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Can cash transfer interventions increase contraceptive use and reduce adolescent birth and pregnancy in low and middle income countries? A systematic review and meta-analysis

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 soci...

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Autores principales: Kneale, Dylan, Kjaersgaard, Abel, de Melo, Malica, Joaquim Picardo, Joelma, Griffin, Sally, French, Rebecca S., Burchett, Helen E. D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635429/
https://www.ncbi.nlm.nih.gov/pubmed/37943721
http://dx.doi.org/10.1371/journal.pgph.0001631
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author Kneale, Dylan
Kjaersgaard, Abel
de Melo, Malica
Joaquim Picardo, Joelma
Griffin, Sally
French, Rebecca S.
Burchett, Helen E. D.
author_facet Kneale, Dylan
Kjaersgaard, Abel
de Melo, Malica
Joaquim Picardo, Joelma
Griffin, Sally
French, Rebecca S.
Burchett, Helen E. D.
author_sort Kneale, Dylan
collection PubMed
description 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.
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spelling pubmed-106354292023-11-10 Can cash transfer interventions increase contraceptive use and reduce adolescent birth and pregnancy in low and middle income countries? A systematic review and meta-analysis Kneale, Dylan Kjaersgaard, Abel de Melo, Malica Joaquim Picardo, Joelma Griffin, Sally French, Rebecca S. Burchett, Helen E. D. PLOS Glob Public Health Research Article 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. Public Library of Science 2023-11-09 /pmc/articles/PMC10635429/ /pubmed/37943721 http://dx.doi.org/10.1371/journal.pgph.0001631 Text en © 2023 Kneale et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kneale, Dylan
Kjaersgaard, Abel
de Melo, Malica
Joaquim Picardo, Joelma
Griffin, Sally
French, Rebecca S.
Burchett, Helen E. D.
Can cash transfer interventions increase contraceptive use and reduce adolescent birth and pregnancy in low and middle income countries? A systematic review and meta-analysis
title Can cash transfer interventions increase contraceptive use and reduce adolescent birth and pregnancy in low and middle income countries? A systematic review and meta-analysis
title_full Can cash transfer interventions increase contraceptive use and reduce adolescent birth and pregnancy in low and middle income countries? A systematic review and meta-analysis
title_fullStr Can cash transfer interventions increase contraceptive use and reduce adolescent birth and pregnancy in low and middle income countries? A systematic review and meta-analysis
title_full_unstemmed Can cash transfer interventions increase contraceptive use and reduce adolescent birth and pregnancy in low and middle income countries? A systematic review and meta-analysis
title_short Can cash transfer interventions increase contraceptive use and reduce adolescent birth and pregnancy in low and middle income countries? A systematic review and meta-analysis
title_sort can cash transfer interventions increase contraceptive use and reduce adolescent birth and pregnancy in low and middle income countries? a systematic review and meta-analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635429/
https://www.ncbi.nlm.nih.gov/pubmed/37943721
http://dx.doi.org/10.1371/journal.pgph.0001631
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