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Published in: AIDS and Behavior 9/2013

01-11-2013 | Substantive Review

Microenterprise Development Interventions for Sexual Risk Reduction: A Systematic Review

Authors: Rosa R. Cui, Ramon Lee, Harsha Thirumurthy, Kathryn E. Muessig, Joseph D. Tucker

Published in: AIDS and Behavior | Issue 9/2013

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Abstract

Comprehensive interventions that address both individual and structural determinants associated with HIV/STI risk are gaining increasing attention over the past decade. Microenterprise development offers an appealing model for HIV prevention by addressing poverty and gender equality. This study systematically reviewed the effects of microenterprise development interventions on HIV/STI incidence and sexual risk behaviors. Microenterprise development was defined as developing small business capacity among individuals to alleviate poverty. Seven eligible research studies representing five interventions were identified and included in this review. All of the studies targeted women, and three focused on sex workers. None measured biomarker outcomes. All three sex worker studies showed significant reduction in sexual risk behaviors when compared to the control group. Non-sex worker studies showed limited changes in sexual risk behavior. This review indicates the potential utility of microenterprise development in HIV risk reduction programs. More research is needed to determine how microenterprise development can be effectively incorporated in comprehensive HIV control strategies.
Literature
1.
go back to reference Gillespie S, Kadiyala S, Greener R. Is poverty or wealth driving HIV transmission? AIDS. 2007;21(Suppl 7):S5–16.PubMedCrossRef Gillespie S, Kadiyala S, Greener R. Is poverty or wealth driving HIV transmission? AIDS. 2007;21(Suppl 7):S5–16.PubMedCrossRef
2.
go back to reference Greig A, Peacock D, Jewkes R, Msimang S. Gender and AIDS: time to act. AIDS. 2008;22(Suppl 2):S35–43.PubMedCrossRef Greig A, Peacock D, Jewkes R, Msimang S. Gender and AIDS: time to act. AIDS. 2008;22(Suppl 2):S35–43.PubMedCrossRef
3.
go back to reference Kim JC, Watts CH, Hargreaves JR, et al. Understanding the impact of a microfinance-based intervention on women’s empowerment and the reduction of intimate partner violence in South Africa. Am J Public Health. 2007;97(10):1794–802.PubMedCrossRef Kim JC, Watts CH, Hargreaves JR, et al. Understanding the impact of a microfinance-based intervention on women’s empowerment and the reduction of intimate partner violence in South Africa. Am J Public Health. 2007;97(10):1794–802.PubMedCrossRef
4.
go back to reference Stratford D, Mizuno Y, Williams K, Courtenay-Quirk C, O’Leary A. Addressing poverty as risk for disease: recommendations from CDC’s consultation on microenterprise as HIV prevention. Public Health Reports. 2008;123(1):9–20.PubMed Stratford D, Mizuno Y, Williams K, Courtenay-Quirk C, O’Leary A. Addressing poverty as risk for disease: recommendations from CDC’s consultation on microenterprise as HIV prevention. Public Health Reports. 2008;123(1):9–20.PubMed
5.
go back to reference Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet. 2008;372(9640):764–75.PubMedCrossRef Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet. 2008;372(9640):764–75.PubMedCrossRef
6.
go back to reference UNAIDS. Combination HIV prevention: tailoring and coordinating biomedical, behavioral, and structural strategies to reduce new HIV infections. A UNAIDS discussion paper 2010. UNAIDS. Combination HIV prevention: tailoring and coordinating biomedical, behavioral, and structural strategies to reduce new HIV infections. A UNAIDS discussion paper 2010.
7.
go back to reference Coates TJ, Richter L, Caceres C. Behavioural strategies to reduce HIV transmission: how to make them work better. Lancet. 2008;372(9639):669–84.PubMedCrossRef Coates TJ, Richter L, Caceres C. Behavioural strategies to reduce HIV transmission: how to make them work better. Lancet. 2008;372(9639):669–84.PubMedCrossRef
