Can economic assets increase girls' risk of sexual harassment? Evaluation results from a social, health and economic asset-building intervention for vulnerable adolescent girls in Uganda

Austrian, Karen; Muthengi, Eunice N.

doi:10.1016/j.childyouth.2014.08.012

Cited by 51 publications

(68 citation statements)

References 17 publications

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“…age: 41.09227 women; 2-year follow-up; pre-test, post-test; no randomisation* Reduction in number of sexual partners in past week ( p < 0.001)* Reduction in number of casual partners ( p = 0.098)* Reduction in number of regular partners ( p < 0.001)* No impact on condom use with casual partners ( p = 0.727)* Increase in condom use with regular partners ( p = 0.031) Witte et al [64]34-session HIV sexual risk reduction intervention; microfinance; vocational trainingMongoliaFemale sex workers; av. age 36107 women randomised into intervention or control; clusters 3- and 6-month follow-up* Reduction in number of paying sexual partners ( p < 0.001)* 3.72 times more likely to report no unprotected vaginal sex acts at 6 months ( p < 0.05) Savings and gender transformative Austrian and Muthengi [65]Safe spaces; reproductive health training; financial education; savings accountsUgandaGirls 10–23; majority under 191159 of which 451 received full intervention; 300 savings only; 311 control; 12-month follow-up; delivery error led to natural randomisation * No impact on indecent touching in full intervention, but in economic-only arm significant increase ( p < 0.01)Austrian and Muthengi [66]Safe spaces; reproductive health training; financial education; savings accountsKenya; UgandaGirls 10–191473 in Kenya; 1564 in Uganda; 18-month follow-up; comparison groups * In Kenya no impact on indecently touched in past 6 months* Significant decrease in being indecently touched in past 6 months in Uganda Vocational strengthening and gender transformative interventions Dunbar et al [67]SHAZ! reproductive health services; life skills-based HIV education; vocational training and microgrants; integrated social supportZimbabweAdolescent female orphans (having lostat least one parent) aged 16 to 19315 randomly assigned to intervention or control; 24-month follow-up* No difference in sexual debut*Reduction in transactional sex (Intervention Odds Ratio [I.O.R] = 0.64; 95% C.I 0.50–0.83)* Increased likelihood of using condom (I.O.R = 1.79; 95% C.I 1.23–2.62)* Reduction in violence (I.O.R = 0.10 vs Control Odds Ratio [C.O.R] = 0.63; p = 0.06)Jewkes et al [68]Stepping St...…”

Section: Resultsmentioning

confidence: 99%

“…Only one discrete intervention was identified that reported a behavioural outcome in two studies [65,66]. This focused on young women and included a pilot from two countries (Kenya and Uganda) using a pre-test, post-test design [66] and a subsequent larger study from Uganda, with three arms: full treatment, economic-only treatment and comparison group [65].…”

Section: Resultsmentioning

confidence: 99%

“…This focused on young women and included a pilot from two countries (Kenya and Uganda) using a pre-test, post-test design [66] and a subsequent larger study from Uganda, with three arms: full treatment, economic-only treatment and comparison group [65]. The full intervention provided safe social spaces, reproductive health training, financial education and opened a savings account for children [65,66]. Only IPV outcomes data were reported.…”

Section: Resultsmentioning

confidence: 99%

“…In the pilot there were limited effects seen in Kenya, but in Uganda there was a significant decrease in being indecently touched by anyone (whether a partner or non-partner) in the past six months [66]. In the subsequent controlled study, the full intervention showed no impact on sexual violence; however, in the economic-only arm, there was a significant increase in indecent touching by anyone in the past six months ( p < 0.01) [65].

Vocational training and gender transformative

…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

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

Gibbs

Jacobson²,

Wilson³

2017

Global Health Action

114

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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Vocational training and gender transformative

…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

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

Gibbs

Jacobson²,

Wilson³

2017

Global Health Action

114

112

View full text Add to dashboard Cite

show abstract

“…Of the 82 studies falling into this KB2 category, eight studies measured normative change. The social norms in question were primarily around sex, condom usage and gender (see for example Austrian and Muthengi 2014;.…”

Section: Figure 2: Number Of Completed Impact Evaluations By Intervenmentioning

confidence: 99%

Adolescent sexual and reproductive health: an evidence gap map

Rankin¹,

Jarvis-Thiebault²,

Pfeifer³

et al. 2016

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The International Initiative for Impact Evaluation (3ie) is an international grant-making NGO promoting evidence-informed development policies and programmes. We are the global leader in funding and producing high-quality evidence of what works, how, why and at what cost. We believe that better and policy-relevant evidence will make development more effective and improve people's lives. 3ie evidence gap map reports 3ie evidence gap maps are thematic collections of information about impact evaluations or systematic reviews that measure the effects of international development policies and programmes. The maps present a visual overview of existing and ongoing studies in a sector or sub-sector in terms of the types of programmes (or interventions) evaluated and the outcomes measured. The evidence gap map reports provide all the supporting documentation for the maps themselves, including the background information for the theme of the map, the methods and results, including the protocols, and the analysis of the results. About this evidence gap map reportThis report provides the supporting documentation for the 3ie evidence gap map on adolescent sexual and reproductive health, which was developed as part of a project funded by the William and Flora Hewlett Foundation. All of the content is the sole responsibility of the authors and does not represent the opinions of 3ie, its donors or its Board of Commissioners. Any errors and omissions are also the sole responsibility of the authors. Any comments or queries should be directed to the corresponding author, Kristen Rankin, at krankin@3ieimpact.org. Additionally, 3ie would like to thank the wide range of stakeholders who participated in consultative workshops and a roundtable event. A complete list of participants can be found in the accompanying scoping report (Rankin et al. 2016).ii Summary Adolescence (ages 10-19) is a critical time period in life during which people undergo extensive biological, psychological and social changes. Sexual and reproductive health (SRH) plays an integral role during adolescence and can affect many aspects of a person's life during and after this time. Adolescents face a multitude of risks and challenges related to SRH, including those related to early pregnancy and sexually transmitted infections (STIs) (Fatusi and Hindin 2010;Dick and Ferguson 2015). Programming that addresses this health area has the potential to greatly improve not only adolescents' SRH, but also their overall health and their ability to reach their full potential. This programming can range from clinical interventions such as STI treatment, to health systems strengthening, to community engagement approaches aimed at changing norms around gender, marriage and sexual health.To best invest finite resources in programming aimed at improving adolescent sexual and reproductive health (ASRH), decision-makers need to know what works and what does not, particularly within a low-and middle-income country (L&MIC) context. Impact evaluations -studies using experimental or quasi...

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