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The Impact of School Subsidies on HIV-Related Outcomes among Adolescent Female Orphans

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The Impact of School Subsidies on HIV-Related Outcomes among Adolescent Female Orphans

Auteurs : Denise Dion Hallfors ; Hyunsan Cho ; Simbarashe Rusakaniko [Zimbabwe] ; John Mapfumo [Zimbabwe] ; Bonita Iritani ; Lei Zhang ; Winnie Luseno ; Ted Miller [États-Unis]

Source :

The Journal of adolescent health : official publication of the Society for Adolescent Medicine [ 1054-139X ] ; 2015.

RBID : PMC:4274377

Abstract

Objectives

We examine effects of school support as a structural HIV prevention intervention for adolescent female orphans in Zimbabwe after 5 years.

Methods

328 orphan adolescent girls were followed in a clustered randomized control trial from 2007 to 2010. The experimental group received school fees, uniforms, and school supplies and were assigned a school-based “helper.” In 2011-12, the control group received delayed partial treatment of school fees only. At the final data point in 2012, survey, HIV, and HSV-2 biomarker data were collected from approximately 88% of the sample. Bivariate and multivariate analyses were conducted on endpoint outcomes, controlling for age, religious affiliation, and baseline SES.

Results

The two groups did not differ on HIV or HSV-2 biomarkers. The comprehensive five-year intervention continued to reduce the likelihood of marriage, improve school retention, improve SES (food security), and marginally maintain gains in quality of life, even after providing school fees to the control group.

Conclusions

Paying school fees and expenses resulted in significant improvements in life outcomes for orphan adolescent girls. Biological evidence of HIV infection prevention, however, was not observed. Our study adds to the growing body of research on school support as HIV prevention for girls in sub-Saharan Africa, but as yet, no clear picture of effectiveness has emerged.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274377

DOI: 10.1016/j.jadohealth.2014.09.004
PubMed: 25530603
PubMed Central: 4274377

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Denise Dion Hallfors

<affiliation><nlm:aff id="A1">The Pacific Institute for Research and Evaluation, 1516 E. Franklin St., Suite 200, Chapel Hill, NC, 27514.</nlm:aff>
<wicri:noCountry code="subfield">27514.</wicri:noCountry>
</affiliation>

Hyunsan Cho

<affiliation><nlm:aff id="A1">The Pacific Institute for Research and Evaluation, 1516 E. Franklin St., Suite 200, Chapel Hill, NC, 27514.</nlm:aff>
<wicri:noCountry code="subfield">27514.</wicri:noCountry>
</affiliation>

Bonita Iritani

<affiliation><nlm:aff id="A1">The Pacific Institute for Research and Evaluation, 1516 E. Franklin St., Suite 200, Chapel Hill, NC, 27514.</nlm:aff>
<wicri:noCountry code="subfield">27514.</wicri:noCountry>
</affiliation>

Lei Zhang

<affiliation><nlm:aff id="A1">The Pacific Institute for Research and Evaluation, 1516 E. Franklin St., Suite 200, Chapel Hill, NC, 27514.</nlm:aff>
<wicri:noCountry code="subfield">27514.</wicri:noCountry>
</affiliation>

Winnie Luseno

<affiliation><nlm:aff id="A1">The Pacific Institute for Research and Evaluation, 1516 E. Franklin St., Suite 200, Chapel Hill, NC, 27514.</nlm:aff>
<wicri:noCountry code="subfield">27514.</wicri:noCountry>
</affiliation>

