Evidence map›Paper›PMID 25530603›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2015

The impact of school subsidies on HIV-related outcomes among adolescent female orphans.

Denise Dion Hallfors, Hyunsan Cho, Simbarashe Rusakaniko, John Mapfumo, Bonita Iritani, Lei Zhang, Winnie Luseno, Ted Miller

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
10.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  7. School Support as Structural HIV Prevention for Adolescent Orphans in Western Kenya.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018
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  8. Process Evaluation of a Clinical Trial to Test School Support as HIV Prevention Among Orphaned Adolescents in Western Kenya.Prevention science : the official journal of the Society for Prevention Research · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Denise Dion HallforsThe Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina. Electronic address: Hallfors@pire.org.
Hyunsan ChoThe Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina.
Simbarashe RusakanikoDepartment of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.
John MapfumoFaculty of Education, Africa University, Mutare, Zimbabwe.
Bonita IritaniThe Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina.
Lei ZhangThe Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina.
Winnie LusenoThe Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina.
Ted MillerThe Pacific Institute for Research and Evaluation, Beltsville, Maryland.
Pacific Institute For Research and Evaluation · USAfrica University · ZWInstitute for Research and Evaluation · USUniversity of Zimbabwe · ZW

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Can Church Schools Reduce Risk of HIV Infection for Orphan Girls in Zimbabwe?R01HD055838 · NICHD · PACIFIC INSTITUTE FOR RES AND EVALUATION · PI HALLFORS, DENISE DION · 2007 to 2012
$4.0M
NIAID NIH HHS P30 AI050410NICHD NIH HHS R01 HD055838NICHD NIH HHS R01HD55838
6 · The paper itself

Abstract

purposeWe examine effects of school support as a structural HIV prevention intervention for adolescent female orphans in Zimbabwe after 5 years.

methodsThree hundred twenty-eight orphan adolescent girls were followed in a clustered randomized controlled trial from 2007 to 2010. The experimental group received school fees, uniforms, and school supplies and were assigned a school-based "helper." In 2011-2012, the control group received delayed partial treatment of school fees only. At the final data point in 2012, survey, HIV, and Herpes Simplex Virus Type 2 (HSV-2) biomarker data were collected from approximately 88% of the sample. Bivariate and multivariate analyses were conducted on end point outcomes, controlling for age, religious affiliation, and baseline socioeconomic status.

resultsThe two groups did not differ on HIV or HSV-2 biomarkers. The comprehensive 5-year intervention continued to reduce the likelihood of marriage, improve school retention, improve socioeconomic status (food security), and marginally maintain gains in quality of life, even after providing school fees to the control group.

conclusionsPaying school fees and expenses resulted in significant improvements in life outcomes for orphan adolescent girls. Biological evidence of HIV infection prevention, however, was not observed. Our study adds to the growing body of research on school support as HIV prevention for girls in sub-Saharan Africa, but as yet, no clear picture of effectiveness has emerged.

Indexed as

AdolescentChild, OrphanedCluster AnalysisFemaleHIV InfectionsHumansQuality of LifeSchoolsSocioeconomic FactorsZimbabweHIV preventionOrphanRandomized Control TrialSub-Saharan Africa

Identifiers

PMID25530603
PMCPMC4274377
OpenAlexW2010849360

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.