Efficacy of a Savings-Led Microfinance Intervention to Reduce Sexual Risk for HIV Among Women Engaged in Sex Work: A Randomized Clinical Trial

Witte, Susan S.; Aira, Toivgoo; Tsai, Laura Cordisco; Riedel, Marion; Offringa, Reid; Chang, Mingway; El‐Bassel, Nabila; Ssewamala, Fred M.

doi:10.2105/ajph.2014.302291

Cited by 65 publications

(95 citation statements)

References 33 publications

(31 reference statements)

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“…Data from this paper come from a randomized trial that was implemented from 2011 to 2013 in Ulaanbaatar, Mongolia with 107 women engaged in street-based sex work [27]. The current study took place as part of a parent study testing the efficacy of adding a microfinance component following an HIV risk reduction intervention on women’s sexual risk and economic dependence upon sex work.…”

Section: Methodsmentioning

confidence: 99%

“…1. The parent study found the combined HIVSRR and microsavings intervention to be effective in reducing sexual risk [27] and reducing women’s economic dependence upon sex work [28]. Although the microsavings intervention was not originally targeted to reduce violence, the study team hypothesized that a reduction in paying partner violence would be observed in the treatment group since the microsavings intervention appeared to be effective in helping women transfer some of their income from sex work to other sources [28].…”

Section: Methodsmentioning

confidence: 99%

“…These observations were then used to develop a proportional sampling strategy, as recommended by Peterson and colleagues [30]. Further details regarding the proportional sampling approach utilized in the study are presented elsewhere [27, 28]. …”

Section: Methodsmentioning

confidence: 99%

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The impact of a microsavings intervention on reducing violence against women engaged in sex work: a randomized controlled study

Tsai

Carlson

Aira³

et al. 2016

BMC Int Health Hum Rights

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Background: Women who engage in sex work are at risk for experiencing violence from numerous perpetrators, including paying partners. Empirical evidence has shown mixed results regarding the impact of participation in microfinance interventions on women's experiences of violence, with some studies demonstrating reductions in intimate partner violence (IPV) and others showing heightened risk for IPV. The current study reports on the impact of participation in a microsavings intervention on experiences of paying partner violence among women engaged in sex work in Mongolia.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The impact of a microsavings intervention on reducing violence against women engaged in sex work: a randomized controlled study

Tsai

Carlson

Aira³

et al. 2016

BMC Int Health Hum Rights

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“…Detailed study methods and procedures for the main trial are described elsewhere (Tsai et al, 2015; Witte et al, 2015). Outcomes of the parent study included reductions in sexual risk behaviors (as measured by self-reported number of unprotected acts of vaginal intercourse) and in proportion of income from sex work (as measured by income from sex work in the past 90 days divided by all income).…”

Section: Methodsmentioning

confidence: 99%

Personal and Financial Risk Typologies Among Women Who Engage in Sex Work in Mongolia: A Latent Class Analysis

Offringa

Tsai

Aira³

et al. 2016

Arch Sex Behav

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Women engaged in sex work bear a disproportionate burden of HIV infection worldwide, particularly in low to middle income countries. Stakeholders interested in promoting prevention and treatment programs are challenged to efficiently and effectively target heterogeneous groups of women. This problem is particularly difficult because it is nearly impossible to know how those groups are composed a priori. Although grouping based on individual variables (e.g., age or place of solicitation) can describe a sample of women engaged in sex work, selecting these variables requires a strong intuitive understanding of the population. Furthermore, this approach is difficult to quantify and has the potential to reinforce preconceived notions, rather than generate new information. We aimed to investigate groupings of women engaged in sex work. The data were collected from a sample of 204 women who were referred to an HIV prevention intervention in Ulaanbaatar, Mongolia. Latent Class Analysis was used to create subgroups of women engaged in sex work, based on personal and financial risk factors. This analysis found three latent classes, representing unique response pattern profiles of personal and financial risk. The current study approached typology research in a novel, more empirical way and provided a description of different subgroups, which may respond differently to HIV risk interventions.

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“…Between 2012 and 2017, despite the need for its benefits, DEBI implementation remained limited (Durlak and DuPre, 2008; National Institutes of Health, 2006; Norton et al, 2009; Tinkle et al, 2013; Witte et al, 2015). The HIV-prevention field was experiencing shifts in scientific priorities based on changing global health policies and economics.…”

Section: Case Illustrationmentioning

confidence: 99%

Recruiting and retaining service agencies and public health providers in longitudinal studies: Implications for community-engaged implementation research

Pinto

Witte

Wall

et al. 2018

Methodological Innovations

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This article addresses a lack of attention in the implementation science literature regarding how to overcome recruitment and retention challenges in longitudinal studies involving large samples of service agencies and health service providers (“providers”). Herein, we provide a case-illustration of procedures that improved recruitment and retention in a longitudinal, mixed-method study—Project Interprofessional Collaboration Implementation—funded by the US National Institute of Mental Health. Project Interprofessional Collaboration Implementation included counselors, program workers, educators, and supervisors. We present a research-engagement model to overcome barriers that included developing a low-burden study, social gatherings to engage stakeholders, protocols to recruit agencies and providers, comprehensive record-keeping, research procedures as incentives to participation, a plan to retain hard-to-reach participants, and strategies for modifying incentives over time. Using our model, we retained 36 agencies over the life of the project. Between baseline (N = 379) and 12-month follow-up (N = 285), we retained 75% of the sample and between the 12- (N = 285) and 24-month follow-ups (N = 256), we retained 90%. For qualitative interviews (between baseline and 12-month follow-up and between 12- and 24-month follow-ups), we retained 100% of the sample (N = 20). We provide a summary of frequency of contacts required to initiate data collection and time required for data collection. The model responded to environmental changes in policy and priorities that would not have been achievable without the expertise of community partners. To recruit and retain large samples longitudinally, researchers must strategically engage community partners. The strategies imbedded in our model can be performed with moderate levels of effort and human resources. Creating opportunities for research partners to participate in all phases of the research cycle is recommended, which can help build research capacity for future research.

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Efficacy of a Savings-Led Microfinance Intervention to Reduce Sexual Risk for HIV Among Women Engaged in Sex Work: A Randomized Clinical Trial

Abstract: Findings advance the HIV prevention repertoire for women, demonstrating that risk reduction may be achieved through a structural intervention that relies on asset building, including savings, and alternatives to income from sex work.

Cited by 65 publications

References 33 publications

The impact of a microsavings intervention on reducing violence against women engaged in sex work: a randomized controlled study

The impact of a microsavings intervention on reducing violence against women engaged in sex work: a randomized controlled study

Personal and Financial Risk Typologies Among Women Who Engage in Sex Work in Mongolia: A Latent Class Analysis

Recruiting and retaining service agencies and public health providers in longitudinal studies: Implications for community-engaged implementation research

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