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Table 1 Panel A. Summary of programmes

From: Systematic review of cash plus or bundled interventions targeting adolescents in Africa to reduce HIV risk

Adolescent Girls Empowerment Program (AGEP)

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

1

Austrian, Soler-Hampejsek, Behrman, et al., 2020

Adolescent girls 10–19 in urban and rural Zambia

Zambia

Adolescent girls 10–19 in urban and rural Zambia

Adolescent Girls Empowerment Program (AGEP)

Health voucher for general wellness and SRH services; adolescent-friendly savings account; financial education

Mentor-led girl groups (“safe spaces”) with curricula delivered about SRH, HIV, life skills and financial education

Weekly for 2 years; Arm 1 was weekly meetings; Arm 2 was weekly meetings with health voucher; Arm 3 was weekly meetings, health voucher, savings account; Arm 4 was control (no interventions)

Adolescent Girls Initiative-Kenya (AGI-K)

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

2

Austrian, Soler-Hampejsek, Kangwana, et al., 2021

Adolescent girls in urban and rural Kenya

Kenya (Nairobi and Wajir)

Adolescent girls 11–14 (at baseline) in urban and rural Kenya; must be residing in study area and not enrolled in boarding school

Adolescent Girls Initiative-Kenya (AGI-K)

Education: cash and in-kind (school fees, school kits) transfers conditional on school enrollment of the girl

Wealth creation: financial education and savings and activities

Violence prevention: committees developed action plans and a proposed budget to address violence-in Kibera, new resource centers or libraries for girls; in Wajir, improving primary schools

Health: health and life-skills training led by a trained female mentor

2 years

3

Austrian, Soler-Hampejsek, Kangwana, et al., 2022

11–14 year old girls + whole community was targeted for violence prevention dialogue

Kenya (Wajir)

Girls 11–14 years + community members

Adolescent Girls Initiative-Kenya (AGI-K)

CCT (condition = education) and financial literacy training on wealth creation; savings activities

Community dialogue about inequitable gender norms as violence prevention, group meetings for health and life skills curricula; weekly mentor-led group meetings covering health, life skills, financial education curricula and savings activities

2 years

4

Kangwana, Austrian, Soler-Hampejsek, 2022

AGYW

Kenya

Girls 11–14 years

Adolescent Girls Initiative - Kenya

Conditional cash transfer (education) and savings activities (wealth).

Community dialogues on unequal gender norms and their consequences (vIolence prevention), health and life skills training (health), and financial literacy training.

24 months

Biruh Tesfa (Bright Future)

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

5

Erulkar, Ferede, Girma, et al., 2013

Out-of-school girls ages 10–19 in slum areas of urban Ethiopia

urban areas in Ethiopia (Addis Ababa, Gondar, and Bahir Dar)

Adolescent girls 12–19 years

Biruh Tesfa (Bright Future)

financial literacy curriculum

Group meetings; Life skills covered self-esteem, communication, gender/power dynamics, rape, coercion, menstruation, reproductive autonomy, STI/HIV, counseling, and testing, as well as optional literacy component

30 months of implementation; curriculum is approximately 30 hours

Bridges to the Future & BridgesPLUS

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

6

Kivumbi, Byansi, Ssewamala, et al., 2019

Female adolescent orphans who lost one or bother parents to AIDS, lived within a family, and were enrolled in grad 5 or 6 of government aided primary school

Uganda

Adolescent girls 10–16 years

Bridges to the Future

Used data from Bridges to the Future Study - bolstered standard of care as well as an economic empowerment intervention comprising of a child development account and workshops on financial management and microenterprise development

Mentorship with peer mentors throughout the intervention period

Not specified

DREAMS (to include Sauti Project)

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

7

Birdthistle, Kwaro, Shahmanesh, et al., 2021

AGYW 15–24 years old

Gem, Kenya & uMkhanyakude, South Africa (DREAMs sites)

Adolescent girls and young women 15–24 years

DREAMS

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

Not specified

8

Birdthistle, Carter, Mthiyane, et al., 2022

AGYW 15–22years  in

Nairobi slum settlements; AGYW 13–22 years

in rural KwaZulu-Natal

Nairobi, Kenya & rural KwaZulu-Natal, South Africa

Adolescent girls and young women 13–22 years

DREAMS

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

Not specified

9

Chabata, Hensen, Chiyaka, et al., 2021

Young women aged 18–24 who sell sex

Zimbabwe

Young women 18 to 24 years

DREAMS

DREAMS package was delivered through several implementing partners in the two cities; services available included social protection, life skills, education and vocational training.

