Evaluating the Effectiveness of Incentives to Improve HIV Prevention Outcomes for Young Females in Eswatini: Sitakhela Likusasa Impact Evaluation Protocol and Baseline Results

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 6,055 individuals were screened of which 4,863 participated in the baseline survey, and 4,819 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% (397/4,840), 3.31% (150/4,533) and 0.17% (8/4,830) 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.Name of the registry: Pan African Clinical Trials RegistryTrial registration number: PACTR201811609257043Date of registration: May 11, 2018 ‘Retrospectively registered’URL of trial registry record: https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=4685

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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

10.21203/rs.3.rs-28185/v1 ◽

2020 ◽

Author(s):

Marelize Gorgens ◽

Andrew Longosz ◽

Sosthenes Ketende ◽

Muziwethu Nkambule ◽

Tengetile Dlamini ◽

...

Keyword(s):

Adolescent Girls ◽

Young Women ◽

Impact Evaluation ◽

Trichomonas Vaginalis ◽

Baseline Survey ◽

Young Females ◽

Cash Incentive ◽

Risk Sexual Behaviour ◽

Design Protocol ◽

The Impact

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 or enrolment into some form of education, attendance at or completion of this 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’) 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. Results: Baseline recruitment and screening occurred in 2016 when a total of 6,055 individuals were screened of which 4,863 participated in the baseline survey, and 4,819 individuals were randomized into one of the study arms. The baseline prevalence of HIV, Trichomonas vaginalis, and syphilis among adolescent girls and young women (AGYW) 8.20% (397/4,840), 3.31% (150/4,533) and 0.17% (8/4,830) 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.

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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

10.21203/rs.3.rs-28185/v2 ◽

2020 ◽

Author(s):

Marelize Gorgens ◽

Andrew Longosz ◽

Sosthenes Ketende ◽

Muziwethu Nkambule ◽

Tengetile Dlamini ◽

...

Keyword(s):

Adolescent Girls ◽

Young Women ◽

Impact Evaluation ◽

Trichomonas Vaginalis ◽

Baseline Survey ◽

Young Females ◽

Cash Incentive ◽

Risk Sexual Behaviour ◽

Design Protocol ◽

The Impact

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 6,055 individuals were screened of which 4,863 participated in the baseline survey, and 4,819 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% (397/4,840), 3.31% (150/4,533) and 0.17% (8/4,830) 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.

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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

10.21203/rs.3.rs-28185/v3 ◽

2020 ◽

Author(s):

Marelize Gorgens ◽

Andrew Longosz ◽

Sosthenes Ketende ◽

Muziwethu Nkambule ◽

Tengetile Dlamini ◽

...

Keyword(s):

Adolescent Girls ◽

Young Women ◽

Impact Evaluation ◽

Trichomonas Vaginalis ◽

Baseline Survey ◽

Young Females ◽

Cash Incentive ◽

Registration Number ◽

Design Protocol ◽

The Impact

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 6,055 individuals were screened of which 4,863 participated in the baseline survey, and 4,819 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% (397/4,840), 3.31% (150/4,533) and 0.17% (8/4,830) 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.Name of the registry: Pan African Clinical Trials RegistryTrial registration number: PACTR201811609257043Date of registration: May 11, 2018 ‘Retrospectively registered’URL of trial registry record: https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=4685

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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

BMC Public Health ◽

10.1186/s12889-020-09680-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Marelize Gorgens ◽

Andrew F. Longosz ◽

Sosthenes Ketende ◽

Muziwethu Nkambule ◽

Tengetile Dlamini ◽

...

Keyword(s):

Adolescent Girls ◽

Young Women ◽

Impact Evaluation ◽

Trichomonas Vaginalis ◽

Trial Registration ◽

Baseline Survey ◽

Young Females ◽

Link Type ◽

Cash Incentive ◽

The Impact

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

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Factors Influencing Web-Based Survey Response for a Longitudinal Cohort of Young Women Born Between 1989 and 1995 (Preprint)

10.2196/preprints.11286 ◽

2018 ◽

Author(s):

Deborah Loxton ◽

Melissa L Harris ◽

Peta Forder ◽

Jennifer Powers ◽

Natalie Townsend ◽

...

Keyword(s):

