Microfinance Intervention to Improve Health of Trauma Survivors in DRC

NCT02008708 | Completed DMC

• 1 other identifier: R01MD006075
• Study Type: interventional
• Target: 878
• Locations: 1 country
• Sites: 1

Brief Summary

The objective is to test the effectiveness of a village-led microfinance program, Pigs for Peace, on health, household economic stability, and reintegration of trauma survivors to family and community. The five-year experimental trial will use mixed-methods to address the following aims:

1. 1.Determine the effectiveness of a village-led microfinance program on participants health and reintegration in intervention households compared to participants in delayed control households. Health and reintegration will be measured at baseline and six, twelve, and 18-months post-baseline using self-report in both intervention and delayed control groups. We hypothesize that at six, twelve and 18 months post-baseline participants in intervention households will have improved health and increased reintegration to families in comparison to participants in control households.
2. 2.Determine the effectiveness of a village-led microfinance program on household economic stability in intervention households compared to delayed control villages. Household economic stability will be measured at baseline and six, twelve and 18 months post- baseline using self-report in both intervention and control households. We hypothesize that at six, twelve and 18-months post-baseline the intervention households will have improved household economic stability in comparison to control households.
3. 3.Examine the role of a village-led microfinance program on village-level health, economics, stigma and reintegration of survivors and their families in intervention and delayed control villages. Village members (n=5 in each village, n=50 total) will complete a baseline and 18 month post-baseline qualitative interview to examine the role of microfinance on village-level health, economics, stigma and reintegration in both intervention and control households.

Conditions

Mental Disorders; Multiple Trauma

Keywords

Health; Microfinance

Outcome Measures

Primary Outcomes (1)

• Change from baseline Mental health distress at 18 months

  10 villages in rural South Kivu province of DRC will be selected for participation. Sixty-100 households in each village will then be randomized to intervention (receive 1st loan pig) and delayed control (receive offspring from loan pig) groups. * Outcome will be measured in both intervention and control villages. * Measurement of outcome will use self-report by participating household member. * An eligible participant is an adult head of household at least 16 years or older.

  Baseline and 18 months post baseline

Study Arms (2)

Livestock microfinance

EXPERIMENTAL

Participants randomized to the microfinance intervention receive a female pig loan with ongoing support to manage health and care of the pig by trained agents.

Behavioral: Livestock Microfinance

Delayed Control Group

ACTIVE COMPARATOR

Participants randomized to delayed control group receives pig loan 12 months after the intervention group

Other: Delayed Control Group

Interventions

Livestock Microfinance BEHAVIORAL

Participants randomized to the microfinance group receive the pig loan.

Livestock microfinance

Delayed Control Group OTHER

Participants enrolled in delayed control receive their pig loan 12 months after the intervention group.

Delayed Control Group

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• household in participating 10 villages with at least one member:
• years or older,
• male or female
• interest in animal husbandry microfinance,
• vulnerable, including survivor of sexual violence, widow, single mother
• children under age 18 in the home.

You may not qualify if:

• do not live in villages included in study

Sponsors & Collaborators

• Johns Hopkins University: lead
• National Institute on Minority Health and Health Disparities (NIMHD): collaborator

Study Sites (1)

PAIDEK Microfinance

Bukavu, South Kivu, 2375, Republic of the Congo

Location

Related Publications (3)

• Glass N, Perrin NA, Kohli A, Campbell J, Remy MM. Randomised controlled trial of a livestock productive asset transfer programme to improve economic and health outcomes and reduce intimate partner violence in a postconflict setting. BMJ Glob Health. 2017 Feb 28;2(1):e000165. doi: 10.1136/bmjgh-2016-000165. eCollection 2017.

  PMID: 28589002 DERIVED

• Kohli A, Perrin NA, Remy MM, Alfred MB, Arsene KB, Nadine MB, Heri BJ, Clovis MM, Glass N. Adult and adolescent livestock productive asset transfer programmes to improve mental health, economic stability and family and community relationships in rural South Kivu Province, Democratic Republic of Congo: a protocol of a randomised controlled trial. BMJ Open. 2017 Mar 14;7(3):e013612. doi: 10.1136/bmjopen-2016-013612.

  PMID: 28292764 DERIVED

• Glass N, Perrin NA, Kohli A, Remy MM. Livestock/animal assets buffer the impact of conflict-related traumatic events on mental health symptoms for rural women. PLoS One. 2014 Nov 24;9(11):e111708. doi: 10.1371/journal.pone.0111708. eCollection 2014.

  PMID: 25419743 DERIVED

MeSH Terms

Conditions

Mental Disorders; Multiple Trauma

Condition Hierarchy (Ancestors)

Wounds and Injuries

Study Officials

• Nancy Glass, PhD, MPH, RN

  Johns Hopkins University School of Nursing

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: October 7, 2013
• First Posted: December 11, 2013
• Study Start: January 1, 2011
• Primary Completion: September 1, 2016
• Study Completion: September 1, 2016
• Last Updated: March 3, 2017

Record last verified: 2017-03

Locations

RE (1)