DREAMS package was delivered through several implementing partners in the two cities; services available included gender-based violence prevention and care, and HIV prevention, including condom promotion and distribution, an offer of PrEP combined with community empowerment and adherence support for those at highest risk of HIV. Community-based activities aimed to increase demand for and uptake of PrEP and the DREAMS package more generally, and to support PrEP adherence.

24 months

10

Floyd, Mulwa, Magut, et al., 2022

AGYW aged 13–22

Kenya and South Africa

Adolescent girls and young women 13–22 years

DREAMS

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

Up to 4 years in Kenya; Up to 2 years in South Africa

11

Gourlay, Floyd, Magut, et al., 2022

AGYW 13–22 years

Kenya (Gem and Nairobi), South Africa (uMkhanyakude)

Adolescent girls and young women 13–22 years

DREAMS

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

2 years (2016–2018, 3 years post-DREAMS baseline implementation

12

Govender, Beckett, Reddy, et al., 2022

AGYW aged 12–22

South Africa

Adolescent girls and young women 12–22 years

DREAMS-like interventions (DREAMS and other similar interventions)

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

1 year

13

Kuringe, Christensen, Materu, et al., 2022

Out-of-school AGYW

Tanzania

Adolescent girls and young women 15–23 years

DREAMS (Sauti project)

cash transfer quarterly

10-hour sessions of social and behavior change communication

Not specified

14

Mathur, Heck, Kishor Patel, et al., 2022

AGYW enrolled in DREAMS

Kenya, Malawi & Zambia

Adolescent girls and young women 10–24 years

DREAMS

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

24 months

15

Mthiyane, Baisley, Chimbindi et al., 2022

AGYW aged 13–22

South Africa (rural)

Adolescent girls and young women 13–22 years

DREAMS

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

Not specified

16

Mulwa, Osindo, Wambiya, et al., 2021

AGYW participating in DREAMS

Kenya

Adolescent girls and young women 15–22 years

DREAMS

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

24 months

17

Pelletier, Derado, Maoela, et al., 2022

Pregnant AGYW attending antenatal clinics

Lesotho

Adolescent girls and young women 15–24 years

DREAMS

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

4 years

18

Van Heerden, Sausi, Oliver, et al., 2020

AGYW & their caregivers - in DREAMS and not

Lesotho

Adolescent girls and young women 10–24 years + their caregivers

DREAMS

Social asset building: internal lending communities (savings-led microfinance); financial education and entrepreneurship training; job placement. Caregiver intervention: opportunity to participate in internal lending community.

Adolescent-friendly health services, referrals & linkages to services, community service provision days (events to make community members aware of services). Caregiver intervention focused on capacity building for caregivers, building parenting skills.

2 years (in Lesotho - began in 2015); study took place 8 months after onset of intervention

19

Wambiya, Gourlay, Mulwa, et al., 2023

AGYW aged 13–22

Kenya and South Africa

Adolescent girls and young women 13–22 years

DREAMS

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

DREAMS core packages include strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

Not specified

Empowerment and Livelihood for Adolescents (ELA)

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

20

Bandiera, Buehren, Burgess, et al., 2020

Adolescent girls 14–20 participating in BRAC clubs in urban and rural Uganda

Uganda (urban and rural settings)

Adolescent girls 14–20 years

Empowerment and Livelihood for Adolescents (ELA)

vocational skills training through a series of courses on income-generating activities (e.g., hairdressing, computing, etc.) with focus on establishing small-scale enterprises. Supplemented with financial literacy courses (budgeting, etc.). Two years after intervention started, limited microfinance was offered to girls in half of treatment areas (very low take-up).

life skills (given by community mentors close in age or BRAC staff) and include courses on SRH, menstruation, pregnancy, STIs, HIV awareness, family planning, and rape; also include conflict management and negotiation skills along with practical legal knowledge (e.g., bride price, child marriage, and VAW).