8.
go back to reference Pronyk PM, Hargreaves JR, Kim JC, et al. Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: a cluster randomised trial. Lancet. 2006;368(9551):1973–83.PubMedCrossRef Pronyk PM, Hargreaves JR, Kim JC, et al. Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: a cluster randomised trial. Lancet. 2006;368(9551):1973–83.PubMedCrossRef
9.
go back to reference Dworkin SL, Blankenship K. Microfinance and HIV/AIDS prevention: assessing its promise and limitations. AIDS Behav. 2009;13(3):462–9.PubMedCrossRef Dworkin SL, Blankenship K. Microfinance and HIV/AIDS prevention: assessing its promise and limitations. AIDS Behav. 2009;13(3):462–9.PubMedCrossRef
10.
go back to reference Kim J, Pronyk P, Barnett T, Watts C. Exploring the role of economic empowerment in HIV prevention. AIDS. 2008;22(Suppl 4):S57–71.PubMedCrossRef Kim J, Pronyk P, Barnett T, Watts C. Exploring the role of economic empowerment in HIV prevention. AIDS. 2008;22(Suppl 4):S57–71.PubMedCrossRef
11.
go back to reference Khandker S. Microfinance and poverty: evidence using panel data from Bangladesh.2005 Vol 19: Oxford University Press. Khandker S. Microfinance and poverty: evidence using panel data from Bangladesh.2005 Vol 19: Oxford University Press.
13.
go back to reference Chowdhury A. Microfinance as a poverty reduction tool—a critical assessment. Vol DESA Working Paper No. 892009. Chowdhury A. Microfinance as a poverty reduction tool—a critical assessment. Vol DESA Working Paper No. 892009.
14.
go back to reference Karlan D, Murdoch J. Access to finance. Vol 52009. Karlan D, Murdoch J. Access to finance. Vol 52009.
15.
go back to reference Banerjee AV, Duflo E, Glennerster R, Kinnan C. The miracle of microfinance? Evidence from a randomized evaluation. 2013. Accessed April 14. Banerjee AV, Duflo E, Glennerster R, Kinnan C. The miracle of microfinance? Evidence from a randomized evaluation. 2013. Accessed April 14.
16.
go back to reference Robinson M. The microfinance revolution: sustainable finance for the poor. The World Bank, Washington DC2001. Robinson M. The microfinance revolution: sustainable finance for the poor. The World Bank, Washington DC2001.
17.
go back to reference Johnson S. Gender impact assessment in microfinance and microenterprise: why and how. Dev Pract. 2000;10(1):89–93.PubMedCrossRef Johnson S. Gender impact assessment in microfinance and microenterprise: why and how. Dev Pract. 2000;10(1):89–93.PubMedCrossRef
18.
go back to reference Auerbach J. Transforming social structures and environments to help in HIV prevention. Health affairs (Project Hope). 2009;28(6):1655–65.CrossRef Auerbach J. Transforming social structures and environments to help in HIV prevention. Health affairs (Project Hope). 2009;28(6):1655–65.CrossRef
19.
go back to reference Hankins CA, de Zalduondo BO. Combination prevention: a deeper understanding of effective HIV prevention. AIDS. 2010;24(Suppl 4):S70–80.PubMedCrossRef Hankins CA, de Zalduondo BO. Combination prevention: a deeper understanding of effective HIV prevention. AIDS. 2010;24(Suppl 4):S70–80.PubMedCrossRef
20.
go back to reference Vergidis PI, Falagas ME. Meta-analyses on behavioral interventions to reduce the risk of transmission of HIV. Infect Dis Clin North Am. 2009;23(2):309–14.PubMedCrossRef Vergidis PI, Falagas ME. Meta-analyses on behavioral interventions to reduce the risk of transmission of HIV. Infect Dis Clin North Am. 2009;23(2):309–14.PubMedCrossRef
21.
go back to reference Sherman SG, Srikrishnan AK, Rivett KA, Liu SH, Solomon S, Celentano DD. Acceptability of a microenterprise intervention among female sex workers in Chennai. India. AIDS and behavior. 2010;14(3):649–57.CrossRef Sherman SG, Srikrishnan AK, Rivett KA, Liu SH, Solomon S, Celentano DD. Acceptability of a microenterprise intervention among female sex workers in Chennai. India. AIDS and behavior. 2010;14(3):649–57.CrossRef
22.
