Economic Empowerment Program Suubi-Maka (Suubi-Maka)
SUUBI MAKA ("Hope for Families"): A Family-Based Economic Empowerment Model for Orphaned Children in Uganda
調査の概要
詳細な説明
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.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Rakai、ウガンダ
- St. Joseph's Matale Parish
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：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.
他の名前：
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他の：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).
他の名前：
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Savings and asset-accumulation
時間枠：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
時間枠：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
時間枠：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
時間枠：24-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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24-month post-intervention
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Educational outcomes
時間枠：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
時間枠：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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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Mental health
時間枠：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
時間枠：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
時間枠：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
時間枠：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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協力者と研究者
出版物と役立つリンク
一般刊行物
- 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.
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- AAAD2525
- R34MH081763-02 (米国 NIH グラント/契約)
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