2 years

21

Buehren, Goldstein, Gulesci, et al., 2017

AGYW

Tanzania

Adolescent girls (age range not specified)

Empowerment and Livelihood for Adolescents (ELA)

livelihoods training (education on IGAs), financial education. Microcredit services (provided to half of the girls’ clubs - only older adolescents) & financial literacy training

adolescent development centers (girls clubs, meant to be safe spaces), life-skills training (SRH, family planning, etc.), and sensitization meetings with the parents and village elders

Approximately 1–1.5 years (not clearly specified)

Girl Empower

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

22

Özler, Hallman, Guimond, et al., 2020

Adolescent girls 13–14 years

Liberia

Adolescent girls 13–14 years

Girl Empower

GE: cash to start savings account, a savings book and a cash box ($2 per month for a total of $16 during the eight-month implementation).GE+: caregivers of program participants received of a payment of $1.25 for each of the 32 regular sessions that the adolescent girl attended (maximum $40).

GE & GE+: weekly meetings with female mentors, aged 20 to 35, for a total of 39 weeks in safe spaces designated by community. 2 mentors per group (130 mentors in total) to facilitate 32 weekly sessions based on a life skills curriculum, covering: Sense of self; Feelings and emotions; Social networks; Protection and safety; Financial literacy; Reproductive Health; Leadership and Empowerment; and Setting life goals. Additional 7 weeks of meetings to prepare community action event & graduation ceremonies. Caregivers: 8 monthly facilitated sessions to reinforce content & encourage protection of girls in their communities.

46 weeks

The SHAZ (Shaping the Health of Adolescents in Zimbabwe) Project

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

23

Dunbar, Maternowska, Kang, et al., 2010

Adolescent female orphans in semi-urban Zimbabwe

Zimbabwe

Orphaned adolescent girls and young women < 20 years

SHAZ!

Access to microcredit loans ($51–87 USD), business training/mentoring, skill-building (e.g., making soap) workshops. Loan repayment in 3–9 months at 30% interest.

Life-skills education - HIV, SRH knowledge and skills, and issues related to gender, culture, physical/sexual violence

6 months: Life skills were 10 sessions; Business training was 4 days.

24

Dunbar, Kang Dufour, Lambdin, et al., 2014

Adolescent female orphans (16–19 y/o) out of school, HIV-uninfected, not pregnant, living in high-density urban area

Zimbabwe (Chitungwiza)

Adolescent girls and young women 16–19 years

SHAZ!

Vocational training, guidance counseling and a micro-grant (100 USD) and financial literacy education

HIV and sexual and reproductive health screenings; conducted life skills curriculum (Drawing on Stepping Stones and CDC Zimbabwe Talk Time) which included HIV/STI and reproductive health; relationship negotiation; strategies to avoid violence; and identification of safe and risky places in the community; and home-based care training

6 months (on average)

Suubi

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

25

Curley, Ssewamala, Nabunya, et al., 2016

AIDS-orphans (lost one or more parents due to AIDS) in Uganda between ages 11 and 17

Uganda

Adolescent girls 11–17 years

Suubi

Family based economic component: workshops that focus on financial education, asset building, and career planning; 2) mentorship from near-peers to reinforce learning; and 3) a joint CDA in both the child’s and caregiver’s name

Monthly mentorship (received by treatment only), support and counseling from faith-based organizations in the target community plus school supplies (received by treatment & controls)

Not specified

26

Ssewamala, Ismayilova, McKay, et al., 2010

Adolescents who lost 1+ parents from AIDS & were enrolled in school

Uganda

Male and female adolescents ~ 13 years

SUUBI

Matched CSA and 12 1–2-hour workshops over a 10-month period focused on asset building and financial planning, including topics related to asset-building strategies, including saving, education, and small business development