go back to reference Kim J, Ferrari G, Abramsky T, et al. Assessing the incremental effects of combining economic and health interventions: the IMAGE study in South Africa. Bull World Health Organ. 2009;87(11):824–32.PubMedCrossRef Kim J, Ferrari G, Abramsky T, et al. Assessing the incremental effects of combining economic and health interventions: the IMAGE study in South Africa. Bull World Health Organ. 2009;87(11):824–32.PubMedCrossRef
23.
go back to reference Pronyk PM, Kim JC, Abramsky T, et al. A combined microfinance and training intervention can reduce HIV risk behaviour in young female participants. AIDS. 2008;22(13):1659–65.PubMedCrossRef Pronyk PM, Kim JC, Abramsky T, et al. A combined microfinance and training intervention can reduce HIV risk behaviour in young female participants. AIDS. 2008;22(13):1659–65.PubMedCrossRef
24.
go back to reference West S. Systems to rate the strength of scientific evidence. Evidence Report/Technology Assessment No. 47 (Prepared by the Research Triangle Institute- University of North Carolina Evidence-based Practice under Contract No. 290-97-0011). AHRQ Publication No. 02-E016. April 2002. West S. Systems to rate the strength of scientific evidence. Evidence Report/Technology Assessment No. 47 (Prepared by the Research Triangle Institute- University of North Carolina Evidence-based Practice under Contract No. 290-97-0011). AHRQ Publication No. 02-E016. April 2002.
25.
go back to reference Rosenberg MS, Seavey BK, Jules R, Kershaw TS. The role of a microfinance program on HIV risk behavior among Haitian women. AIDS Behav. 2011;15(5):911–8.PubMedCrossRef Rosenberg MS, Seavey BK, Jules R, Kershaw TS. The role of a microfinance program on HIV risk behavior among Haitian women. AIDS Behav. 2011;15(5):911–8.PubMedCrossRef
26.
go back to reference Odek WO, Busza J, Morris CN, Cleland J, Ngugi EN, Ferguson AG. Effects of micro-enterprise services on HIV risk behaviour among female sex workers in Kenya’s urban slums. AIDS Behav. 2009;13(3):449–61.PubMedCrossRef Odek WO, Busza J, Morris CN, Cleland J, Ngugi EN, Ferguson AG. Effects of micro-enterprise services on HIV risk behaviour among female sex workers in Kenya’s urban slums. AIDS Behav. 2009;13(3):449–61.PubMedCrossRef
27.
go back to reference Sherman SG, German D, Cheng Y, Marks M, Bailey-Kloche M. The evaluation of the JEWEL project: an innovative economic enhancement and HIV prevention intervention study targeting drug using women involved in prostitution. AIDS care. 2006;18(1):1–11.PubMedCrossRef Sherman SG, German D, Cheng Y, Marks M, Bailey-Kloche M. The evaluation of the JEWEL project: an innovative economic enhancement and HIV prevention intervention study targeting drug using women involved in prostitution. AIDS care. 2006;18(1):1–11.PubMedCrossRef
28.
go back to reference Dunbar MS, Maternowska MC, Kang MS, Laver SM, Mudekunye-Mahaka I, Padian NS. Findings from SHAZ!: a feasibility study of a microcredit and life-skills HIV prevention intervention to reduce risk among adolescent female orphans in Zimbabwe. J prev interv community. 2010;38(2):147–61.PubMedCrossRef Dunbar MS, Maternowska MC, Kang MS, Laver SM, Mudekunye-Mahaka I, Padian NS. Findings from SHAZ!: a feasibility study of a microcredit and life-skills HIV prevention intervention to reduce risk among adolescent female orphans in Zimbabwe. J prev interv community. 2010;38(2):147–61.PubMedCrossRef
29.
go back to reference Isangula KG. Improving women and family’s health through integrated microfinance, health education and promotion in rural areas. J Sustain Develop. 2012. Isangula KG. Improving women and family’s health through integrated microfinance, health education and promotion in rural areas. J Sustain Develop. 2012.
30.
go back to reference Pulerwitz J. Measuring sexual relationship power in HIV/STD research. Sex Roles. 2000;42(7/8):637–60.CrossRef Pulerwitz J. Measuring sexual relationship power in HIV/STD research. Sex Roles. 2000;42(7/8):637–60.CrossRef
31.
go back to reference Coppock DL, Desta S, Tezera S, Gebru G. Capacity building helps pastoral women transform impoverished communities in Ethiopia. Science. 2011;334(6061):1394–8.PubMedCrossRef Coppock DL, Desta S, Tezera S, Gebru G. Capacity building helps pastoral women transform impoverished communities in Ethiopia. Science. 2011;334(6061):1394–8.PubMedCrossRef
