About this trial
The goal of this study is to evaluate the effectiveness and implementation of an unconditional cash transfer intervention to improve mental bandwidth, ART adherence, and postpartum retention among pregnant women with HIV in Botswana.
The main questions it seeks to answer are:
1. Do unconditional monthly cash transfers improve mental bandwidth relative to usual care among pregnant women with HIV? 2. Do unconditional monthly cash transfers improve ART adherence (PDC) during pregnancy and the postpartum period? 3. Is delivery of UCTs via mobile money feasible and acceptable in public ANC clinics in Botswana? 4. What barriers and facilitators affect implementation, and how should the model be adapted for a larger trial or a policy pilot (e.g., a pregnancy support grant)?
Eligibility criteria
Qualifiers
Age 18 years or greater
Botswana citizen
Seeking/receiving antenatal care at antenatal clinics managed by the District Health Management Teams in Gaborone and Mogoditsane-Thamaga District
Confirmed pregnancy by standard laboratory methods (generally urine testing)
Disqualifiers
Does not meet all of the inclusion criteria
Unable to provide consent
Cognitive impairment, per discretion of study staff
Cannot be in the same household as another enrolled study participant
Trial design
Treatments tested in this trial
- Unconditional Cash Transfer (UCT)
Treatment groups
Sponsors and collaborators
University of Pennsylvania
Lead sponsor
University of Botswana
Collaborator
National Institute of Mental Health (NIMH)
Collaborator