Effect of Economic Assets on Sexual Risk-Taking Intentions Among Orphaned Adolescents in Uganda

Ssewamala, Fred M.; Han, Chang‐Keun; Neilands, Torsten B.; Ismayilova, Leyla; Sperber, Elizabeth

doi:10.2105/ajph.2008.158840

Cited by 115 publications

(117 citation statements)

References 43 publications

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“…Data are derived from in-person interviews with adolescents and school administrative records. The in-person interviews were conducted annually by trained research assistants (21, 24, 29, 30). School attendance and examination performance data come from school records and unannounced roll-calls conducted by the program staff post-baseline assessment.…”

Section: Methodsmentioning

confidence: 99%

“…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%

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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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Section: Methodsmentioning

confidence: 99%

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

Self Cite

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“…An experimental transfer scheme in Uganda demonstrated that the provision of transfers through saving accounts, workshops and mentorship led to a reduction in sexual risk-taking among participant children (Ssewamala, Han, Neilands, Ismayilova, & Sperber, 2010).…”

Section: Child Marriagementioning

confidence: 99%

Social transfers and child protection in the South

Barrientos

Byrne²,

Pena

et al. 2014

Children and Youth Services Review

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Most low and middle-income countries have implemented programmes providing transfers to families in poverty, often with a focus on children. The paper examines the potential effects of social transfers in these countries on child protection outcomes: the reduction of violence, exploitation and abuse of children, family separation and improved birth registration. The analysis is based on database including information on 79 impact evaluations in 28 countries, covering 45 medium and large-scale social transfer programmes. The paper identifies and evaluates three sets of effects: direct effects observed where social transfers have explicit child protection outcome objectives; poverty-mediated effects where the impact of social transfers on poverty and exclusion leads to improved child protection outcomes; and operational synergies arising from the implementation of social transfers. An extended report of this study, including full references can be accessed at: http://www.unicef-irc.org./ publications/691.

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“…Children in both groups received mentorship sessions throughout the intervention period. A detailed explanation of the intervention is provided elsewhere (see Ssewamala & Ismayilova, 2009;Ssewamala, Han, & Neilands, 2009;Ssewamala, Han, Neilands, Ismayilova and Sperber, 2010;.…”

Section: Study Design and Datamentioning

confidence: 99%

Reprint of “Family economic strengthening and parenting stress among caregivers of AIDS-orphaned children: Results from a cluster randomized clinical trial in Uganda”

Nabunya

Ssewamala

Ilic

2014

Children and Youth Services Review

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a b s t r a c tThis study examines the impact of a family economic strengthening intervention on parenting stress among caregivers of AIDS-orphaned children in Uganda. The study uses data from a 4-year (2008-2012) NIMH randomized clinical trial for AIDS-orphaned children known as Suubi-Maka (N = 346 dyads). Child-caregiver dyads from 10 comparable primary schools were randomly assigned to either the control group (n = 167 dyads) receiving usual care for school-going orphaned children (such as food aid and scholastic materials) or the treatment group (n = 179 dyads) receiving a family economic strengthening intervention (focused on a matched savings account), financial planning and management workshops over and above the usual care. Interviews were conducted at baseline and at 12 month and 24 month follow-ups. This study uses data from baseline and 24 month post-intervention. We use multivariate regression methods, controlling for socioeconomic characteristics. At 24 months, caregivers in the treatment group reported significantly lower levels of parenting stress compared to caregivers in the control group. Findings from this study point to the potential of a family economic strengthening intervention to improve caregiver's psychosocial well-being and that of their families. We conclude that programs and policies aimed at improving the psychosocial well-being of families caring for AIDS-orphaned children may consider incorporating economic strengthening components in their programming to help support these kinds of families, caregivers of AIDS-orphaned children especially those residing in developing countries.

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Effect of Economic Assets on Sexual Risk-Taking Intentions Among Orphaned Adolescents in Uganda

Cited by 115 publications

References 43 publications

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

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

Social transfers and child protection in the South

Reprint of “Family economic strengthening and parenting stress among caregivers of AIDS-orphaned children: Results from a cluster randomized clinical trial in Uganda”

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