Cohort Studies ◽

Young Women ◽

Survey Response ◽

Recruitment Strategy ◽

Baseline Survey ◽

Recruitment Method ◽

Web Based ◽

Recruitment Methods ◽

Explanatory Factors ◽

The Impact

BACKGROUND With health research practices shifting toward rapid recruitment of samples through the use of online approaches, little is known about the impact of these recruitment methods on continued participation in cohort studies. OBJECTIVE This study aimed to report on the retention of a cohort of young women who were recruited using an open recruitment strategy. METHODS Women from the 1989-95 cohort of the Australian Longitudinal Study on Women’s Health, recruited in 2012 and 2013 were followed up annually via Web-based surveys in 2014, 2015, and 2016. Prevalence ratios for survey response were calculated using log-binomial models with generalized estimating equations including demographic, health-related, and recruitment method characteristics examined as explanatory factors. RESULTS Of the 17,012 women who completed the baseline survey (Survey 1) in 2012 to 2013, approximately two-thirds completed Survey 2 (2014), and just over half completed Surveys 3 (2015) and 4 (2016). Women demonstrated transient patterns of responding with 38.21% (6501/17,012) of women completing all 4 surveys. Although retention of young women was associated with older age, higher education, higher self-rated health status, and low engagement with adverse health behaviors, the method of recruitment was a key determinant of study participation in the multivariate model. Although women were more likely to be recruited into the cohort via social media (eg, Facebook), retention over time was higher for women recruited through traditional media and referral approaches. CONCLUSIONS A balance must be obtained between achieving representativeness, achieving rapid cohort recruitment, and mitigating the pitfalls of attrition based on recruitment method in the new era of cohort studies, where traditional recruitment methods are no longer exclusively viable options.

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YOUNG WOMEN DIGITAL COMPETENCE IN USING THE INTERNET IN SURABAYA

Profetik Jurnal Komunikasi ◽

10.14421/pjk.v13i2.1875 ◽

2020 ◽

Vol 13 (2) ◽

pp. 310

Author(s):

Yuli Candrasari ◽

Salshabilla Permata ◽

Afifah Rachmania ◽

Dyva Claretta

Keyword(s):

Social Media ◽

Digital Media ◽

Adolescent Girls ◽

Young Women ◽

Participant Observation ◽

The Internet ◽

Digital Competence ◽

Negative Effects ◽

Internet Information ◽

The Impact

The growth in the number of netizens is now the impact of increasingly easy internet penetration and high penetration of social media that is easily accessed via smartphone gadgets. Research conducted by Candrasari (2016) states that female internet users cannot be separated from their social media. Within a day of 2-3 hours, his time is spent accessing digital media. Therefore digital competencies are needed for girls to avoid the negative effects of the internet. The purpose of this study is to get a picture of the competence of adolescent girls. Digital competence is a form of using technology safely and critically to facilitate work, get entertainment and to communicate (E. Encabo & Murcia, J: 2011: 166). This research was conducted on adolescent girls in Surabaya with qualitative research methods. Data obtained through in-depth interviews, participant observation, and literature studies. The results of the study indicate that the digital competence of adolescent girls is still not good, especially in the categories of skills using the internet, information management and responsibility for using internet which is still low. Only in the category of communication and sharing digital competence of young women is good

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Mentoring Interventions and the Impact of Protective Assets on the Reproductive Health of Adolescent Girls and Young Women

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2017.03.002 ◽

2017 ◽

Vol 61 (2) ◽

pp. 131-139 ◽

Cited By ~ 5

Author(s):

Kate F. Plourde ◽

Nicole B. Ippoliti ◽

Geeta Nanda ◽

Donna R. McCarraher

Keyword(s):

Reproductive Health ◽

Adolescent Girls ◽

Young Women ◽

The Impact

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Evaluating the impact of the DREAMS partnership to reduce HIV incidence among adolescent girls and young women in four settings: a study protocol

BMC Public Health ◽

10.1186/s12889-018-5789-7 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 21

Author(s):

Isolde Birdthistle ◽

Susan B. Schaffnit ◽

Daniel Kwaro ◽

Maryam Shahmanesh ◽

Abdhalah Ziraba ◽

...

Keyword(s):

Adolescent Girls ◽

Young Women ◽

Study Protocol ◽

Hiv Incidence ◽

The Impact

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Evaluation of a savings and micro-credit program for vulnerable young women in Nairobi

10.31899/pgy19.1010 ◽

2005 ◽

Author(s):

Annabel Erulkar ◽

Erica Chong

Keyword(s):

Adolescent Girls ◽

Young Women ◽

Low Income ◽

Comparison Group ◽

Community Based ◽

Cross Sectional ◽

Finance Model ◽

Matched Comparison ◽

The Impact ◽

Out Of School

Tap and Reposition Youth (TRY) was a four-year initiative undertaken by the Population Council and K-Rep Development Agency to reduce adolescents’ vulnerabilities to adverse social and reproductive health outcomes by improving livelihoods options. The project targeted out-of-school adolescent girls and young women aged 16–22 residing in low-income and slum areas of Nairobi. TRY used a modified group-based micro-finance model to extend integrated savings, credit, business support, and mentoring to out-of-school adolescents and young women. A longitudinal study of participants was conducted with a matched comparison group identified through cross-sectional community-based studies, undertaken at baseline and endline to enable an assessment of changes associated with the project. This report states that 326 participants and their controls were interviewed at baseline and 222 pairs were interviewed at endline. The results suggest that rigorous micro-finance models may be appropriate for a subset of girls, especially those who are older and less vulnerable. The impact on noneconomic indicators is less clear. Additional experimentation and adaptation is required to develop livelihoods models that acknowledge and respond to the particular situation of adolescent girls.

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