Assets and educational outcomes: Child Development Accounts (CDAs) for orphaned children in Uganda

Curley, Jami; Ssewamala, Fred M.; Han, Chang‐Keun

doi:10.1016/j.childyouth.2009.07.016

Cited by 83 publications

(46 citation statements)

References 7 publications

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“…Prior research suggests poverty is an important indicator of educational disadvantage and that this effect is independent of orphanhood in eastern and southern Africa (Smiley et al, 2010). As a result, children who live in poverty in particular experience vulnerability (Curley et al, 2010). In some countries, research has even shown that AIDS orphans are not worse off than economically deprived children (Ainsworth & Filmer, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…With an increase in OVC in sub-Saharan African regions, these children have been left with few opportunities to receive a formal education and they cannot afford medical services. This in turn endangers these disadvantaged children and makes them more vulnerable to health problems (Curley et al, 2010). The HIV epidemic has further deepened poverty among children who already are poor and this has prematurely terminated schooling, particularly among girls (Steinberg, Johnson, Schierhout, & Ndegwa, 2002).…”

Section: Introductionmentioning

confidence: 98%

“…However, it is clear that the impact of the AIDS pandemic has contributed to sub-Saharan Africa being home to 43 million orphaned children (approximately 12% of children in the region) (Beegle, Filmer, Stokes, & Tiererova, 2010;Curley, Ssewamala, & Han, 2010). UNICEF estimates about 12 million children and adolescents in sub-Saharan Africa are orphans who have lost one or both parents due to AIDS (UNICEF, 2011).…”

Section: Introductionmentioning

confidence: 98%

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Closing the health gap in a generation: exploring the association between household characteristics and schooling status among orphans and vulnerable children in Swaziland

Dlamini¹,

Chiao²

2015

AIDS Care

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Swaziland has one of the highest HIV/AIDS prevalences in the world, which has contributed to many Swazi children being left as "orphans and vulnerable children" (OVC). In 2010, there were 78,000 AIDS orphans in the country and the number is expected to increase given the current HIV prevalence. The WHO aims to close the gap in a generation and eliminate health inequality; as a result the Swazi Government began in 2005 to provide financial support to the education of OVC. Prior research has indicated that household characteristics are some of the major determinants with respect to schooling status among children. We have examined the association between household characteristics and schooling status of OVC. Schooling status may vary by gender and by age, as well as by other sociodemographic factors, in sub-Saharan African societies, and therefore we have also included a comprehensive set of appropriate variables in all of our multivariate analyses. Using existing data from the Swaziland Multiple Indicator Cluster Survey 2010, a total of 5890 children aged 7-18 years old were analyzed. The results from the multivariate logistic regressions showed that non-OVC were more likely than OVC to be in school (OR = 2.18, p < 0.001), even after taking other variables into considerations. The OVC in socioeconomically disadvantaged households, such as those with lower levels of household wealt, and those who resided in an urban area, were less likely to be in school. These findings suggest that education programs for OVC need to be household-appropriate.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 98%

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Closing the health gap in a generation: exploring the association between household characteristics and schooling status among orphans and vulnerable children in Swaziland

Dlamini¹,

Chiao²

2015

AIDS Care

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“…Results from these matched CSA programs demonstrate a reduction in levels of depression and hopelessness (18); improved HIV preventive attitudes and behaviors (19, 21); improved self-concept and educational achievement (22); and increased financial resources (23, 24). These findings are in line with prior research of transfers (CCT) which have shown positive effects on adolescents (25).…”

Section: Introductionmentioning

confidence: 99%

Cost-Effectiveness of a Savings-Led Economic Empowerment Intervention for AIDS-Affected Adolescents in Uganda: Implications for Scale-up in Low-Resource Communities

Ssewamala

Wang

Neilands

et al. 2018

Journal of Adolescent Health

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Purpose Nearly 12 million children and adolescents in Sub-Saharan Africa (SSA) have lost one or both parents to AIDS. Within SSA, Uganda has been greatly impacted, with an estimated 1.2 million orphaned children, nearly half of which have experienced parental loss due to the epidemic. Cost-effective and scalable interventions are needed to improve developmental outcomes for these children, most of whom are growing up in poverty. This paper examines the direct impacts and cost-effectiveness of a savings-led family economic empowerment intervention, Bridges to the Future, that employed varying matched savings incentives to encourage investment in Ugandan children orphaned by AIDS. Methods Using data from 48 primary schools in southwestern Uganda, we calculate per-person costs in each of the two treatment arms - Bridges (1:1 match savings) vs Bridges PLUS (1:2 match savings); estimate program effectiveness across outcomes of interest; and provide the ratios of per-person costs to their corresponding effectiveness. Results At the 24-month post-intervention initiation, children in the two treatment arms showed better results in health, mental health and education when compared to the Usual Care condition, however, no statistically significant differences were found between treatment arms with the exception of school attendance rates which were higher for those in Bridges PLUS. Due to the minimal cost difference between the Bridges and Bridges PLUS arms, we did not find substantial cost-effectiveness differences across the two treatment arms. Conclusion After 24 months, an economic intervention that incorporated matched savings yielded positive results on critical development outcomes for adolescents orphaned by AIDS in Uganda. The 1:1 and 1:2 match rates did not demonstrate variable levels of cost-effectiveness at 24-month follow-up, suggesting that governments intending to incorporate savings-led interventions within their social protection frameworks may not need to select a higher match rate to see positive developmental outcomes in the short-term. Further research is required to understand intervention impacts and cost-effectiveness after a longer follow-up period.

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“…UNICEF [4] indicated that poverty contributes to low school attendance, low completion rates and low learning outcomes. Similarly, Curley and associates [5] argued that it is difficult to obtain an education if children live in poverty and lack resources and access to opportunities, although education is a key factor to overcome poverty and diseases.…”

Section: Introductionmentioning

confidence: 99%

A Public Health Model and Framework to Mitigate the Impact of Orphans and Vulnerable Children Due to HIV/AIDS in Cameroon

Nsagha¹,

Marcelin²,

Assob³

et al. 2014

WJA

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D. S. Nsagha et al. 28ing with the National AIDS Control Committee. The essential components of a holistic framework for the care of OVC have been identified. A public health model for the care of OVC and a mechanism for their identification and a referral system for testing OVC for HIV are proposed. Through this model, a mechanism for the effective holistic care of OVC and collaboration is enhanced.

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Assets and educational outcomes: Child Development Accounts (CDAs) for orphaned children in Uganda

Cited by 83 publications

References 7 publications

Closing the health gap in a generation: exploring the association between household characteristics and schooling status among orphans and vulnerable children in Swaziland

Closing the health gap in a generation: exploring the association between household characteristics and schooling status among orphans and vulnerable children in Swaziland

Cost-Effectiveness of a Savings-Led Economic Empowerment Intervention for AIDS-Affected Adolescents in Uganda: Implications for Scale-up in Low-Resource Communities

A Public Health Model and Framework to Mitigate the Impact of Orphans and Vulnerable Children Due to HIV/AIDS in Cameroon

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