Economic Empowerment Program Suubi-Maka (Suubi-Maka)
22 novembre 2012 mis à jour par: Fred Ssewamala, PhD, Columbia University
SUUBI MAKA ("Hope for Families"): A Family-Based Economic Empowerment Model for Orphaned Children in Uganda
The overall goal of SUUBI-MAKA is to further develop and preliminarily examine a family economic empowerment intervention that creates economic opportunities (specifically Children Development Accounts) for families in Uganda who are caring for children orphaned due to the AIDS pandemic, and to lay groundwork for a bigger study with practice and policy implications for Sub-Saharan Africa.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Description détaillée
The study has two specific aims (1) To conduct formative work in order to understand children and families´ ability and interest in participating in a family-level economic empowerment intervention focused on savings and family income generation, and their response to this family-focused economic empowerment approach alongside additional intervention components, including savings for youth education and adult mentorship. (2) Based on formative data (Aim #1), to adapt the intervention and examine issues related to feasibility and preliminary outcome on a small scale in order to prepare for a larger study.
The intervention, SUUBI-MAKA, uses a novel approach by focusing on economic empowerment of families caring for children orphaned due to AIDS. The intervention has three key components (1) it promotes family-level income generating projects (micro-enterprises) which we believe will enhance economic stability, reduce poverty, and enhance protective family processes for youth orphaned by AIDS. (2) It promotes monetary savings for educational opportunities for AIDS-orphaned children. (3) It provides an adult mentor to children. The intervention will be evaluated via a two-group randomized trial. The two groups are SUUBI-MAKA or Usual care for orphaned children. The participating children will be nested within 20 primary schools that will be randomly assigned such that all children from a particular school receive the same intervention.
Type d'étude
Interventionnel
Inscription (Réel)
300
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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Rakai, Ouganda
- St. Joseph's Matale Parish
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
11 ans à 16 ans (Enfant)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- An AIDS-orphaned child, defined as a child who has lost one or both parents to AIDS;
- Enrolled in the last two years of primary school (even though possibly not attending regularly);
- Between the ages of 11 to 16 years;
- Living within a family.
Exclusion Criteria:
- Any youth below 11 years or above 16 years at the time of enrollment in the study;
- Any youth not enrolled in the final two years of primary school;
- Any youth who does not self-identify as an AIDS-orphan;
- Any youth not being raised primarily within a family context at the start of the study.
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Soins de soutien
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: SUUBI-MAKA
Involves creating and broadening asset ownership opportunities and life options for children (ages 12 to 15 years) orphaned due to AIDS in Uganda.
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Each child in the SUUBI-MAKA condition receive the usual care plus asset focused services, specifically: a matched Child Development Account (CDA); twelve 1-2 hour training sessions on career planning, setting short-term and long-term career goals, and how to save money; and monthly mentorship program with young adult peers (undergraduate students) on life options and how to avoid risk behaviors.
In addition, participants receive a 2:1 match for their deposits into the account.
Further, participants and their adult caregivers receive specific training on microenterprise development and specifically on how to start an income-generating project using up to 50% of the matched savings.
The intervention is delivered over a period of 24 months.
Autres noms:
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Autre: Usual Care
No intervention for asset ownership, development of future planning skills, enhancement of mental health and reduction of risk taking behaviors for children orphaned due to AIDS in Uganda.
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Each child in the control condition receives the usual services for orphaned children (counseling, school lunches, and textbooks).
Autres noms:
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Savings and asset-accumulation
Délai: 12-month post-intervention
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Formal and informal savings, wealth/assets (e.g.
livestock, type of housing), and attitudes toward saving
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12-month post-intervention
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Educational outcomes
Délai: 12-month post-intervention
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School enrollment, School attendance, School grades, Educational plans and aspirations
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12-month post-intervention
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Sexual risk taking
Délai: 12-month post-intervention
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Sexual risk taking behavior (onset of sexual intercourse, unprotected sexual intercourse), Intentions to engage in sexual risk behaviors, HIV knowledge
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12-month post-intervention
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Savings and asset-accumulation
Délai: 24-month post-intervention
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Formal and informal savings, wealth/assets (e.g.
livestock, type of housing), and attitudes toward saving
|
24-month post-intervention
|
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Educational outcomes
Délai: 24-month post-intervention
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School enrollment, School attendance, School grades, Educational plans and aspirations
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24-month post-intervention
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Sexual risk taking
Délai: 24-month post-intervention
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Sexual risk taking behavior (onset of sexual intercourse, unprotected sexual intercourse), Intentions to engage in sexual risk behaviors, HIV knowledge
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24-month post-intervention
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Mental health
Délai: 12-month post-intervention
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Self-esteem, depression, hopelessness, helplessness
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12-month post-intervention
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Social and family support
Délai: 12-month post-intervention
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Child-caregiver relationship, family cohesion, family communication, family support
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12-month post-intervention
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Mental health
Délai: 24-month post-intervention
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Self-esteem, depression, hopelessness, and helplessness scales
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24-month post-intervention
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Social and family support
Délai: 24-month post-intervention
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Child-caregiver relationship, family cohesion, family communication, family support
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24-month post-intervention
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Collaborateurs
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Publications générales
- Jennings L, Ssewamala FM, Nabunya P. Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda: results from the Suubi-Maka randomized experiment. AIDS Care. 2016;28(3):273-82. doi: 10.1080/09540121.2015.1109585. Epub 2015 Nov 7.
- Han CK, Ssewamala FM, Wang JS. Family economic empowerment and mental health among AIDS-affected children living in AIDS-impacted communities: evidence from a randomised evaluation in southwestern Uganda. J Epidemiol Community Health. 2013 Mar;67(3):225-30. doi: 10.1136/jech-2012-201601.
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 août 2008
Achèvement primaire (Réel)
1 juillet 2012
Achèvement de l'étude (Réel)
1 juillet 2012
Dates d'inscription aux études
Première soumission
14 juillet 2010
Première soumission répondant aux critères de contrôle qualité
10 août 2010
Première publication (Estimation)
11 août 2010
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
27 novembre 2012
Dernière mise à jour soumise répondant aux critères de contrôle qualité
22 novembre 2012
Dernière vérification
1 novembre 2012
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- AAAD2525
- R34MH081763-02 (Subvention/contrat des NIH des États-Unis)
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