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A randomized trial of cash incentives for sexual behavior change among female sex workers in Dar es Salaam.
Packel, Laura J; de Walque, Damien; Feeney, Kevin C; Balampama, Marianna P; Cooper, Jan E; Kalolella, Admirabilis; Wechsberg, Wendee M; Dow, William H.
  • Packel LJ; Office of the President, University of California, 1111 Franklin Street, Oakland, CA 94607, USA. Electronic address: ljpackel@gmail.com.
  • de Walque D; Development Research Group, The World Bank, 1818 H Street, NW, Washington, DC 20433, USA. Electronic address: ddewalque@worldbank.org.
  • Feeney KC; School of Public Health, 50 University Hall, #7360, University of California Berkeley, Berkeley, CA 94720-7360, USA. Electronic address: kfeeney@berkeley.edu.
  • Balampama MP; Independent, Dar es Salaam, Tanzania. Electronic address: m_balampama@yahoo.com.
  • Cooper JE; School of Public Health, 50 University Hall, #7360, University of California Berkeley, Berkeley, CA 94720-7360, USA. Electronic address: janc@berkeley.edu.
  • Kalolella A; Ifakara Health Institute, Plot 463, Kiko Avenue, Mikocheni, Dar es Salaam, Tanzania, P.O. Box 78373. Electronic address: akalolella@ihi.or.tz.
  • Wechsberg WM; Global Gender Center, RTI International, East Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709-2194, USA. Electronic address: wmw@rti.org.
  • Dow WH; School of Public Health, 50 University Hall, #7360, University of California Berkeley, Berkeley, CA 94720-7360, USA. Electronic address: wdow@berkeley.edu.
Soc Sci Med ; 272: 111655, 2021 03.
Article en En | MEDLINE | ID: mdl-33731255
RATIONALE: Female sex workers (FSW) across the world are at high risk for HIV infection and much work is needed to scale up HIV prevention programs among this group. Conditional cash transfer (CCT) programs have been used successfully in recent years to encourage behavior change. We report the results of a CCT intervention among FSW in Tanzania. METHODS: We conducted a randomized controlled trial (N = 100) of a CCT intervention among FSW in Dar-es-Salaam, Tanzania in 2013. A respondent-driven sampling approach recruited women and randomized them into two groups based on the value of the cash incentive ($20 vs. $40 per visit). All women received testing for 2 curable sexually transmitted infections (STIs), trichomonas and syphilis, free treatment for those STIs and counseling. Women attended study visits at 0, 2 and 4 months and were tested for STIs and received counseling at each visit. Women testing negative for both STIs at the 2- and 4-month visits received a cash reward. RESULTS: Eighty-four women were retained in the study through all three visits. Participants reported significant reductions in the number of clients per week, and increases in the proportion of clients that they used condoms with over the course of the study. STI results showed decreases in prevalence from baseline to final study visit for syphilis and trichomonas. CONCLUSION: While this study was not powered to determine if the incentive resulted in statistically significant increases in condom use or decreases in STI prevalence, the results show the acceptability of the intervention, the feasibility of the recruitment methods, and the ability to retain FSW participants across multiple study visits. A follow-up randomized study with a larger number of participants is planned to test the efficacy of the intervention among high-risk populations of women engaging in transactional sex.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Enfermedades de Transmisión Sexual / Infecciones por VIH / Trabajadores Sexuales Tipo de estudio: Clinical_trials / Risk_factors_studies Límite: Female / Humans País como asunto: Africa Idioma: En Año: 2021 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Enfermedades de Transmisión Sexual / Infecciones por VIH / Trabajadores Sexuales Tipo de estudio: Clinical_trials / Risk_factors_studies Límite: Female / Humans País como asunto: Africa Idioma: En Año: 2021 Tipo del documento: Article