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ASPIRES Family Care Qualitative Research Report

This report discusses the findings of research into the role economic strengthening plays in preventing unnecessary family-child separation and supporting the reintegration of formerly separated children into family care.

ASPIRES Family Care Summary Research Report

This report discusses the findings of research into how economic strengthening (ES) interventions can help prevent unnecessary separation of children from families as well as support the reintegration into family care of children who were already separated.

ASPIRES Evidence Briefs Series: Business Skills and Entrepreneurship Training and HIV Outcomes

Economic factors are linked to HIV risk behaviors, as well as outcomes, at every stage of the HIV care and treatment cascade. The ASPIRES project conducted an extensive review of the literature on these linkages to produce an evidence brief series highlighting how different household economic strengthening (HES) interventions may affect HIV prevention, testing, links to care, retention in care, and antiretroviral therapy (ART) adherence.

Identifying Economic Status Indicators for Adolescent Girls in DREAMS Programs

The alarming gender and age disparity in the rate of new HIV infections in Sub-Saharan Africa has driven the development of new initiatives to address the needs of young women. One of these initiatives is DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored and Safe), a $385 million partnership to reduce HIV infections among adolescent girls and young women in 10 sub-Saharan African countries. DREAMS targets girls and young women aged 10-24 and their male sex partners.

Vulnerability Assessments

Vulnerability assessments can help with designing programs to meet the needs of intended beneficiaries, more accurately target vulnerable households, and set indicative benchmarks for success.

Economic Strengthening Interventions to Address Known Barriers to PMTCT and Improve Health Outcomes: Review of the Evidence

The human immunodeficiency virus (HIV) is known to be a significant contributor to infant morbidity and mortality in many countries, particularly in sub-Saharan Africa. Strategies for the prevention of mother-to-child transmission (PMTCT) dramatically reduce the risk of HIV transmission to an infant—from nearly 40 percent to less than five percent. The PMTCT services can also serve as a gateway for HIV prevention, treatment, care, and support services for the mother and the whole family.

Increasing Access and Adherence to the PMTCT Cascade: Is There a Role for Economic Strengthening Interventions?

Interventions aimed at the prevention of mother-to-child transmission (PMTCT) of HIV are extremely effective but remain underutilized in many countries. Common economic barriers to PMTCT experienced by pregnant women with HIV are well documented. Addressing these economic barriers has the potential to improve PMTCT utilization and further reduce mother-to-child HIV transmission. This review examines the evidence of the effects economic strengthening (ES) interventions have on use of and adherence to PMTCT and other health services relevant to PMTCT cascade.

Review of Vulnerability Assessment Methods for Reintegration and Prevention of Child Separation

This report was prepared to inform planning in the USAID-funded ASPIRES project. It includes a review of some of the existing tools used to assess vulnerability to either separation or negative child well-being outcomes with attention to economic security for the purposes of targeting households for program participation and matching them to appropriate interventions. ASPIRES is sharing this report as an information resource with the wider interested community given its relevance to other actors working in this area.

Community-Based Microfinance for Orphans and Vulnerable Children: Literature Review

This review presents a synthesis of the literature on the impact of community-based microfinance approaches on the well-being of vulnerable children and youth, with a specific focus on orphans and vulnerable children (OVC). It aims to collect, organize, and assess evidence for economic strengthening (ES) activities and to inform practice in significant ways.  

ASPIRES South Africa Factsheet

The Accelerating Strategies for Practical Innovation & Research in Economic Strengthening (ASPIRES) project, funded by USAID/PEPFAR and managed by FHI 360, supports gender-sensitive programming, research, and learning to improve the economic security of highly vulnerable individuals, families, and children. We offer research and technical assistance activities for economic strengthening programs around the world, including a major technical assistance program to support youth resilience to the effects of HIV/AIDS in South Africa.