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Coping with risk : the effects of shocks on reproductive health and transactional sex in rural Tanzania, Volume 1
Author:de Walque, Damien; Dow, William H.; Gong, Erick; Country:Tanzania;
Date Stored:2014/01/22Document Date:2014/01/01
Document Type:Policy Research Working PaperSubTopics:Gender and Health; Health Monitoring & Evaluation; Population Policies; Adolescent Health; Gender and Law
Language:EnglishMajor Sector:Health and other social services
Rel. Proj ID:TZ-Conditional Cash Transfers For Hiv/Sti Prevention -- -- P113775;Region:Africa
Report Number:WPS6751Sub Sectors:Health
Collection Title:Impact Evaluation series ; no. IE 114Policy Research working paper ; no. WPS 6751Paper is funded by the Knowledge for Change Program (KCP)TF No/Name:TF097789-Evaluating conditional cash transfers schemes in Africa as safety net m; TF092758-EVALUATING CONDITIONAL CASH TRANSFERS TO HIV AND OTHER SEXUALLY TRANMIT; TF011308-BNPP-SEXUAL
Volume No:1  

Summary: Transactional sex is believed to be an important risk-coping mechanism for women in Sub-Saharan Africa and a leading contributor to the HIV/AIDS epidemic. This paper uses data from a panel of women in rural Tanzania whose primary occupation is agriculture. The analysis finds that following a negative shock (such as food insecurity), unmarried women are about three times more likely to have been paid for sex. Regardless of marital status, after a shock women have more unprotected sex and are 36 percent more likely to have a sexually transmitted infection. These empirical findings support the claims that transactional sex is not confined to commercial sex workers and that frequently experienced shocks, such as food insecurity, may lead women to engage in transactional sex as a risk-coping behavior.

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