Sandie, Szawlowski;
Emile, Nitcheu;
Eric, Defo;
Fanny, Procureur;
Julienne, Noo;
Stephanie, Moyoum;
Illiassou, Mfochive;
... Lepine, Aurelia; + view all
(2021)
Protecting women from economic shocks to fight HIV in Africa (POWER): A study protocol for a randomised controlled trial.
ISRCTN registry
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Abstract
Introduction: HIV/AIDS is the leading cause of mortality among women aged 15 – 44 years. In Africa is there a huge gender disparity in the acquisition of HIV. African women aged 15 – 24 are twice as likely to be infected with HIV than their male counterparts. However, in Cameroon, adolescent girls are five times more likely to be infected with HIV than boys of the same age. Evidence suggests that risks taken during transactional and commercial sexual relationships account for this gender inequality. Recent studies demonstrate that a key driver of a woman’s engagement in risky sexual behaviours is to cope with negative income shocks (e.g., agricultural and climatic shocks, illness or death of family members), suggesting that economic shocks are a substantial piece of the HIV puzzle in Africa. This study is the first to estimate the effectiveness of a formal coping strategy, health insurance, to protect women from economic shocks to prevent STIs and HIV. Methods and Analysis: This study is a stratified cluster randomised controlled superiority trial with two parallel groups. 1,508 unmarried girls and young women engaging in transactional (753) and commercial (755) sex have been recruited onto a baseline study in Yaoundé, Cameroon. Participants are randomised into treatment (receiving health insurance for them and their economic dependents) and control (receiving nothing) groups using participatory randomisation. A target of a 1:1 allocation was stratified by those who engage in commercial or transactional sex. Midline data will be collected at 6 months and 12 months after randomisation. Ethics and Dissemination: This trial has been prospectively registered with the ISRCTN Registry. We obtained ethical approval from Cameroon National Ethics Committee and the UCL ethics committee before data collection. The findings of the trial will be published in peer-reviewed journals irrespective of the final results.
| Type: | Working / discussion paper |
|---|---|
| Title: | Protecting women from economic shocks to fight HIV in Africa (POWER): A study protocol for a randomised controlled trial |
| Open access status: | An open access version is available from UCL Discovery |
| Publisher version: | https://doi.org/10.1186/ISRCTN22516548 |
| Language: | English |
| Additional information: | This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Randomised controlled trial; health insurance; vulnerable women; STIs/HIV |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10177353 |
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