Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda: results from the Suubi-Maka randomized experiment

Jennings, Larissa; Ssewamala, Fred M.; Nabunya, Proscovia

doi:10.1080/09540121.2015.1109585

Cited by 55 publications

(69 citation statements)

References 54 publications

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“…The Suubi-Maka project followed a similar intervention but extended the treatment groups over 12 and 24 months to include parents to examine family effects on outcomes, which were mixed. While the treatment group reported increased likelihood of the family having saved money (Karimli, Ssewamala, & Neilands, 2014) and an increase in self-reported youth savings (Karimili, 2013), later studies showed no significant effect on the reported amounts saved (Jennings et al, 2016;Karimli et al, 2014) and no significant effect on the use of formal financial institutions (Karimli et al, 2014). Savings attitudes were also found to be weakened by the number of children in the family and significantly affected by family relations, family finance, caregivers' gender, adolescent's gender and educational aspirations (Karimili, 2013).…”

Section: Plural Education With Plural Supportsmentioning

confidence: 99%

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Financial education for HIV-vulnerable youth, orphans and vulnerable children: a systematic review of outcome evidence

Lee¹,

Stücklin²,

Rodríguez

et al. 2019

Vulnerable Children and Youth Studies

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This systematic review assessed outcome evidence of financial education and plural interventions aimed at reducing HIV vulnerability for youth, orphans and vulnerable children in low and middle-income countries. Relevant evidence reviews found both positive and mixed evidence that HIV prevention may be addressed through economic strengthening activities such as financial education for youth. There was some evidence related to the potential for plural interventions that include sexual and reproductive health education but limited quality evidence that focused on HIV vulnerable youth in low-and-middle income countries. To address this gap, the team systematically reviewed the scope and strength of impact evidence of financial education and plural interventions for HIV-vulnerable youth and OVC in LMIC, with a focus on outcome analysis. Of 5,216 records, 16 moderate to higher quality studies representing 10 interventions were identified, mostly focusing on HIV-vulnerable girls in Sub-Saharan Africa. More than half of the interventions were plural and included access to finance and counseling or social supports. Most used an experimental design. The strongest odds ratio effects were found to be on HIV-related outcomes by plural interventions. Observed improvements included increased HIV related knowledge, attitudes, reduced sexual risk-taking behavior and improved self-efficacy. While positive effects were also observed related to increased savings and improved attitudes toward saving, generally interventions showed mixed effects on financial and economic outcomes. This review supports emerging evidence that plural interventions are associated with positive health and economic outcomes for vulnerable youth and children in LMIC. Even so, as a body of evidence, it is not clear which components are effective at producing favorable outcomes. Quality evidence is needed in more settings separating out economic, health and self-efficacy components to better understand pathways and effects on outcomes. Segmentation will enhance our understanding of asset, capability and self-efficacy theories for greater impact.

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Section: Plural Education With Plural Supportsmentioning

confidence: 99%

“…This study seems to indicate that household conditions may affect individual outcomes for youth. HIV preventative attitudes improved as well as attitudes toward family saving, purchases and vocational training (Jennings et al, 2016).…”

Section: Plural Education With Plural Supportsmentioning

confidence: 99%

Financial education for HIV-vulnerable youth, orphans and vulnerable children: a systematic review of outcome evidence

Lee¹,

Stücklin²,

Rodríguez

et al. 2019

Vulnerable Children and Youth Studies

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“…Findings regarding the impact of the Suubi and Bridges interventions on nonfinancial outcomes have also been very positive. Evidence indicates that a matched savings account combined with financial education and mentoring can have positive impacts on educational outcomes (e.g., standardized test scores, confidence in educational plans), mental health (e.g., depression, hopelessness, self-concept), future orientation, and attitudes about sexual risk-taking (see, e.g., Curley, Ssewamala, and Han;Han, Ssewamala, and Wang, 2013;Kagotho and Ssewamala, 2012;Karimli and Ssewamala, 2015;Jennings, Ssewamala, and Nabunya, 2016;Nabunya and Ssewamala, 2014;Ssewamala, Han, et al, 2010;Ssewamala et al, 2012;Ssewamala, Karimili, Neilands, et al, 2016). Longitudinal research on the Suubi and Bridges interventions continues in Uganda.…”

Section: Cda Experiments In Ugandamentioning

confidence: 99%

International Child Development Accounts

Sherraden¹,

Cheng²,

Ssewamala³

et al. 2018

Encyclopedia of Social Work

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Child Development Accounts (CDAs) are subsidized savings or investment accounts to help people accumulate assets for developmental purposes and life course needs. They are envisioned as universal (everyone participates), progressive (greater subsidies for the poor), and potentially lifelong national policy. These features distinguish CDAs from most existing asset-building policies and programs around the world, which are typically regressive, giving greater benefits to the well-off. With policy innovation in recent years, several countries now have national CDA policies, and four states in the United States have statewide programs. Some of these are designed to be universal and progressive. Evidence indicates that true universality can be achieved, but only with automatic account opening and automatic deposits. In the absence of automatic features, advantaged families participate and benefit more. Today, momentum for universal and automatic features is gradually gaining traction and accelerating. At this stage in the emergence of inclusive asset-based policy, this is the most important development.

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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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Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda: results from the Suubi-Maka randomized experiment

Cited by 55 publications

References 54 publications

Financial education for HIV-vulnerable youth, orphans and vulnerable children: a systematic review of outcome evidence

Financial education for HIV-vulnerable youth, orphans and vulnerable children: a systematic review of outcome evidence

International Child Development Accounts

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

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