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The Communication Initiative
After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
Co-founder Victoria Martin is pleased to see this work continue under Wits' leadership. Victoria knows that co-founder Warren Feek (1953–2024) would have felt deep pride in The CI Global's Africa-led direction.
 
We honour the team and partners who sustained The CI for decades. Meanwhile, La Iniciativa de Comunicación (CILA) continues independently at cila.comminitcila.com and is linked with The CI Global site.
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Cash Transfer for HIV Prevention - 90% of Studies Measuring Change in Sexual Behaviours Found a Positive Impact

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Strategy researched

Using cash for prevention of sexual transmission of HIV, with the purpose of the transfer varying by study (and conditionality or not): school attendance, school completion, poverty alleviation, and completion of health promotion activities, such as sexually transmitted infection (STI)/HIV testing

Impact achieved

Overall, the majority of studies that have measured a change in sexual behaviours found a positive impact (9/10). At 18-month follow up, one RCT (involving 1,289 individuals) - the Schooling, Income, and HIV Risk (SIHR) trial - found lower HIV and lower herpes simplex virus 2 (HSV-2) prevalence among the intervention participants compared to the controls: HIV prevalence [adjusted odds ratio (aOR) 0.36 (95% confidence interval (CI): 0.14,0.91)] and HSV-2 prevalence [aOR: 0.24 (95% CI: 0.09,0.65)].

Countries of study

LMICs

Research methodology

Systematic review with 16 studies, of which 15 are RCTs

Journal

The Lancet; 2012

Journal paper title and link

Can money prevent the spread of HIV? A review of cash payments for HIV prevention

Excerpt from Abstract

"Most have seen reductions in sexual behavior and one large trial has documented a difference in HIV prevalence between young women getting cash transfers and those not. Cash transfer programs focused on changing risky sexual behaviors to reduce HIV risk suggest promise. The context in which programs are situated, the purpose of the cash transfer, and the population will all affect the impact of such programs; ongoing RCTs with HIV incidence endpoints will shed more light on the efficacy of cash payments as strategy for HIV prevention."

Summary at this link