Standard of care: counseling and educational related supplies (including textbooks), health education (including AIDS-focused education) provided through a nationwide school-based curriculum, monthly mentoring on future planning and life options

10 months

27

Ssewamala, Nielands, Waldfogel, 2012

Adolescent orphans, having lost one or both parents to HIV/AIDS, enrolled in the last 2 years of primary school

Uganda

Male and female adolescents 10–16 years

SUUBI

Comprehensive microfinance intervention comprising matched savings accounts, financial management workshops & small business classes

Standard of care: counseling and educational related supplies (including textbooks), health education (including AIDS-focused education) provided through a nationwide school-based curriculum, monthly mentoring on future planning and life options

5 years

(2012–2017)

28

Ssewamala, Brathwaite, Neilands, et al., 2023

Adolescent girls

Uganda

Adolescent girls 14–17 years

Suubi

1-to-1 matched savings youth development account (YDA)

Evidence-based family strengthening intervention designed to enhance youth behavioral health

2 years

Suubi-Maka Project

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

29

Jennings, Ssewamala, Nabunya, 2016

Adolescent orphans (lost one or bother parents to AIDS) in the last 2 years of primary schooling & were living within a family, & their caregivers

Uganda

Male and female adolescents 10–17 years + their caregivers

Suubi-Maka Project

Financial education, and a matched CSA held in the adolescent orphan’s name (match limit equivalent to US$10 a month), financial education & mentoring

Usual orphan care services (counseling services, school lunch, and scholastic materials (textbooks and uniforms)) plus monthly mentoring (both control and treatment groups received orphan care + mentoring)

12 months

30

Karimli & Ssewamala 2015

Adolescent orphans, having lost one or both parents to HIV/AIDS, enrolled in the last 2 years of primary school, and living within a family setting

Uganda

Adolescent girls < 18 years

Suubi-Maka Project

Suubi-Maka: [1] a matched savings account (Child Savings Account – CSA) held in the adolescent’s name with his/her parent/guardian as a co-signatory in a recognized financial institution. Any of the adolescent’s family members, relatives, or friends were allowed to contribute towards the CSA. The account was then matched with money from the intervention program. The match cap was an equivalent of US$10 a month per family or US$200 for the 20-month intervention period. The match rate was 2:1. Participant & their guardians attended four training sessions on financial management covering microenterprise development principles, working with financial institutions, savings and investment, and goal-specific training focused on particular businesses (e.g., chicken rearing).

Suubi-Maka: control group received enhanced usual care for orphans in the study region, which consisted of counseling, food aid (school lunches), scholastic materials (textbooks and notebooks), and mentorship.

20 months

31

Ssewamala, Karimli, Torsten, et al., 2016

Adolescents orphaned by AIDS in the last 2 years of primary school

Uganda

Male and female adolescents 12–16 years

Suubi-Maka Project

Family-level economic strengthening intervention in the form of a matched Child Savings Account (Suubi-Maka treatment arm) - matched by up to $10USD/family/month for 12 months. Participants also received 10 1–2 hour microenterprise development workshops on starting family-based income-generating activities & financial management (including how to save money)

Standard of care (counseling, school uniforms, school lunch, notebooks, and textbooks), “bolstered” with mentorship from a near-peer

1 mentorship meeting/month for 12 months

32

Tutlam, Filiatreau, Byansi, et al., 2023

AIDS-orphaned adolescents

Uganda

Male and female adolescents 12–16 years

Suubi Maka

Family-level economic strengthening intervention: family-level income-generating projects (micro-enterprises) believed to enhance economic stability, reduce poverty, and enhance protective family processes for youth orphaned by AIDS; and monetary savings for educational opportunities for AIDS-orphaned children; matched savings account of $10/month

Adult mentors to children

Not specified

Suubi4Her

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

33

Filiatreau, Tutlam, Brathwaite, et al., 2023

AGYW

Uganda

Adolescent girls 14–17 years

Suubi4Her

Bank account open in name of participant and 1:1 matched savings program

Provided a safe setting for multiple families to gatherand directly discuss family challenges, shared experiences, adolescent mental health challenges, and potential strategies formitigating these challenges.

