2011 AJPH Paper of the Year 2011 American Journal of Public Health Paper of the Year



The full paper citation is:

Hallfors, D., Cho, H., Rusakaniko, S., Iritani, B., Mapfumo, J., Halpern, C. (2011). Supporting Adolescent Orphan Girls to Stay in School as HIV Risk Prevention: Evidence from a Randomized Controlled Trial in Zimbabwe. American Journal of Public Health.; 101:1082-1088.


The paper reported study findings from a cluster randomized controlled trial testing whether providing school fees, uniforms, and school supplies could help keep orphan adolescent girls in school and prevent HIV risk behaviors. After two years, the intervention significantly reduced school dropout by 82% and early marriage by 63%. Compared with control participants, the intervention group also reported greater school bonding, better future expectations, more equitable gender equity attitudes, and more concerns about the consequences of sex. Study participants lived in rural areas and were, on average, 13-14 years old at follow-up. A cost effectiveness analysis (CEA), led by PIRE Co-Investigator Ted Miller, found that support for day school, but not for boarding school, was cost effective; boarding school was much more expensive and did not improve benefits. The CEA paper is in press at Prevention Science:

Miller, T., Hallfors, D., Cho, H., Luseno, W., Waehrer, G. (2012). Cost-Effectiveness of School Support for Orphan Girls to Prevent HIV Infection in Zimbabwe. Prevention Science. In press.


2011 AJPH Paper of the Year




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