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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.

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.

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 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.

Household Economic Strengthening in Support of Prevention of Family-Child Separation and Children’s Reintegration in Family Care

This paper summarizes learning related to prevention of family-child separation, reintegration of children in family care, and economic interventions that might support these aims. It was prepared to inform the focus and development of a project that aims to use rigorous research to develop the evidence base related to the ways in which household-level economic strengthening interventions in low- and middle-income countries can help prevent the separation of children from their families and assist in reintegrating separated children in family care.

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.