12 months

Women First and Go Girls!

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

34

Burke, Field, González-Calvo, et al., 2019

13–19-year-old girls (13–17 years at intervention start)

Mozambique

Adolescent girls and young women 13–19 years

Women First and Go Girls!

Women First, using Go Girls! curriculum: trains women to sell products door-to-door in their communities. Included business education followed by the sale of items included in a business “kit”. Participants were expected to re-pay the program for the kits with a portion of their sales to receive the next kit, with the remainder of their revenue considered profit to be spent or saved. Also included accumulated savings and credit associations to encourage saving.

Used the full Go Girls! curriculum and a locally-tailored gender-based violence (GBV) curriculum to encourage social empowerment and reduce adolescent girl participants’ vulnerability to HIV. The intervention also had the goal of encouraging girls to stay in school.

5 years (but start dates and implementation methods varied across communities due to logistic constraints)

Women of Worth (cash plus)

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

35

Naledi, Little, Pike,

et al., 2022

AGYW 19–24 years

Cape Town, South Africa

Adolescent girls and young women 19–24 years

Women of Worth (cash plus)

Cash transfer of R300 ($22) paid after attendance at each session

“Care” interventions: [1] 12 facilitator-led, group skills building sessions to address a range of SRH/HIV determinants, [2] support services, including psychosocial services and [3] fixed (government) and mobile (non-governmental) YFHS with the promotion of HIV testing, contraception services, antiretroviral treatment and HIV pre-exposure prophylaxis referral.

12 sessions, 1:45 min each, to be completed anywhere from 10 weeks to 12 months. (Total duration 18 months - May 2017-December 2019)

Ujana Salama: Cash Plus Model for Safe Transitions to a Healthy and Productive Adulthood

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

36

Chzhen, Prencipe, Eataama, et al., 2021

Adolescents aged 14–19 at baseline living in households receiving government cash transfer

Tanzania

Male and female adolescents 14–19 years

Ujana Salama: Cash Plus Model for Safe Transitions to a Healthy and Productive Adulthood

Livelihoods training (12 weeks), 9 months of mentoring, and productive grant (80 USD)

Life-skills training (including HIV prevention and treatment, gender, violence; 12 weeks) and supply-side strengthening of adolescent friendly HIV and SRH servicesnd linkages to existing SRH and HIV services for adolescents

2-hour weekly sessions over a 12-week period for livelihoods and life skills training and then mentoring phase over 9 months (2x per month)

37

Palermo, Prencipe and Kajula, 2021

Adolescents aged 14–19 at baseline living in households receiving government cash transfer

Tanzania

Male and female adolescents 14–19 years

Ujana Salama: Cash Plus Model for Safe Transitions to a Healthy and Productive Adulthood

Livelihoods training (12 weeks), 9 months of mentoring, and productive grant (80 USD)

Life-skills training (including HIV prevention and treatment, gender, violence; 12 weeks) and supply-side strengthening of adolescent friendly HIV and SRH services and linkages to existing SRH and HIV services for adolescents

2-hour weekly sessions over a 12-week period for livelihoods and life skills training and then mentoring phase over 9 months (2x per month)

38

Prencipe, Houweling, van Lenthe, et al., 2022

Adolescents aged 14–19 at baseline living in households receiving government cash transfer

Tanzania

Male and female adolescents 14–19 years

Ujana Salama: Cash Plus Model for Safe Transitions to a Healthy and Productive Adulthood

Livelihoods training (12 weeks), 9 months of mentoring, and productive grant (80 USD)

Life-skills training (including HIV prevention and treatment, gender, violence; 12 weeks) and supply-side strengthening of adolescent friendly HIV and SRH services and linkages to existing SRH and HIV services for adolescents

2-hour weekly sessions over a 12-week period for livelihoods and life skills training and then mentoring phase over 9 months (2x per month)

39

Ranganathan, Quinones, Palermo et al., 2022

Adolescents aged 14–19 at baseline living in households receiving government cash transfer

