Age-disparate sex and HIV risk in Tanzania and Uganda

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Age-disparate sex – when adolescent girls or young women (AGYW) have sex with men ten years or older than they are – is associated with increased risk of HIV for these young women. However, little is known about the dynamics of such relationships from the perspectives of those who engage in it or about the communities in which these relationships are embedded. 

India STRIVE dissemination meeting: Addressing structural drivers of HIV in the context of achieving the Sustainable Development Goals


On 28 March in New Delhi, STRIVE partners ICRW-Asia and KHPT held a dissemination event to share the key findings from studies undertaken in India, Informative presentations and stimulating panel discussions involved researchers and policymakers from the government, UNFPA, UNAIDS and DFID. 

Financing across sectors for sustainable development: guidance note

Recognizing the ambition, scope and integrated nature of the Sustainable Development Goals (SDGs), together with the need for more domestic funding to finance development, this note describes an innovative financing solution developed by the United Nations Development Programme (UNDP) and STRIVE with support from the Government of Japan.

Known as ‘cross-sectoral co-financing’ or simply ‘co-financing’, it offers a new and more efficient way to budget for high-value/impact interventions that deliver benefits across multiple sectors, SDGs and SDG targets simultaneously.

Impact case study: Samvedana Plus – Tackling violence against sex workers in north Karnataka, India

Female sex workers in north Karnataka are vulnerable to both HIV infection and intimate partner violence (IPV). However, as a group, they have often been left out of interventions meant to address IPV against women in general. For the Samvedana Plus study, aimed at reducing IPV among sex workers, the strategic goal for impact was “to inform future intervention design and policy to address IPV against female sex workers, both in itself and as a driver of HIV risk”.

Developing Experimental Vignettes to Identify Gender Norms Associated With Transactional Sex for Adolescent Girls and Young Women in Central Uganda

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Transactional sex or informal sexual exchange relationships increase adolescent girls' and young women's (AGYW) HIV and pregnancy risk in sub-Saharan Africa. These relationships are grounded in the shared expectation that men should provide financial support to their partners. The authors in this paper built a vignette experiment to assess whether gender norms influenced by expectations of provision help to explain how transactional sex increases AGYW's sexual and reproductive health risks.


Webinar: Co-financing - an innovative funding solution for cross-sectoral interventions


Join us for a free webinar on Wednesday 24 April, 1pm BST


Interventions that address the social determinants of health can yield multiple benefits beyond the health sector, such as on education or the economy. However, standard methods for economic evaluation focus on assessing the impact of interventions on a single sector and, in doing so, underestimate their overall value. As a result, high-value, cross-cutting initiatives are often under-valued, under-financed and under-implemented.

Improving the Measurement of Transactional Sex in Sub-Saharan Africa

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Transactional sex, or informal sexual exchange, is considered to be an important contributing factor to the disproportionately high HIV infection rates experienced by adolescent girls and young women in sub-Saharan Africa. Nonetheless, confusion remains over how best to define and measure this practice, hindering efforts to mitigate the role of transactional sex in the epidemic.

Impact case study: Samata: Supporting marginalised girls in Karnataka, India to stay in school

The Karnataka Health PromotionTrust (KHPT) designed, implemented and evaluated Samata, a multi-faceted intervention to support marginalized girls to continue in high school in Karnataka State, India. Extending high school attendance has been shown to reduce girls’ and young women’s risk of HIV infection, reduce child marriage and delay entry into sex work, as well as achieving a number of related health, education and long-term economic benefits.

Tanzania national stakeholders meeting on the structural drivers of HIV


On 15th March 2019, the Mwanza International Trials Unit (MITU) at the National Institute for Medical Research (NIMR) held a research dissemination meeting to showcase the results from eight years of STRIVE work. 

The presentations focused on sharing key findings from across the research projects including:

What determines violence among female sex workers in an intimate partner relationship? Findings from North Karnataka, south India

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Like other women in India, female sex workers (FSW) frequently experience violence from their intimate partners (IP) -a reality that increases their risk of acquiring HIV or other sexually transmitted infections. Less is known about the nature of these intimate relationships or what aspect of the relationship increases the risk of Intimate Partner violence (IPV).

Researchers measured the prevalence and determinants of IPV on female sex workers in the context of north Karnataka, India, characterized by high HIV-prevalence and extreme poverty.