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“Sugar Daddy-Marandza” Dynamics and HIV Vulnerability: A Literature Review of Transactional and Intergenerational Sexual Relationships Among Adolescent Girls and Young Women in Sub-Saharan Africa, With a Focus on Mozambique

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Journal of the International Association of Providers of AIDS Care (JIAPAC)

Published online on

Abstract

Journal of the International Association of Providers of AIDS Care (JIAPAC), Volume 25, January-December 2026.
Transactional and intergenerational sexual relationships, often termed “sugar daddy-marandza” dynamics, are a key driver of HIV among adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA). This narrative review synthesizes evidence from 29 ...