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| ID | Type | Description | Link |
|---|---|---|---|
| R21MH076475-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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This study examines an economic empowerment model of care and support for orphaned adolescents in rural Uganda. The Suubi intervention focuses on economic empowerment of families caring for orphaned youths. It attempts to address the health risks and poor educational achievements resulting from poverty and limited options.
The AIDS epidemic and a 20-year civil war have had a devastating impact on Uganda. The events have led to population displacement, worsening living conditions, exacerbation of poverty, and disruption of already weakened social service systems. As implemented, the Suubi Project goes considerably beyond the usual care, which primarily consists of institutionalization and reactive strategies (involving food and material aid). Specifically, the intervention promotes children's savings accounts, also known as children development accounts, for postprimary education and microenterprise development (i.e., development of small income-generating businesses).
The Suubi intervention is grounded in asset theory (Sherraden 1990, 1991), which holds that assets (e.g., savings, educational opportunities, and economic opportunities in the form of income-generating activities or microenterprises) have important economic, social, and psychological benefits for individuals and families. Asset building is increasingly viewed as a critical factor for reducing poverty, improving psychosocial functioning, and positively affecting attitudes and behaviors.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Children's development account | Behavioral | Children in the experimental condition (the SUUBI program) received, in addition to the usual care, an economic empowerment intervention aimed at promoting asset accumulation for families-and consisting of three major components: 1) workshops focused on asset-building and future planning; 2) a monthly mentorship program for adolescents with peer mentors on life options; and 3) a Child Development Account (CDA), dedicated to paying for secondary schooling, vocational training and/or a family small business. The CDAs were matched savings accounts, with a match rate of 2:1 as an incentive for participants to save, but with a limit on the maximum savings that could be matched (the match cap, in this case, was equivalent to $10 a month). |
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| Measure | Description | Time Frame |
|---|---|---|
| Savings and asset-accumulation | past experience, current savings, and attitudes toward saving | baseline, 10-month and 20-month post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Sexual risk taking | Sexual risk taking behavior (history and onset of sexual intercourse), Intentions to engage in sexual risk behaviors | baseline, 10-month and 20-month post-intervention |
| Educational outcomes |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Fred M Ssewamala, PhD | Columbia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Joseph's Matale Parish | Rakai | Rakai | Uganda |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20307827 | Result | Ssewamala FM, Ismayilova L, McKay M, Sperber E, Bannon W Jr, Alicea S. Gender and the effects of an economic empowerment program on attitudes toward sexual risk-taking among AIDS-orphaned adolescent youth in Uganda. J Adolesc Health. 2010 Apr;46(4):372-8. doi: 10.1016/j.jadohealth.2009.08.010. | |
| 20075323 | Result | Ssewamala FM, Han CK, Neilands TB, Ismayilova L, Sperber E. Effect of economic assets on sexual risk-taking intentions among orphaned adolescents in Uganda. Am J Public Health. 2010 Mar;100(3):483-8. doi: 10.2105/AJPH.2008.158840. Epub 2010 Jan 14. |
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School enrollment, School attendance, School grades, Educational aspirations
| baseline, 10-month, and 20-month post-intervention |
| Mental health | Self-esteem, depression, hopelessness, helplessness | baseline, 10-month and 20-month post-intervention |
| Social and family support | Emotional support from caregivers, practical assistance, financial assistance and advice/guidance, and family communication | baseline, 10-month and 20-month post-intervention |
| 19520472 | Result | Ssewamala FM, Han CK, Neilands TB. Asset ownership and health and mental health functioning among AIDS-orphaned adolescents: findings from a randomized clinical trial in rural Uganda. Soc Sci Med. 2009 Jul;69(2):191-8. doi: 10.1016/j.socscimed.2009.05.019. Epub 2009 Jun 10. |
| 18155037 | Result | Ssewamala FM, Alicea S, Bannon WM Jr, Ismayilova L. A novel economic intervention to reduce HIV risks among school-going AIDS orphans in rural Uganda. J Adolesc Health. 2008 Jan;42(1):102-4. doi: 10.1016/j.jadohealth.2007.08.011. |
| 22325127 | Derived | Ismayilova L, Ssewamala FM, Karimli L. Family support as a mediator of change in sexual risk-taking attitudes among orphaned adolescents in rural Uganda. J Adolesc Health. 2012 Mar;50(3):228-35. doi: 10.1016/j.jadohealth.2011.06.008. Epub 2011 Aug 27. |