A new analysis draws on evidence from three African countries to examine what drives “paid” or transactional sex among young mothers. Transactional sex is described as the exchange of sex for money, food, or other favours. The report notes that the practice is present among young people in the region, with prior studies estimating engagement rates among those aged 15–24 of about 10% in South Africa, 23% in Nigeria and 25% in Uganda. The analysis links transactional sex to a range of harmful outcomes that have been documented in research, including unintended pregnancy, sexual violence and increased risk of HIV infection. The study’s main conclusion is that the factors prompting transactional sex are not uniform: the drivers differ by country. It argues that programmes aimed at reducing transactional sex therefore need to be tailored to local conditions rather than relying on a single, broad approach. Overall, the sources emphasise both the scale of the issue reported in earlier research and the importance of context-specific interventions for young mothers.