interventions on female sex workers, young women, and men. In addition, there were missed opportunities, with many evaluations only reporting either IPV- or HIV-related outcomes, rather than both, despite overlaps.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A global comprehensive review of economic interventions to prevent intimate partner violence and HIV risk behaviours

Gibbs

Jacobson²,

Wilson³

2017

Global Health Action

110

112

View full text Add to dashboard Cite

show abstract

“…These findings and others suggest that structural-level interventions show potential to increase economic resources and decrease HIV/ AIDS risks, particularly for disenfranchised women. 52,53 Among poor or druginvolved women, safer sex concerns are likely to fall far below pressing survival priorities. 10,15,54 Thus, the development of interventions that impact the risk environment of drug-involved women and increase economic opportunity and independence are needed.…”

Section: Discussionmentioning

confidence: 99%

Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

et al. 2009

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Relationship power has been highlighted as a major factor influencing women's safer sex practices. Little research, however, has specifically examined relationship power in drug-involved women, a population with increased risk for HIV transmission. Using baseline data from a National Institute on Drug Abuse Clinical Trials Network multisite trial of a women's HIV prevention intervention in communitybased drug treatment programs, this paper examined the association between sexual relationship power and unprotected vaginal or anal sex. The Sexual Relationship Power Scale, a measure of relationship control and decision-making dominance, was used to assess the association between power and unprotected sex in relationships with primary male partners. It was hypothesized that increased relationship power would be associated with decreased unprotected sexual occasions, after controlling for relevant empirical and theoretical covariates. Findings show a more complex picture of the association between power and sexual risk in this population, with a main effect in the hypothesized direction for decision-making dominance but not for relationship control. Possible explanations for these findings are discussed, and future research directions for examining power constructs and developing interventions targeting relationship power among drug-involved women are suggested.

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“…In this regard, the literature has focused on both financial services, such as health insurance or health savings, or nonfinancial services, such as health education, to address issues ranging from HIV/AIDS and tuberculosis prevention to neurologic disorders and adherence to international breastfeeding recommendations Dworkin and Blankenship, 2009;Hargreaves et al, 2011;Smith, 2002;Wong and Mateen, 2014). Largely unexplored is the underlying theory behind the relationship between microcredit (itself) and health and wellbeing.…”

Section: Microcredit and Its Potential As A Public Health Initiativementioning

confidence: 99%

From wealth to health: Evaluating microfinance as a complex intervention

2017

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Innovative interventions that address the social determinants of health are required to help reduce persistent health inequalities. We argue that microcredit can act in this way and develop a conceptual framework from which to examine this. In seeking to evaluate microcredit this way we then examine how randomized controlled trials, currently considered as the 'gold standard' in impact evaluations of microcredit, compare with developments in thinking about study design in public health. This leads us to challenge the notion of trials as the apparent gold standard for microcredit evaluations and contend that the pursuit of trial-based evidence alone may be hampering the production of relevant evidence on microcredit's public health (and other wider) impacts. In doing so, we introduce new insights into the global debate on microfinance impact evaluation, related to ethical issues in staging randomized controlled trials, and propose innovations on complementary methods for use in the evaluation of complex interventions.

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Microfinance and HIV/AIDS Prevention: Assessing its Promise and Limitations

Cited by 140 publications

References 47 publications

A global comprehensive review of economic interventions to prevent intimate partner violence and HIV risk behaviours

A global comprehensive review of economic interventions to prevent intimate partner violence and HIV risk behaviours

Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

From wealth to health: Evaluating microfinance as a complex intervention

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