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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.

Understanding the Financial Lives of Female Sex Workers

FHI 360 Associate Scientist Emily Namey presents the results of formative research conducted to understand the financial lives of female sex workers in Cote d'Ivoire. This research was conducted by the USAID-funded ASPIRES project. This presentation was made at the International AIDS Society Conference 2015.

ASPIRES South Africa RCT Factsheet

At the request of the Prevention and Orphans and Vulnerable Children (OVC) Team of the Health Development Office of USAID South Africa, FHI 360’s Accelerating Strategies for Practical Innovation & Research in Economic Strengthening (ASPIRES) project is carrying out a 4-year, $10 million program to improve the long-term economic security and HIV prevention knowledge and skills of at-risk youth in South Africa.

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.

Keeping Children and Families together with Economic Strengthening

This report is an overview of the key issues addressed during the “Keeping Children and Families together with Economic Strengthening” symposium funded by USAID’s Displaced Children and Orphan’s Fund (DCOF) and implemented by FHI 360 through the STRIVE project.

Economic Strengthening for Female Sex Workers: A Review of the Literature

Female sex workers (FSWs) have been identified as a key population in the global fight against AIDS. In concentrated, mixed, and even generalized epidemics, the contribution of sex work toward the onward transmission of HIV is substantial.  HIV risk is directly related to the economic vulnerability of FSWs, the vast majority of whom report entering sex work for financial reasons due to lack of alternative employment opportunities.