9 research outputs found
Random effects model of the odds of reducing early childbearing.
Key: VE: Violence Prevention and Education (involving cash transfer); VEH: Violence Prevention and Education (involving cash transfer) and Health Intervention; VEHW: Violence Prevention and Education (involving cash transfer) and Health Intervention and Wealth Creation [Kibera and Wajir refer to two sites in Kenya].</p
Search strategy.
Becoming pregnant and giving birth under the age of 20 is associated with a range of adverse social, socioeconomic and health outcomes for adolescent girls and their children in Low and middle income countries. Cash transfers are an example of a structural intervention that can change the local social and economic environment, and have been linked with positive health and social outcomes across several domains. As part of a wider review of structural adolescent contraception interventions, we conducted a systematic review on the impact of cash transfers on adolescent contraception and fertility. Fifteen studies were included in the review with eleven studies providing evidence for meta-analyses on contraception use, pregnancy and childbearing. The evidence suggests that cash transfer interventions are generally ineffective in raising levels of contraceptive use. However, cash transfer interventions did reduce levels of early pregnancy (OR 0.90, 95% CI 0.81 to 1.00). There was suggestive evidence that conditional, but not unconditional, cash transfers reduce levels of early childbearing. Given that much of the evidence is drawn from interventions providing cash transfers conditional on school attendance, supporting school attendance may enable adolescent girls and young women to make life choices that do not involve early pregnancy.</div
Characteristics of studies & quality assessment tables–CASP tool for cohort studies, quality assessment tables–CASP tool for RCT studies.
Characteristics of studies & quality assessment tables–CASP tool for cohort studies, quality assessment tables–CASP tool for RCT studies.</p
Random effect model of the odds of contraceptive use at post-test.
Key: VE: Violence Prevention and Education (involving cash transfer); VEH: Violence Prevention and Education (involving cash transfer) and Health Intervention; VEHW: Violence Prevention and Education (involving cash transfer) and Health Intervention and Wealth Creation [Kibera and Wajir refer to two sites in Kenya].</p
Flow of studies through the review.
Becoming pregnant and giving birth under the age of 20 is associated with a range of adverse social, socioeconomic and health outcomes for adolescent girls and their children in Low and middle income countries. Cash transfers are an example of a structural intervention that can change the local social and economic environment, and have been linked with positive health and social outcomes across several domains. As part of a wider review of structural adolescent contraception interventions, we conducted a systematic review on the impact of cash transfers on adolescent contraception and fertility. Fifteen studies were included in the review with eleven studies providing evidence for meta-analyses on contraception use, pregnancy and childbearing. The evidence suggests that cash transfer interventions are generally ineffective in raising levels of contraceptive use. However, cash transfer interventions did reduce levels of early pregnancy (OR 0.90, 95% CI 0.81 to 1.00). There was suggestive evidence that conditional, but not unconditional, cash transfers reduce levels of early childbearing. Given that much of the evidence is drawn from interventions providing cash transfers conditional on school attendance, supporting school attendance may enable adolescent girls and young women to make life choices that do not involve early pregnancy.</div
Logic model of CCT and UCT interventions.
Becoming pregnant and giving birth under the age of 20 is associated with a range of adverse social, socioeconomic and health outcomes for adolescent girls and their children in Low and middle income countries. Cash transfers are an example of a structural intervention that can change the local social and economic environment, and have been linked with positive health and social outcomes across several domains. As part of a wider review of structural adolescent contraception interventions, we conducted a systematic review on the impact of cash transfers on adolescent contraception and fertility. Fifteen studies were included in the review with eleven studies providing evidence for meta-analyses on contraception use, pregnancy and childbearing. The evidence suggests that cash transfer interventions are generally ineffective in raising levels of contraceptive use. However, cash transfer interventions did reduce levels of early pregnancy (OR 0.90, 95% CI 0.81 to 1.00). There was suggestive evidence that conditional, but not unconditional, cash transfers reduce levels of early childbearing. Given that much of the evidence is drawn from interventions providing cash transfers conditional on school attendance, supporting school attendance may enable adolescent girls and young women to make life choices that do not involve early pregnancy.</div
PRISMA checklist.
Becoming pregnant and giving birth under the age of 20 is associated with a range of adverse social, socioeconomic and health outcomes for adolescent girls and their children in Low and middle income countries. Cash transfers are an example of a structural intervention that can change the local social and economic environment, and have been linked with positive health and social outcomes across several domains. As part of a wider review of structural adolescent contraception interventions, we conducted a systematic review on the impact of cash transfers on adolescent contraception and fertility. Fifteen studies were included in the review with eleven studies providing evidence for meta-analyses on contraception use, pregnancy and childbearing. The evidence suggests that cash transfer interventions are generally ineffective in raising levels of contraceptive use. However, cash transfer interventions did reduce levels of early pregnancy (OR 0.90, 95% CI 0.81 to 1.00). There was suggestive evidence that conditional, but not unconditional, cash transfers reduce levels of early childbearing. Given that much of the evidence is drawn from interventions providing cash transfers conditional on school attendance, supporting school attendance may enable adolescent girls and young women to make life choices that do not involve early pregnancy.</div
Study characteristics–for more detailed description see S2 Appendix.
Study characteristics–for more detailed description see S2 Appendix.</p
Random effect model of the odds of having experienced pregnancy at post-test.
Key: VE: Violence Prevention and Education (involving cash transfer); VEH: Violence Prevention and Education (involving cash transfer) and Health Intervention; VEHW: Violence Prevention and Education (involving cash transfer) and Health Intervention and Wealth Creation [Kibera and Wajir refer to two sites in Kenya]; Baseline schoolgirls = in school at start of intervention; Baseline dropouts = dropped out of school at start of intervention; CCT = Conditional Cash Transfer; UCT = Unconditional Cash Transfer; GE: Girl Empower (involving cash transfer); GE+ = Girl Empower Plus (involving additional cash transfer).</p