Burke Holly McClain, Packer Catherine, González-Calvo Lázaro, Ridgeway Kathleen, Lenzi Rachel, Green Ann F, Moon Troy D
FHI 360, Reproductive, Maternal, Newborn, and Child Health, 359 Blackwell Street, Suite 200, Durham, NC 27701, USA.
FHI 360, Reproductive, Maternal, Newborn, and Child Health, 359 Blackwell Street, Suite 200, Durham, NC 27701, USA.
Eval Program Plann. 2019 Dec;77:101682. doi: 10.1016/j.evalprogplan.2019.101682. Epub 2019 Jul 23.
An intervention including business training and health education was implemented in Mozambique, where girls are at elevated risk for acquiring HIV. As part of a mixed-methods evaluation, we describe perceived effects of the intervention on girls' sexual behavior and school attendance.
We conducted 49 in-depth interviews (IDIs) with girl intervention participants (ages 13-19), 24 IDIs with heads of girls' households, 36 IDIs with influential males identified by girls, and 12 focus group discussions with community members after the intervention ended and one year later.
Informants said the primary intervention benefit was realized when girls had money to stay in or return to school and/or to buy necessities for themselves and their households-reducing their need for transactional or intergenerational sex. However, some girls did not make a profit and some businesses were not sustainable. Sometimes the intervention appeared to be implemented in a way to reinforce inequitable gender norms resulting in some girls feeling shame when they reengaged in risky sex after their businesses failed.
Earning money enabled girls to potentially reduce their vulnerability to HIV. We offer recommendations for future multi-sector interventions, including the need to address potential harms in programs serving vulnerable girls.
在莫桑比克实施了一项包括商业培训和健康教育的干预措施，该国女孩感染艾滋病毒的风险较高。作为混合方法评估的一部分，我们描述了该干预措施对女孩性行为和上学出勤率的感知影响。
在干预结束后及一年后，我们对49名参与干预的女孩（年龄在13 - 19岁）进行了深入访谈（IDI），对24名女孩家庭户主进行了IDI，对女孩指出的有影响力的男性进行了36次IDI，并与社区成员进行了12次焦点小组讨论。
受访者表示，当女孩有钱继续上学或重返学校和/或为自己及家庭购买必需品时，干预措施的主要益处得以实现，这减少了她们进行交易性或代际性行为的需求。然而，一些女孩没有盈利，一些生意也无法持续。有时，干预措施的实施方式似乎强化了不公平的性别规范，导致一些女孩在生意失败后重新从事高风险性行为时感到羞耻。
赚钱使女孩有可能降低感染艾滋病毒的脆弱性。我们为未来的多部门干预措施提供了建议，包括需要解决为弱势女孩提供服务的项目中的潜在危害。