32.
go back to reference Isangula KG. Improving women and family’s health through integrated microfinance, health education and promotion in rural areas. J Sustain Develop. 2012;5(5):76–89. Isangula KG. Improving women and family’s health through integrated microfinance, health education and promotion in rural areas. J Sustain Develop. 2012;5(5):76–89.
33.
go back to reference Mayoux L. Women’s empowerment and micro-finance programmes: strategies for increasing impact. Dev Pract. 1998;8(2):235–41.PubMedCrossRef Mayoux L. Women’s empowerment and micro-finance programmes: strategies for increasing impact. Dev Pract. 1998;8(2):235–41.PubMedCrossRef
34.
go back to reference Pitt M, Khandker S. The impact of group—based credit programs on poor households in Bangladesh: does the gender of participants matter? J Political Econ. 1998;106(5):958–96.CrossRef Pitt M, Khandker S. The impact of group—based credit programs on poor households in Bangladesh: does the gender of participants matter? J Political Econ. 1998;106(5):958–96.CrossRef
35.
go back to reference de Mel S, McKenzie D, Woodruff C. Are women more credit constrained? Experimental evidence on gender and microenterprise returns. Am Econ J: Appl Econ. 2009;1(3):1–32.CrossRef de Mel S, McKenzie D, Woodruff C. Are women more credit constrained? Experimental evidence on gender and microenterprise returns. Am Econ J: Appl Econ. 2009;1(3):1–32.CrossRef
36.
go back to reference de Mel S, McKenzie D, Woodruff C. Returns to capital in microenterprise: evidence from a field experiment. Q J Econ. 2008;123(4):1329–72.CrossRef de Mel S, McKenzie D, Woodruff C. Returns to capital in microenterprise: evidence from a field experiment. Q J Econ. 2008;123(4):1329–72.CrossRef
37.
go back to reference Armendariz B. Gender empowerment in microfinance: Harvard University; 2008. Armendariz B. Gender empowerment in microfinance: Harvard University; 2008.
38.
go back to reference Goetz S, Gupta R. Who takes the credit? gender, power, and control over loan use in rural credit programs in Bangladesh. World Dev. 1996;24(1):45–63.CrossRef Goetz S, Gupta R. Who takes the credit? gender, power, and control over loan use in rural credit programs in Bangladesh. World Dev. 1996;24(1):45–63.CrossRef
39.
go back to reference Jewkes R, Nduna M, Levin J, et al. Impact of stepping stones on incidence of HIV and HSV-2 and sexual behaviour in rural South Africa: cluster randomised controlled trial. BMJ (Clinical research ed.). 2008;337:a506. Jewkes R, Nduna M, Levin J, et al. Impact of stepping stones on incidence of HIV and HSV-2 and sexual behaviour in rural South Africa: cluster randomised controlled trial. BMJ (Clinical research ed.). 2008;337:a506.
40.
go back to reference Pulerwitz J, Michaelis A, Verma R, Weiss E. Addressing gender dynamics and engaging men in HIV programs: lessons learned from Horizons research. Public health reports. 2010;125(2):282–92.PubMed Pulerwitz J, Michaelis A, Verma R, Weiss E. Addressing gender dynamics and engaging men in HIV programs: lessons learned from Horizons research. Public health reports. 2010;125(2):282–92.PubMed
41.
go back to reference Verma RK, Pulerwitz J, Mahendra V, et al. Challenging and changing gender attitudes among young men in Mumbai, India. Reproductive health matters. 2006;14(28):135–43.PubMedCrossRef Verma RK, Pulerwitz J, Mahendra V, et al. Challenging and changing gender attitudes among young men in Mumbai, India. Reproductive health matters. 2006;14(28):135–43.PubMedCrossRef
Metadata
Title
Microenterprise Development Interventions for Sexual Risk Reduction: A Systematic Review
Authors
Rosa R. Cui
Ramon Lee
Harsha Thirumurthy
Kathryn E. Muessig
Joseph D. Tucker
Publication date
01-11-2013
Publisher
Springer US
Published in
AIDS and Behavior / Issue 9/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-013-0582-1

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