Cash Transfers and HIV Prevention in Africa

Deane, Kevin (2024). Cash Transfers and HIV Prevention in Africa. In: Dauncey, Emil; Desai, Vandana and Potter, Robert B. eds. The Companion to Development Studies; 4th Edition. Abingdon, UK: Routledge, pp. 490–494.

DOI: https://doi.org/10.4324/9780429282348-99

Abstract

Cash Transfers (CTs) have become increasingly central to social protection programmes in the Global South. Recently they have been applied to the issue of HIV prevention for Adolescent Girls and Young Women (AGYW) in Africa. They aim to reduce the need for AGYW to engage in risky sexual behaviours through reducing poverty, increasing economic independence, and rebalancing gender relations. However, the empirical evidence is mixed, with only 3 out of 8 Randomised Controlled Trials (RCTs) showing a positive impact of CTs on HIV incidence. This is in part due to the limited impact CTs may have on deep-rooted gender inequalities, an incomplete and reductionist diagnosis of the drivers of risky sexual behaviours, conceptual inconsistencies that link structure and agency, and the narrow form of social policy embodied by CTs.

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