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No studies so far have used biological measures of HIV or other STIs in their assessments, and only one considered ART adherence as an end result. The majority of microfinance studies included a microcredit or mortgage part to help small business development, or a vocational coaching element, but few have centered on asset-constructing. The Undarga examine amongst avenue-primarily based intercourse staff in Ulaanbaatar, Mongolia, is the primary to have addressed this, using a randomized controlled trial design to test the efficacy of a financial savings-led microfinance program in combination with HIVRR . The good thing about financial savings-led interventions over microcredit interventions is that they allow participants to build up belongings sooner and pay for life events without accumulating debt and an over-reliance on microloans, for which interest rates can be onerous. This makes them much less prone to cause extra financial strains for populations like FSW, which already face important monetary burdens.
In addition, a qualitative element will study women’s personal reactions to each of the HIVRR+MF parts, factors promoting the usage of the intervention, and limitations which will impede their participation and the fidelity of intervention implementation. Finally, a cost-effectiveness component is included to estimate the prices and price-effectiveness of the HIVRR+MF intervention on averted cumulative STIs, HCV, and HIV over the 12-month period. While this research suggests the success of financial savings-led microfinance for HIV-threat reduction amongst FSW, gaps remain within the proof base for microfinance for HIV-risk reduction amongst women who use drugs. The four research detailed above are the only ones which have targeted female sex workers, and solely certainly one of these three focused FSW who used medication. Furthermore, previous research have assessed a limited range of outcomes, mostly self-reported sexual danger behaviors.
Repeated behavioral and biological assessments shall be carried out at baseline, then at 6, 9, and 15 months publish randomization/session 1. Saduakassova mentioned that she believes the word feminism has a nasty or unwanted which means in former Soviet nations. “I’d like to say that feminism isn’t about simply preventing for women’s rights,” she stated. It can be about preventing main issues similar to youngster marriage or kidnapping women and forcing them into marriage, she said. Smerdon believes that ladies could also be more more likely to play chess in gender-unequal international locations because chess video games are judged without discrimination.
Sessions are carried out in Russian by educated feminine facilitators and final for roughly 2 h. Participants receive small financial incentives (US$12/session) for sessions attended, in addition to small secure-sex kits of condoms and lubricant. Secondary aims of the research embrace an examination of how examine outcomes are moderated by personal and structural traits, together with sociodemographics, substance use historical past, legal justice history, sexual history, etc. Secondary goals additionally embody an examination of how examine outcomes are mediated by a number of key, theory-pushed variables, such as monetary literacy knowledge and skills, HIV data, condom use self-efficacy, se end result expectations, etc.
Nongovernmental organizations, as well as government officers, have famous a rise in home violence circumstances all through the nation, Kim says. She cites Aida Balaeva, minister of knowledge and social improvement, who famous that in the course of the pandemic the number of home violence instances elevated by %. “Unfortunately, women’s rights usually are not properly protected in Kazakhstan,” she says, including that the organization wrote a letter to the president of Kazakhstan in search of enhancements to women’s rights protections but to no avail.
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Diana Tansary, a human rights defender in Kazakhstan, is the director of the victim assistance fund Don’t Keep Silent KZ and writer of the book “The Entrance.” As a baby, she was abused, and as an adult, she has turned toward defending women’s rights. This is to be anticipated given the complexity of the topic and the issues associated with talking usually about a whole country and its individuals. We would encourage you to share your experiences; your contributions will help to make Country Insights a richer setting for learning. During the Russian and later the Soviet rule many Kazakh conventional values and customs seized to exist for the reason that nation was involved in creating a new Soviet particular person and a brand new Soviet tradition.
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However, we discovered no microfinance applications that either goal or incorporate drug users or sex workers. Microfinance lenders could think about these risk teams too unstable or unreliable for loans, and stigma against kazakh bride these danger teams might result in them being missed for different types of microfinance programming. The study employs a two-arm, cluster-randomized managed trial (c-RCT) design.
Participants in Undarga had been randomized to receive both a four-session HIVRR intervention alone, or the same 4-session HIVRR intervention and a financial savings-led microfinance program. The microfinance parts included monetary literacy training, a business development coaching with mentorship, and a matched financial savings program to assist women establish small businesses. Given how these dangers are rooted in women’s low economic and monetary standing, promoting women’s economic empowerment could provide structural protection from HIV.
Kazakhstan is a region the place women are traditionally expected to play the archetypal position of stay-at-house moms, yet they contribute an enormous quantity to the country’s GDP, says Anton Kim, head of promoting, ForteBank. It extends from the Caspian Sea within the west to the Altai Mountains at its eastern border with China and Russia. In March, a state of emergency was declared within the country and quarantine measures had been introduced.
Structural approaches to HIV prevention are characterised by Gupta et al. as those which address the bodily, social, economic, and coverage environments which create vulnerability to HIV . This includes programs which search to alleviate the financial inequalities faced by excessive-threat women . “Microfinance” has been recognized as an necessary structural intervention for HIV prevention and improved access to testing, care, and treatment . In Kazakhstan, microfinance played a vital function within the establishment of private enterprise after the fall of the Soviet financial system . Microfinance applications normally embody a collaboration between a banking institution and an NGO or United Nations agency, providing business steerage corresponding to product development and marketing in combination with a microloan .