Tanzania

Male and female adolescents 14–19 years

Ujana Salama: Cash Plus Model for Safe Transitions to a Healthy and Productive Adulthood

Livelihoods training (12 weeks), 9 months of mentoring, and productive grant (80 USD)

Life-skills training (including HIV prevention and treatment, gender, violence; 12 weeks) and supply-side strengthening of adolescent friendly HIV and SRH service and linkages to existing SRH and HIV services for adolescents

2-hour weekly sessions over a 12-week period for livelihoods and life skills training and then mentoring phase over 9 months (2x per month)

40

Waidler, Gilbert, Mulokozi, et al., 2022

Adolescents aged 14–19 at baseline living in households receiving government cash transfer

Tanzania

Male and female adolescents 14–19 years

Ujana Salama: Cash Plus Model for Safe Transitions to a Healthy and Productive Adulthood

Livelihoods training (12 weeks), 9 months of mentoring, and productive grant (80 USD)

Life-skills training (including HIV prevention and treatment, gender, violence; 12 weeks) and supply-side strengthening of adolescent friendly HIV and SRH service and linkages to existing SRH and HIV services for adolescents

2-hour weekly sessions over a 12-week period for livelihoods and life skills training and then mentoring phase over 9 months (2x per month)

Unnamed Intervention

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

41

Austrian & Muthengi, 2014

Adolescent girls 10–19 in low-income areas of Kampala, Uganda

Uganda

Adolescent girls and young women 10–19 years in low-income areas of Kampala, Uganda

None specified

1) financial education + savings accounts and 2) savings account only

Safe spaces group meetings with reproductive health education and social asset building (with community mentors 20–35 y/o)

Safe spaces mentorship was weekly for 30–90 minutes; reproductive health lessons were 30 sessions; lasted 12 months

42

Hegdahl, Musonda, Svanemyr, et al., 2022

Adolescent girls in grade 7

Zambia (rural)

Adolescent girls in Grade 7

None specified

Month cash transfer to the girls, yearly cash transfer to their parents/guardians, school fee coverage

Six community and parent meetings per year on the benefits of girls’ education and postponement of early marriage and child bearing; and youth clubs every second week (36 in total) providing CSE for the participants and boys in the same class

2 years

43

Tozan, Capasso, Sun, et al., 2019

Adolescents orphaned by AIDS

Uganda

Male and female adolescents 10–16 years

None specified

Incentivized savings account [Child Development Account (CDA)] with either a 1:1 match rate (Bridges) or 2:1 match rate (BridgesPLUS). All participants in Bridges and BridgesPLUS received: three sessions on financial literacy and management (FLT), including how to save, budget and support asset accumulation & six sessions on income generating activities

Standard of care for OVC (counseling by community priests and school supplies) plus eight sessions of peer mentorship

5 years (2012–2016)

Panel B. Summary of Programmes: Qualitative Studies

DREAMS (to include Sauti Project)

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

1

Chimwaza-Manda, Kamndaya, Pilgrim, et al., 2023

Very Young Adolescents (VYA)

Malawi

Adolescent girls 10–14 years: one sample participating in DREAMS Girls Only Clubs (N = 23) and comparative sample was girls who were not in clubs, in region where DREAMS was not implemented (n = 20)

DREAMS: Girls Only Club

DREAMS core packages includes strengthening families of AGYW economically (including cash transfers or education subsidies); specific components evaluated not specified

Multisectoral package of interventions including strengthening existing HIV testing, prevention, and linkage to care interventions and the introduction of evidence-based interventions for gender-based violence, family and caregiving, social asset building; specific components evaluated in this study not specified

Not specified

2

Gangaramany, Balvanz, Gichane, et al., 2021

AGYW 15–23 years, their influencers (mothers & partners), and financially empowered women 20–30 years

Tanzania

Adolescent girls and young women 15–23 years, their influencers (mothers and partners), and financially empowered women 20–30 years

DREAMS (Sauti Project)

Sauti Project WORTH+ intervention: includes entrepreneurial training, mentorship, and savings and loan groups to equip women with the necessary skills to plan their economic development more efficiently and cash transfers (SIM card, $31 USD/3 months for 18 months.

