A Qualitative Exploration of the Economic and Social Effects of Microcredit among People Living with HIV/AIDS in Uganda
Identifieur interne : 001823 ( Ncbi/Merge ); précédent : 001822; suivant : 001824A Qualitative Exploration of the Economic and Social Effects of Microcredit among People Living with HIV/AIDS in Uganda
Auteurs : Glenn Wagner [États-Unis] ; Yashodhara Rana [États-Unis] ; Sebastian Linnemayr [États-Unis] ; James Balya [Ouganda] ; Lydia Buzaalirwa [Ouganda]Source :
- AIDS Research and Treatment [ 2090-1240 ] ; 2012.
Abstract
HIV medical care, including antiretroviral therapy (ART), is often successful in restoring physical health and functioning. But in developing countries, HIV medical care is often insufficient to achieve social and economic health, and hence innovative economic support programs are much needed. We conducted semistructured interviews with 30 adults receiving ART and microcredit loans operated by Uganda Cares. Using content analysis, we explored the impact of the microcredit loans on the economic, social, and psychological well-being of respondents. Most respondents indicated that the microcredit loans played a positive role in their lives, helped them to keep their children in school and sustain their families, and improved their self-esteem and status in the community. In addition, we also found significant positive knowledge spill-over and network effects in the program with regard to business management and support. However, more than half of the participants indicated experiencing repayment problems either personally or with other group members due to unexpected emergencies and sickness. These findings highlight that microcredit programs have the potential of being an economic support system for HIV clients trying to reestablish their livelihoods, especially in resource-constrained settings, though more research is needed to determine the overall economic viability of such programs.
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DOI: 10.1155/2012/318957
PubMed: 22778923
PubMed Central: 3388281
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Box 22914, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Uganda Cares, AIDS Healthcare Foundation, Plot 1 Baker Road, Nakasero, P.O. Box 22914, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Buzaalirwa, Lydia" sort="Buzaalirwa, Lydia" uniqKey="Buzaalirwa L" first="Lydia" last="Buzaalirwa">Lydia Buzaalirwa</name><affiliation wicri:level="1"><nlm:aff id="I2">Uganda Cares, AIDS Healthcare Foundation, Plot 1 Baker Road, Nakasero, P.O. Box 22914, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Uganda Cares, AIDS Healthcare Foundation, Plot 1 Baker Road, Nakasero, P.O. 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Most respondents indicated that the microcredit loans played a positive role in their lives, helped them to keep their children in school and sustain their families, and improved their self-esteem and status in the community. In addition, we also found significant positive knowledge spill-over and network effects in the program with regard to business management and support. However, more than half of the participants indicated experiencing repayment problems either personally or with other group members due to unexpected emergencies and sickness. These findings highlight that microcredit programs have the potential of being an economic support system for HIV clients trying to reestablish their livelihoods, especially in resource-constrained settings, though more research is needed to determine the overall economic viability of such programs.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mermin, J" uniqKey="Mermin J">J Mermin</name></author><author><name sortKey="Were, W" uniqKey="Were W">W Were</name></author><author><name sortKey="Ekwaru, Jp" uniqKey="Ekwaru J">JP Ekwaru</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Coetzee, D" uniqKey="Coetzee D">D Coetzee</name></author><author><name sortKey="Hildebrand, K" uniqKey="Hildebrand K">K Hildebrand</name></author><author><name sortKey="Boulle, A" uniqKey="Boulle A">A Boulle</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">AIDS Res Treat</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Res Treat</journal-id><journal-id journal-id-type="publisher-id">ART</journal-id><journal-title-group><journal-title>AIDS Research and Treatment</journal-title></journal-title-group><issn pub-type="ppub">2090-1240</issn><issn pub-type="epub">2090-1259</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22778923</article-id><article-id pub-id-type="pmc">3388281</article-id><article-id pub-id-type="doi">10.1155/2012/318957</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>A Qualitative Exploration of the Economic and Social Effects of Microcredit among People Living with HIV/AIDS in Uganda</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Wagner</surname><given-names>Glenn</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Rana</surname><given-names>Yashodhara</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Linnemayr</surname><given-names>Sebastian</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Balya</surname><given-names>James</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Buzaalirwa</surname><given-names>Lydia</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Health Unit, RAND Corporation, 1776 Main Street, Santa Monica, CA 90407, USA</aff><aff id="I2"><sup>2</sup>Uganda Cares, AIDS Healthcare Foundation, Plot 1 Baker Road, Nakasero, P.O. Box 22914, Kampala, Uganda</aff><author-notes><corresp id="cor1">*Glenn Wagner: <email>gwagner@rand.org</email></corresp><fn fn-type="other"><p>Academic Editor: Glenda Gray</p></fn></author-notes><pub-date pub-type="ppub"><year>2012</year></pub-date><pub-date pub-type="epub"><day>21</day><month>6</month><year>2012</year></pub-date><volume>2012</volume><elocation-id>318957</elocation-id><history><date date-type="received"><day>24</day><month>1</month><year>2012</year></date><date date-type="rev-recd"><day>22</day><month>5</month><year>2012</year></date><date date-type="accepted"><day>22</day><month>5</month><year>2012</year></date></history><permissions><copyright-statement>Copyright © 2012 Glenn Wagner et al.</copyright-statement><copyright-year>2012</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>HIV medical care, including antiretroviral therapy (ART), is often successful in restoring physical health and functioning. But in developing countries, HIV medical care is often insufficient to achieve social and economic health, and hence innovative economic support programs are much needed. We conducted semistructured interviews with 30 adults receiving ART and microcredit loans operated by Uganda Cares. Using content analysis, we explored the impact of the microcredit loans on the economic, social, and psychological well-being of respondents. Most respondents indicated that the microcredit loans played a positive role in their lives, helped them to keep their children in school and sustain their families, and improved their self-esteem and status in the community. In addition, we also found significant positive knowledge spill-over and network effects in the program with regard to business management and support. However, more than half of the participants indicated experiencing repayment problems either personally or with other group members due to unexpected emergencies and sickness. These findings highlight that microcredit programs have the potential of being an economic support system for HIV clients trying to reestablish their livelihoods, especially in resource-constrained settings, though more research is needed to determine the overall economic viability of such programs.</p></abstract></article-meta></front></pmc><affiliations><list><country><li>Ouganda</li><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Wagner, Glenn" sort="Wagner, Glenn" uniqKey="Wagner G" first="Glenn" last="Wagner">Glenn Wagner</name></region><name sortKey="Linnemayr, Sebastian" sort="Linnemayr, Sebastian" uniqKey="Linnemayr S" first="Sebastian" last="Linnemayr">Sebastian Linnemayr</name><name sortKey="Rana, Yashodhara" sort="Rana, Yashodhara" uniqKey="Rana Y" first="Yashodhara" last="Rana">Yashodhara Rana</name></country><country name="Ouganda"><noRegion><name sortKey="Balya, James" sort="Balya, James" uniqKey="Balya J" first="James" last="Balya">James Balya</name></noRegion><name sortKey="Buzaalirwa, Lydia" sort="Buzaalirwa, Lydia" uniqKey="Buzaalirwa L" first="Lydia" last="Buzaalirwa">Lydia Buzaalirwa</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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