Microfinance for women at high risk for HIV in Kazakhstan: study protocol for a cluster-randomized controlled trial

Abstract Background Among women at high risk for HIV and other sexually transmitted diseases (STIs), gender and economic issues limit the impact of behavioral prevention strategies. Women in Kazakhstan with dual risks of sex trading and drug use face elevated risk for HIV and STIs and may benefit fr...

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Main Authors: Tara McCrimmon, Susan Witte, Gaukhar Mergenova, Assel Terlikbayeva, Sholpan Primbetova, Azamat Kuskulov, Scarlett L. Bellamy, Nabila El-Bassel
Format: Article
Language:English
Published: BMC 2018-03-01
Series:Trials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13063-018-2566-y
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author Tara McCrimmon
Susan Witte
Gaukhar Mergenova
Assel Terlikbayeva
Sholpan Primbetova
Azamat Kuskulov
Scarlett L. Bellamy
Nabila El-Bassel
author_facet Tara McCrimmon
Susan Witte
Gaukhar Mergenova
Assel Terlikbayeva
Sholpan Primbetova
Azamat Kuskulov
Scarlett L. Bellamy
Nabila El-Bassel
author_sort Tara McCrimmon
collection DOAJ
description Abstract Background Among women at high risk for HIV and other sexually transmitted diseases (STIs), gender and economic issues limit the impact of behavioral prevention strategies. Women in Kazakhstan with dual risks of sex trading and drug use face elevated risk for HIV and STIs and may benefit from an economic empowerment intervention which combines HIV-risk reduction (HIVRR) education with financial skills-building and asset-building to promote reduced reliance on sex trading for income. Methods/design The study employs a two-arm, cluster-randomized controlled trial (c-RCT) design. We will use cluster randomization to assign 350 women in approximately 50 cohorts to a traditional four-session HIV-risk-reduction intervention combined with a six-session financial literacy intervention, enrollment in a 24-session vocational training program and receipt of matched savings (HIVRR+MF); or to the four-session HIV-risk-reduction intervention alone (HIVRR). Repeated behavioral and biological assessments will be conducted at baseline, then at 6, 9, and 15 months post randomization/session 1. Discussion This study responds to an identified need in the academic literature for rigorous testing of structural interventions, including combination microfinance and HIV-prevention interventions. Trial registration ClinicalTrials.gov, ID: NCT02406482. Registered on 30 March 2015.
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spelling doaj.art-0086875f8ea249d9a7059e53fe59af052022-12-21T18:21:03ZengBMCTrials1745-62152018-03-0119111410.1186/s13063-018-2566-yMicrofinance for women at high risk for HIV in Kazakhstan: study protocol for a cluster-randomized controlled trialTara McCrimmon0Susan Witte1Gaukhar Mergenova2Assel Terlikbayeva3Sholpan Primbetova4Azamat Kuskulov5Scarlett L. Bellamy6Nabila El-Bassel7Global Health Research Center of Central AsiaGlobal Health Research Center of Central AsiaGlobal Health Research Center of Central AsiaGlobal Health Research Center of Central AsiaGlobal Health Research Center of Central AsiaGlobal Health Research Center of Central AsiaDornsife School of Public Health, Drexel UniversityGlobal Health Research Center of Central AsiaAbstract Background Among women at high risk for HIV and other sexually transmitted diseases (STIs), gender and economic issues limit the impact of behavioral prevention strategies. Women in Kazakhstan with dual risks of sex trading and drug use face elevated risk for HIV and STIs and may benefit from an economic empowerment intervention which combines HIV-risk reduction (HIVRR) education with financial skills-building and asset-building to promote reduced reliance on sex trading for income. Methods/design The study employs a two-arm, cluster-randomized controlled trial (c-RCT) design. We will use cluster randomization to assign 350 women in approximately 50 cohorts to a traditional four-session HIV-risk-reduction intervention combined with a six-session financial literacy intervention, enrollment in a 24-session vocational training program and receipt of matched savings (HIVRR+MF); or to the four-session HIV-risk-reduction intervention alone (HIVRR). Repeated behavioral and biological assessments will be conducted at baseline, then at 6, 9, and 15 months post randomization/session 1. Discussion This study responds to an identified need in the academic literature for rigorous testing of structural interventions, including combination microfinance and HIV-prevention interventions. Trial registration ClinicalTrials.gov, ID: NCT02406482. Registered on 30 March 2015.http://link.springer.com/article/10.1186/s13063-018-2566-yWomenHIVSTIDrug useMicrofinance
spellingShingle Tara McCrimmon
Susan Witte
Gaukhar Mergenova
Assel Terlikbayeva
Sholpan Primbetova
Azamat Kuskulov
Scarlett L. Bellamy
Nabila El-Bassel
Microfinance for women at high risk for HIV in Kazakhstan: study protocol for a cluster-randomized controlled trial
Trials
Women
HIV
STI
Drug use
Microfinance
title Microfinance for women at high risk for HIV in Kazakhstan: study protocol for a cluster-randomized controlled trial
title_full Microfinance for women at high risk for HIV in Kazakhstan: study protocol for a cluster-randomized controlled trial
title_fullStr Microfinance for women at high risk for HIV in Kazakhstan: study protocol for a cluster-randomized controlled trial
title_full_unstemmed Microfinance for women at high risk for HIV in Kazakhstan: study protocol for a cluster-randomized controlled trial
title_short Microfinance for women at high risk for HIV in Kazakhstan: study protocol for a cluster-randomized controlled trial
title_sort microfinance for women at high risk for hiv in kazakhstan study protocol for a cluster randomized controlled trial
topic Women
HIV
STI
Drug use
Microfinance
url http://link.springer.com/article/10.1186/s13063-018-2566-y
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