Economic Empowerment Program Suubi-Maka (Suubi-Maka)
22 november 2012 bijgewerkt door: 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.
Studie Overzicht
Toestand
Voltooid
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Ingrijpend
Inschrijving (Werkelijk)
300
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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Rakai, Oeganda
- St. Joseph's Matale Parish
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
11 jaar tot 16 jaar (Kind)
Accepteert gezonde vrijwilligers
Nee
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
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.
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ondersteunende zorg
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: 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.
Andere namen:
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Ander: 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).
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Savings and asset-accumulation
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Mental health
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Medewerkers
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- 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.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 augustus 2008
Primaire voltooiing (Werkelijk)
1 juli 2012
Studie voltooiing (Werkelijk)
1 juli 2012
Studieregistratiedata
Eerst ingediend
14 juli 2010
Eerst ingediend dat voldeed aan de QC-criteria
10 augustus 2010
Eerst geplaatst (Schatting)
11 augustus 2010
Updates van studierecords
Laatste update geplaatst (Schatting)
27 november 2012
Laatste update ingediend die voldeed aan QC-criteria
22 november 2012
Laatst geverifieerd
1 november 2012
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Andere studie-ID-nummers
- AAAD2525
- R34MH081763-02 (Subsidie/contract van de Amerikaanse NIH)
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