The Impact of a Comprehensive Microfinance Intervention on Depression Levels of AIDS-Orphaned Children in Uganda. *
Identifieur interne : 001648 ( Ncbi/Merge ); précédent : 001647; suivant : 001649The Impact of a Comprehensive Microfinance Intervention on Depression Levels of AIDS-Orphaned Children in Uganda. *
Auteurs : Fred M. Ssewamala ; Torsten B. Neilands ; Jane Waldfogel ; Leyla IsmayilovaSource :
- The Journal of Adolescent Health [ 1054-139X ] ; 2011.
Abstract
By adversely affecting family functioning and stability, poverty constitutes an important risk factor for children’s poor mental health functioning. This study examines the impact of a comprehensive microfinance intervention, designed to reduce the risk of poverty, on depression among AIDS-orphaned youth.
Children from 15 comparable primary schools in Rakai District of Uganda, one of those hardest hit by HIVAIDS in the country, were randomly assigned to control (n=148) or treatment (n=138) conditions. Children in the treatment condition received a comprehensive microfinance intervention comprising of matched savings accounts, financial management workshops, and mentorship. This was in addition to traditional services provided for all school-going orphaned adolescents (counseling and school supplies). Data were collected at wave 1 (baseline), wave 2 (10-months postintervention), and wave 3 (20-months post-intervention). We used multilevel growth models to examine the trajectory of depression in treatment and control conditions, measured using Children’s Depression Inventory (Kovacs).
Children in the treatment group exhibited a significant decrease in depression whereas their control group counterparts showed no change in depression.
The findings indicate that over and above traditional psychosocial approaches used to address mental health functioning among orphaned children in sub-Saharan Africa, incorporating poverty alleviation-focused approaches, such as this comprehensive microfinance intervention, has the potential to improve psychosocial functioning of these children.
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DOI: 10.1016/j.jadohealth.2011.08.008
PubMed: 22443837
PubMed Central: 3314188
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<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9102136</journal-id><journal-id journal-id-type="pubmed-jr-id">1030</journal-id><journal-id journal-id-type="nlm-ta">J Adolesc Health</journal-id><journal-id journal-id-type="iso-abbrev">J Adolesc Health</journal-id><journal-title-group><journal-title>The Journal of Adolescent Health</journal-title></journal-title-group><issn pub-type="ppub">1054-139X</issn><issn pub-type="epub">1879-1972</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22443837</article-id><article-id pub-id-type="pmc">3314188</article-id><article-id pub-id-type="doi">10.1016/j.jadohealth.2011.08.008</article-id><article-id pub-id-type="manuscript">NIHMS335244</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>The Impact of a Comprehensive Microfinance Intervention on Depression Levels of AIDS-Orphaned Children in Uganda. <xref ref-type="corresp" rid="cor1">*</xref></article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ssewamala</surname><given-names>Fred M.</given-names></name><degrees>PhD</degrees><email>fs2114@columbia.edu</email><aff id="A1">Associate Professor of Social Work and International Affairs, Columbia University</aff></contrib><contrib contrib-type="author"><name><surname>Neilands</surname><given-names>Torsten B.</given-names></name><degrees>PhD</degrees><email>Torsten.Neilands@ucsf.edu</email><aff id="A2">Associate Professor, Center for AIDS Prevention, University of California, San Francisco</aff></contrib><contrib contrib-type="author"><name><surname>Waldfogel</surname><given-names>Jane</given-names></name><degrees>PhD</degrees><email>jw205@columbia.edu</email><aff id="A3">Professor of Social Work and Public Policy, Columbia University</aff></contrib><contrib contrib-type="author"><name><surname>Ismayilova</surname><given-names>Leyla</given-names></name><degrees>PhD</degrees><email>li61@columbia.edu</email><aff id="A4">Post-Doctoral Fellow, Columbia University School of Social Work</aff></contrib></contrib-group><author-notes><corresp id="cor1"><label>*</label>Direct all correspondences to Fred M. Ssewamala, Associate Professor of Social Work and International Affairs, Columbia University, 1255 Amsterdam Avenue, Office # 831, New York, NY, 10027. Telephone: 212-851-2250, fax: 212-851-2204. <email>fs2114@columbia.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>8</day><month>11</month><year>2011</year></pub-date><pub-date pub-type="epub"><day>26</day><month>10</month><year>2011</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>4</month><year>2013</year></pub-date><volume>50</volume><issue>4</issue><fpage>346</fpage><lpage>352</lpage><permissions><copyright-statement>© 2011 Society for Adolescent Medicine. Published by Elsevier Inc. All rights reserved.</copyright-statement><copyright-year>2011</copyright-year></permissions><abstract><sec id="S1"><title>Purpose</title><p id="P1">By adversely affecting family functioning and stability, poverty constitutes an important risk factor for children’s poor mental health functioning. This study examines the impact of a comprehensive microfinance intervention, designed to reduce the risk of poverty, on depression among AIDS-orphaned youth.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Children from 15 comparable primary schools in Rakai District of Uganda, one of those hardest hit by HIVAIDS in the country, were randomly assigned to control (n=148) or treatment (n=138) conditions. Children in the treatment condition received a comprehensive microfinance intervention comprising of matched savings accounts, financial management workshops, and mentorship. This was in addition to traditional services provided for all school-going orphaned adolescents (counseling and school supplies). Data were collected at wave 1 (baseline), wave 2 (10-months postintervention), and wave 3 (20-months post-intervention). We used multilevel growth models to examine the trajectory of depression in treatment and control conditions, measured using Children’s Depression Inventory (Kovacs).</p></sec><sec id="S3"><title>Results</title><p id="P3">Children in the treatment group exhibited a significant decrease in depression whereas their control group counterparts showed no change in depression.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">The findings indicate that over and above traditional psychosocial approaches used to address mental health functioning among orphaned children in sub-Saharan Africa, incorporating poverty alleviation-focused approaches, such as this comprehensive microfinance intervention, has the potential to improve psychosocial functioning of these children.</p></sec></abstract><funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>R21 MH076475-02 || MH</award-id></award-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source><award-id>R21 MH076475-01 || MH</award-id></award-group></funding-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Ismayilova, Leyla" sort="Ismayilova, Leyla" uniqKey="Ismayilova L" first="Leyla" last="Ismayilova">Leyla Ismayilova</name><name sortKey="Neilands, Torsten B" sort="Neilands, Torsten B" uniqKey="Neilands T" first="Torsten B." last="Neilands">Torsten B. Neilands</name><name sortKey="Ssewamala, Fred M" sort="Ssewamala, Fred M" uniqKey="Ssewamala F" first="Fred M." last="Ssewamala">Fred M. Ssewamala</name><name sortKey="Waldfogel, Jane" sort="Waldfogel, Jane" uniqKey="Waldfogel J" first="Jane" last="Waldfogel">Jane Waldfogel</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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