Sauti Project standard intervention package: community-based HIV testing and counseling; behavioural interventions, including peer-led education sessions to promote health-seeking behaviors by improving negotiation, self-efficacy, and condom-use skills and BCC

18 months; cash every 3 months, 10 hours of BCC education

3

Gichane, Wamoyi, Atkins, et al., 2020

Out-of-school adolescent girls and young women

Tanzania

Adolescent girls and young women 15–23 years

DREAMS (Sauti Project Worth+)

Sauti Project WORTH+ intervention: includes entrepreneurial training, mentorship, and savings and loan groups to equip women with the necessary skills to plan their economic development more efficiently and cash transfers (SIM card, $31 USD/3 months for 18 months.

Behaviour change and communication group peer-led sessions that discussed topics such as TIV AND STI prevention, gender-based violence, family planning, negotiation skills, self-efficacy/agency skills, condom skills and health seeking.

10 hours BCC training; cash transfer every 3 months for 18 months

4

Manda, Pilgrim, Kamndaya, et al., 2021

Adolescent girls participating in girls’ clubs

Malawi

Adolescent girls 12–14 years

DREAMS

DREAMS project/girls club with topics related to socioeconomic approaches for caregivers, food security and nutrition, back to school support

DREAMS project/ girls club with topics related to social asset building, HIV testing, condom information, screening for case management, post violence care, access to contraceptive information & services

24 months

5

Pettifor, Wamoyi, Balvanz, et al., 2019

Out-of-school adolescent girls and young women enrolled in DREAMS

Tanzania

Adolescent girls and young women 15–23 years

DREAMS (Sauti Worth+)

Cash transfers of approximately USD 31 were provided every 3 months for 18 months to AGYW who attended at least 10 hours of a behaviour change and communication (BCC) curriculum. Girls AGYW who completed the BCC curriculum and received cash were offered to to participate in a small group financial literacy and individual savings and loan programme called WORTH+.

DREAMS project Sauti: 10 hours of BCC curriculum

12 months

6

Wamoyi, Balvanz, Atkins, et al., 2020

AGYW participating in DREAMS CT programme (Sauti project)

Tanzania

Adolescent girls and young women 15–23 years

DREAMS (Sauti Project)

Cash transfer of TZS 70,000 ($ 31) delivered via SIM cards on mobile phones provided by Sauti project every 3 months over an 18-month period, combined with WORTH+ economic empowerment intervention comprised of financial literacy education, individual and group savings and loan, and entrepreneurship skills.

BCC package provided education on HIV and other STI prevention, gender-based violence prevention, family planning, condom use, negotiation skills, self-efficacy/agency skills, and promoted health-seeking behaviors.

18 months

7

Wamoyi, Balvanz, Gichane, et al., 2020

AGYW participating in DREAMS CT programme (Sauti project)

Tanzania

Adolescent girls and young women 15–23 years

DREAMS (Sauti Project)

Cash transfer of TZS 70,000 ($ 31) delivered via SIM cards on mobile phones provided by Sauti project every 3 months over an 18-month period, combined with WORTH+ economic empowerment intervention comprised of financial literacy education, individual and group savings and loan, and entrepreneurship skills.

BCC package provided education on HIV and other STI prevention, gender-based violence prevention, family planning, condom use, negotiation skills, self-efficacy/agency skills, and promoted health-seeking behaviors.

18 months

Girls Empowerment Programme (GEP)

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

8

Berry, Kuriansky, Little, et al., 2013

Adolescent girls and young women 17–22 years who showed potential in becoming community leaders

Lesotho

Adolescent girls and young women 17–22 years who showed potential in becoming community leaders

Girls Empowerment Programme (GEP) Camp

Half day training on income generating activities based on ILO programme, including topics on: generating your business idea; starting the business; and improving the business. Information on financial support was also provided. Half (n = 19) of the girls attended a subsequent 2-week workshop in income-generating activities.

Outward Bound Camp; psychosocial and life skills for girls’ empowerment including information on HIV/AIDS prevention.

