The two aims of the study are: (1) to refine and test the feasibility of a family economic empowerment intervention which includes opportunities 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; and (2) to examine the impact of this family economic empowerment intervention on the psychosocial outcomes of orphaned children. The proposed intervention, the SUUBI Program, involves youth, ages 12 to 15 years, orphaned due to AIDS in Uganda. SUUBI consists of three components: 1) workshops focused on asset building, future planning and protection from risks; 2) mentors to reinforce learning and build optimism and; 3) a Child Development Account. SUUBI will be examined via a two-group (random assignment to SUUBI or existing orphan services, consisting of support and prevention oriented counseling from faith-based organizations in the target community) by three-assessment (pre-test, post-test, and 24-month follow-up) research design. A total of 200 children will be involved in the proposed study. Participating students will be nested within ten schools that will be randomly assigned such that all selected children from a particular school will receive the same intervention. It is hypothesized that students in SUUBI, as compared to those youth in the control condition, will have (1) more money saved and a more positive attitude toward saving, (2) greater ability to identify specific future goals and educational aspirations, (3) higher school attendance and school grades, (4) stronger relationships with caregivers and/or family members, (5) higher levels of self-esteem, (6) lower levels of depression, (7) lower levels of sexual risk taking, (8) lower levels of HIV-risk taking behaviors. The family economic empowerment intervention has high levels of family and community involvement, a feature very appealing to the governments and donor community.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21MH076475-01
Application #
7059811
Study Section
Special Emphasis Panel (ZMH1-ERB-N (03))
Program Officer
Kamath, Susannah M Allison
Project Start
2005-09-30
Project End
2007-08-31
Budget Start
2005-09-30
Budget End
2006-08-31
Support Year
1
Fiscal Year
2005
Total Cost
$208,273
Indirect Cost
Name
Columbia University (N.Y.)
Department
Other Health Professions
Type
Schools of Social Work
DUNS #
049179401
City
New York
State
NY
Country
United States
Zip Code
10027
Curley, Jami; Ssewamala, Fred M; Nabunya, Proscovia et al. (2016) Child development accounts (CDAs): An asset-building strategy to empower girls in Uganda. Int Soc Work 59:18-31
Ismayilova, Leyla; Ssewamala, Fred M; Karimli, Leyla (2012) Family support as a mediator of change in sexual risk-taking attitudes among orphaned adolescents in rural Uganda. J Adolesc Health 50:228-35
Ismayilova, Leyla; Ssewamala, Fred; Mooers, Elizabeth et al. (2012) Imagining the future: Community perceptions of a family-based economic empowerment intervention for AIDS-orphaned adolescents in Uganda. Child Youth Serv Rev 34:2042-2051
Karimli, Leyla; Ssewamala, Fred M; Ismayilova, Leyla (2012) Extended families and perceived caregiver support to AIDS orphans in Rakai district of Uganda. Child Youth Serv Rev 34:1351-1358
Ssewamala, Fred M; Neilands, Torsten B; Waldfogel, Jane et al. (2012) The impact of a comprehensive microfinance intervention on depression levels of AIDS-orphaned children in Uganda. J Adolesc Health 50:346-52
Ssewamala, Fred M; Ismayilova, Leyla; McKay, Mary et al. (2010) Gender and the effects of an economic empowerment program on attitudes toward sexual risk-taking among AIDS-orphaned adolescent youth in Uganda. J Adolesc Health 46:372-8
Ssewamala, Fred M; Han, Chang-Keun; Neilands, Torsten B et al. (2010) Effect of economic assets on sexual risk-taking intentions among orphaned adolescents in Uganda. Am J Public Health 100:483-8
Ssewamala, Fred M; Karimli, Leyla; Chang-Keun, Han et al. (2010) Social Capital, Savings, and Educational Performance of Orphaned Adolescents in Sub-Saharan Africa. Child Youth Serv Rev 32:1704-1710
Curley, Jami; Ssewamala, Fred; Han, Chang-Keun (2010) Assets and Educational Outcomes: Child Development Accounts (CDAs) for Orphaned Children in Uganda. Child Youth Serv Rev 32:1585-1590
Ssewamala, Fred M; Han, Chang-Keun; Neilands, Torsten B (2009) Asset ownership and health and mental health functioning among AIDS-orphaned adolescents: findings from a randomized clinical trial in rural Uganda. Soc Sci Med 69:191-8

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