Abstract

Young women in South Africa face elevated risk of HIV infection compared to male peers. Cash transfers may mitigate their risk for HIV; however, there is limited understanding of mechanisms of impact. We explored hope as one potential mechanism. Longitudinal qualitative analysis was used to explore how cash transfer recipients in the HPTN 068 study conceptualised hope and how the intervention influenced their hope over time. We found the intervention increased confidence, alleviated financial stressors and instilled in young women the belief that a better life, defined as being educated, independent and supportive to family, was attainable. Findings support hope as a critical outcome of cash transfer and other economic strengthening interventions.

摘要

与男性同龄人相比，南非的年轻女性感染艾滋病毒的风险更高。现金转移可以降低他们感染艾滋病毒的风险；然而，人们对影响机制的了解有限。我们探索希望作为一种潜在机制。纵向定性分析用于探讨 HPTN 068 研究中的现金转移接受者如何概念化希望，以及随着时间的推移，干预措施如何影响他们的希望。我们发现，干预措施增强了信心，缓解了经济压力，并向年轻女性灌输了这样的信念：更好的生活（定义为受教育、独立和支持家庭）是可以实现的。调查结果支持希望作为现金转移和其他经济强化干预措施的关键成果。