1 week long camp; 1/2 day training module for income-generating activities

Research Initiative to Support the Empowerment of Girls (RISE)

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

9

Milimo, Zulu, Svanemyr, et al., 2021

AGYW in school enrolled in RISE intervention

Zambia

Adolescent girls and young women 14–17 years

Research Initiative to Support the Empowerment of Girls (RISE) trial

School fees (grade 8–9), writing materials, and $3 monthly grant for AGYW & $35 monthly grant for AGYW caregivers

Youth club meetings every 2 weeks for AGYW (provided comprehensive sexual and reproductive health education to adolescent males and females in and out of school). The; community dialogue meetings every 2 months for caregivers (focused on the benefits of education for adolescent females and the postponement of early pregnancy and marriage).

24 months

Women First and Go Girls!

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

10

Burke, Packer, González-Calvo, et al., 2019

Adolescent girls 13–19 years

Mozambique

Adolescent girls and young women 13–19 years in rural Mozambique

Women First and Go Girls!

Women First, using Go Girls! curriculum: trains women to sell products door-to-door in their communities. Included business education followed by the sale of items included in a business “kit”. Participants were expected to re-pay the program for the kits with a portion of their sales to receive the next kit, with the remainder of their revenue considered profit to be spent or saved. Also included accumulated savings and credit associations to encourage saving.

Used the full Go Girls! curriculum and a locally-tailored gender-based violence (GBV) curriculum to encourage social empowerment and reduce adolescent girl participants’ vulnerability to HIV. The intervention also had the goal of encouraging girls to stay in school.

6 years (but start dates and implementation methods varied across communities due to logistic constraints)

11

Lenzi, Packer, Ridgeway, et al., 2019

Girls aged 13–17 (particularly orphans/vulnerable children)

Mozambique

Adolescent girls and young women 13–17 years

Women First and Go Girls!

Trained girls to sell products such as homemade cakes, cooking oil, and soap door-to-door in their communities

Go Girl!, an intervention of 15 facilitator-led sessions covered topics such as harmful gender norms for boys and girls, how to communicate with adults and partners, puberty and pregnancy prevention, HIV prevention, staying in and returning to school, preventing unwanted advances, planning goals, and assessing values, money and gifts

Not specified

Unnamed Intervention

#

Author, year

Target Population

Location

Population: Age & Sex

Intervention Name

Intervention: Economic Component

Intervention: Life skills, Health, Behavioural, or Other Component

Duration of Intervention

12

Banda, Svanemyr, Sandøy, et al., 2019

Youth in five rural schools and surrounding communities in Monze and Pemba districts of Zambia.

Zambia (Southern Province)

Purposive sampling of youth participants in communities receiving economic, community, and youth club components of RISE trial) & community members

None specified

Monthly cash transfers and school fees for participating girls

Community meetings and youth clubs (for girls) to provide SRH education, life skills (HIV, family planning, pregnancy, menstruation, negotiation, conflict resolution, management skills, legal knowledge on women’s issues), recreational activities, with female mentors

Intervention was 2 years and qualitative data were collected 14 months into the trial.

13

Mason, Zulaika, van Eijk, et al., 2022

AGYW attending secondary day school

Kenya

Adolescent girls and young women (age range not specified)

None specified

Cash transfer (KES1500 per school term), conditional upon 80% or greater attendance of school

Menstrual cup use + puberty and hygiene education (e.g., SRH knowledge and menstrual hygiene)

5 years

14

Sitienei & Pillay, 2019

Orphans & vulnerable children (OVC) selected from a community-based organization (CBO)

South Africa

Orphaned male and female adolescents 10–18 years

None specified

School fees and assisting the caregivers with obtaining grants from the government.

Psychosocial support/mentoring, healthcare, life skills training, and transport.

2 years

15

Skovdal, 2010

Caregiving children for parents with HIV/AIDS

Kenya

Male and female adolescents 12–17 years

None specified

Children are given cash or provided with items (e.g., chickens) for their activities

Children split into clubs & trained to develop action plan, project management, & book keeping skills

21 months