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P2">We examine effects of school support as a structural HIV prevention intervention for adolescent female orphans in Zimbabwe after 5 years.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P3">328 orphan adolescent girls were followed in a clustered randomized control trial from 2007 to 2010. The experimental group received school fees, uniforms, and school supplies and were assigned a school-based “helper.” In 2011-12, the control group received delayed partial treatment of school fees only. At the final data point in 2012, survey, HIV, and HSV-2 biomarker data were collected from approximately 88% of the sample. Bivariate and multivariate analyses were conducted on endpoint outcomes, controlling for age, religious affiliation, and baseline SES.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P4">The two groups did not differ on HIV or HSV-2 biomarkers. The comprehensive five-year intervention continued to reduce the likelihood of marriage, improve school retention, improve SES (food security), and marginally maintain gains in quality of life, even after providing school fees to the control group.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P5">Paying school fees and expenses resulted in significant improvements in life outcomes for orphan adolescent girls. Biological evidence of HIV infection prevention, however, was not observed. Our study adds to the growing body of research on school support as HIV prevention for girls in sub-Saharan Africa, but as yet, no clear picture of effectiveness has emerged.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">9102136</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1030</journal-id>
<journal-id journal-id-type="nlm-ta">J Adolesc Health</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adolesc Health</journal-id>
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<issn pub-type="ppub">1054-139X</issn>
<issn pub-type="epub">1879-1972</issn>
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<article-id pub-id-type="manuscript">NIHMS631149</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
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<title-group><article-title>The Impact of School Subsidies on HIV-Related Outcomes among Adolescent Female Orphans</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Hallfors</surname>
<given-names>Denise Dion</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cho</surname>
<given-names>Hyunsan</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rusakaniko</surname>
<given-names>Simbarashe</given-names>
</name>
<degrees>D.Phil.</degrees>
<xref ref-type="aff" rid="A2">b</xref>
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<contrib contrib-type="author"><name><surname>Mapfumo</surname>
<given-names>John</given-names>
</name>
<degrees>M.S.</degrees>
<xref ref-type="aff" rid="A3">c</xref>
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<contrib contrib-type="author"><name><surname>Iritani</surname>
<given-names>Bonita</given-names>
</name>
<degrees>M.A.</degrees>
<xref ref-type="aff" rid="A1">a</xref>
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<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Lei</given-names>
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<degrees>Ph.D.</degrees>
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<contrib contrib-type="author"><name><surname>Luseno</surname>
<given-names>Winnie</given-names>
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<degrees>Ph.D.</degrees>
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<contrib contrib-type="author"><name><surname>Miller</surname>
<given-names>Ted</given-names>
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<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A4">d</xref>
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</contrib-group>
<aff id="A1"><label>a</label>
The Pacific Institute for Research and Evaluation, 1516 E. Franklin St., Suite 200, Chapel Hill, NC, 27514.</aff>
<aff id="A2"><label>b</label>
University of Zimbabwe, Department of Community Medicine, PO Box A 178, Avondale, Harare, Zimbabwe</aff>
<aff id="A3"><label>c</label>
Africa University, P.O. Box 1320, Mutare, Zimbabwe</aff>
<aff id="A4"><label>d</label>
The Pacific Institute for Research and Evaluation, 11720 Beltsville Dr., Suite 900, Beltsville, MD</aff>
<author-notes><fn id="FN1"><p id="P1"><email>cho@pire.org</email>
, <email>srusakaniko@gmail.com</email>
, <email>mrmapfumo@gmail.com</email>
, <email>iritani@pire.org</email>
, <email>lzhang@pire.org</email>
, <email>wluseno@pire.org</email>
, <email>miller@pire.org</email>
</p>
</fn>
<corresp id="CR1"><bold>Corresponding author:</bold>
 Denise Dion Hallfors, Pacific Institute for Research and Evaluation, 1516 E. Franklin St., Suite 200, Chapel Hill, NC, 27514. Phone – 919-265-2612. <email>Hallfors@pire.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>26</day>
<month>9</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>1</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>1</month>
<year>2016</year>
</pub-date>
<volume>56</volume>
<issue>1</issue>
<fpage>79</fpage>
<lpage>84</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.jadohealth.2014.09.004</pmc-comment>
      <permissions><copyright-statement>© 2014 Society of Adolescent Health and Medicine. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><sec id="S1"><title>Objectives</title>
<p id="P2">We examine effects of school support as a structural HIV prevention intervention for adolescent female orphans in Zimbabwe after 5 years.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P3">328 orphan adolescent girls were followed in a clustered randomized control trial from 2007 to 2010. The experimental group received school fees, uniforms, and school supplies and were assigned a school-based “helper.” In 2011-12, the control group received delayed partial treatment of school fees only. At the final data point in 2012, survey, HIV, and HSV-2 biomarker data were collected from approximately 88% of the sample. Bivariate and multivariate analyses were conducted on endpoint outcomes, controlling for age, religious affiliation, and baseline SES.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P4">The two groups did not differ on HIV or HSV-2 biomarkers. The comprehensive five-year intervention continued to reduce the likelihood of marriage, improve school retention, improve SES (food security), and marginally maintain gains in quality of life, even after providing school fees to the control group.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P5">Paying school fees and expenses resulted in significant improvements in life outcomes for orphan adolescent girls. Biological evidence of HIV infection prevention, however, was not observed. Our study adds to the growing body of research on school support as HIV prevention for girls in sub-Saharan Africa, but as yet, no clear picture of effectiveness has emerged.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
</record>

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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

The Impact of School Subsidies on HIV-Related Outcomes among Adolescent Female Orphans

The Impact of School Subsidies on HIV-Related Outcomes among Adolescent Female Orphans

Source :

Abstract

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