Economic Empowerment Program Suubi-Maka

NCT01180114 | Completed

• 2 other identifiers: AAAD2525R34MH081763-02
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Poverty

Keywords

economic empowerment model,; orphaned children and youth,; Uganda,; sub-Saharan Africa

Outcome Measures

Primary Outcomes (6)

• Savings and asset-accumulation

  Formal and informal savings, wealth/assets (e.g. livestock, type of housing), and attitudes toward saving

  12-month post-intervention

• Educational outcomes

  School enrollment, School attendance, School grades, Educational plans and aspirations

  12-month post-intervention

• Sexual risk taking

  Sexual risk taking behavior (onset of sexual intercourse, unprotected sexual intercourse), Intentions to engage in sexual risk behaviors, HIV knowledge

  12-month post-intervention

• Savings and asset-accumulation

  Formal and informal savings, wealth/assets (e.g. livestock, type of housing), and attitudes toward saving

  24-month post-intervention

• Educational outcomes

  School enrollment, School attendance, School grades, Educational plans and aspirations

  24-month post-intervention

• Sexual risk taking

  Sexual risk taking behavior (onset of sexual intercourse, unprotected sexual intercourse), Intentions to engage in sexual risk behaviors, HIV knowledge

  24-month post-intervention

Secondary Outcomes (4)

• Mental health

  12-month post-intervention

• Social and family support

  12-month post-intervention

• Mental health

  24-month post-intervention

• Social and family support

  24-month post-intervention

Study Arms (2)

SUUBI-MAKA

EXPERIMENTAL

Involves creating and broadening asset ownership opportunities and life options for children (ages 12 to 15 years) orphaned due to AIDS in Uganda.

Behavioral: Suubi-Maka ('Hope for Families')

Usual Care

OTHER

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.

Other: Usual Care

Interventions

Suubi-Maka ('Hope for Families') BEHAVIORAL

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.

Also known as: Children's savings account

SUUBI-MAKA

Usual Care OTHER

Each child in the control condition receives the usual services for orphaned children (counseling, school lunches, and textbooks).

Also known as: Usual services

Usual Care

Eligibility Criteria

• Age: 11 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Columbia University: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

St. Joseph's Matale Parish

Rakai, Rakai, Uganda

Location

Related Publications (3)

• Tutlam NT, Filiatreau LM, Byansi W, Brathwaite R, Nabunya P, Sensoy Bahar O, Namuwonge F, Ssewamala FM. The Impact of Family Economic Empowerment Intervention on Psychological Difficulties and Prosocial Behavior Among AIDS-Orphaned Children in Southern Uganda. J Adolesc Health. 2023 May;72(5S):S51-S58. doi: 10.1016/j.jadohealth.2023.01.002.

  PMID: 37062584 DERIVED

• 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.

  PMID: 26548549 DERIVED

• 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.

  PMID: 23410851 DERIVED

Study Officials

• Fred M Ssewamala, PhD

  Columbia University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Social Work

Study Record Dates

• First Submitted: July 14, 2010
• First Posted: August 11, 2010
• Study Start: August 1, 2008
• Primary Completion: July 1, 2012
• Study Completion: July 1, 2012
• Last Updated: November 27, 2012

Record last verified: 2012-11

Locations

UG (1)