a sourcebook of hiv/aids prevention programs volume 2

146 A Sourcebook of HIV/AIDS Prevention Programs, Vol. 2Figure 7.1: Impact of Sugar-Daddy Talk on Grade 8 Girls10a. All girls b. Girls who have begun bearing children60985048%percent765435.4%3.7%percent40302025%40%27%211000girls whose partner ismore than five years olderunmarried girlsno sugar daddy talksugar daddy talkSource: Primary School AIDS Prevention Program.Note: Figure shows effect of sugar daddy talk given in the spring of 2004 on outcomes in the fall of 2005. Differences arestatistically significant at the 95 percent confidence level.likely to drop out than students who did not. Girls who received freeuniforms were 10 percent less likely to have started childbearing than girlswho did not. These results suggest that the program reduced the incidenceof risky sexual behavior (figure 7.2).Cost-EffectivenessOver the program’s three-year period, the teacher training component cost$67,320 ($408 per school, $146 per teacher). Assuming that only the cohortof students enrolled in grade 5 and higher at the time of the training benefitedfrom the program, the cost per student was $2. The cost of runningdebating and essay writing programs in 82 schools—which reached 8,000students—was $8,900 ($109 per school, $1.10 per student). The cost of thesugar-daddy talk—which was implemented in 71 schools, where it reached2,500 students—was $2,000 ($28.20 per school, $0.80 per student). Basedon these figures, the estimated cost per pregnancy averted was $91.The full effect on HIV transmission of the substitution away from olderpartners and toward younger partners witnessed among teenage girls as aresult of this program is difficult to measure with the data collected so far.Based on the HIV prevalence rates among different age groups, the data(c) The International Bank for Reconstruction and Development / The World Bank