Schooling, Income, and HIV Risk in Malawi
SIHR
Does Schooling Protect Young Women From HIV?
2 other identifiers
interventional
3,796
1 country
1
Brief Summary
This study is designed to evaluate a two-year randomized intervention in Malawi that provides cash transfers to current schoolgirls (and young women who have recently dropped out of school) to stay in (and return to) school in order to understand the possible effects of such programs on the sexual behavior of the beneficiaries and their subsequent HIV risk.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable hiv
Started Sep 2007
Longer than P75 for not_applicable hiv
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2007
CompletedFirst Submitted
Initial submission to the registry
April 11, 2011
CompletedFirst Posted
Study publicly available on registry
April 12, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
May 31, 2025
CompletedAugust 20, 2025
August 1, 2025
5 years
April 11, 2011
August 18, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Sexually Transmitted Infections
HIV prevalence HSV-2 prevalence
18 months
Schooling
school enrollment
12 months/24 months
Secondary Outcomes (4)
Sexually Transmitted Infections
18 months
Marriage and fertility
12 months/24 months
sexual behavior
12 months/ 24 months
HIV Awareness
12 months/24 months
Study Arms (3)
Unconditional cash transfers
EXPERIMENTALMonthly cash transfers given to households with school aged girls with no strings attached. Transfer amounts randomized within this arm.
Conditional Cash Transfer
EXPERIMENTALMonthly cash transfers given to households with school aged girls conditional on regular school attendance (80%). Transfer amounts randomized within this arm.
Control Group
NO INTERVENTIONNo cash transfer program implemented in this group.
Interventions
Cash transfers were provided monthly to a randomly selected sample of school aged girls. Amounts were also varied in both treatment arms.
Eligibility Criteria
You may qualify if:
- female
- years old
- never married
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- George Washington Universitylead
- World Bankcollaborator
- University of California, San Diegocollaborator
- University of Malawicollaborator
Study Sites (1)
Zomba District, Malawi
Zomba, Malawi
Related Publications (2)
Baird S, Chirwa E, McIntosh C, Ozler B. The short-term impacts of a schooling conditional cash transfer program on the sexual behavior of young women. Health Econ. 2010 Sep;19 Suppl:55-68. doi: 10.1002/hec.1569.
PMID: 19946887RESULTBaird SJ, Garfein RS, McIntosh CT, Ozler B. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial. Lancet. 2012 Apr 7;379(9823):1320-9. doi: 10.1016/S0140-6736(11)61709-1. Epub 2012 Feb 15.
PMID: 22341825DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Berk Ozler, PhD
World Bank
- PRINCIPAL INVESTIGATOR
Craig T McIntosh, PhD
University of California, San Diego
- PRINCIPAL INVESTIGATOR
Sarah J Baird, PhD
George Washington University
- PRINCIPAL INVESTIGATOR
Ephraim Chirwa, PhD
University of Malawi
- PRINCIPAL INVESTIGATOR
Richard S Garfein, PhD
University of California, San Diego
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
April 11, 2011
First Posted
April 12, 2011
Study Start
September 1, 2007
Primary Completion
September 1, 2012
Study Completion
May 31, 2025
Last Updated
August 20, 2025
Record last verified: 2025-08