Economic Empowerment Program Suubi-Maka (Suubi-Maka)
22 november 2012 uppdaterad av: 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.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Interventionell
Inskrivning (Faktisk)
300
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
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Rakai, Uganda
- St. Joseph's Matale Parish
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
11 år till 16 år (Barn)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
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.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Stödjande vård
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Dubbel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Experimentell: 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.
Andra namn:
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Övrig: 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).
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Savings and asset-accumulation
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Mental health
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Samarbetspartners
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- 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.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 augusti 2008
Primärt slutförande (Faktisk)
1 juli 2012
Avslutad studie (Faktisk)
1 juli 2012
Studieregistreringsdatum
Först inskickad
14 juli 2010
Först inskickad som uppfyllde QC-kriterierna
10 augusti 2010
Första postat (Uppskatta)
11 augusti 2010
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
27 november 2012
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
22 november 2012
Senast verifierad
1 november 2012
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- AAAD2525
- R34MH081763-02 (U.S.S. NIH-anslag/kontrakt)
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