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首页> 美国卫生研究院文献>other >Applying a Family-Level Economic Strengthening Intervention to Improve Education and Health-Related Outcomes of School-going AIDS-Orphaned Children: Lessons from a Randomized Experiment in Southern Uganda
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Applying a Family-Level Economic Strengthening Intervention to Improve Education and Health-Related Outcomes of School-going AIDS-Orphaned Children: Lessons from a Randomized Experiment in Southern Uganda

机译：应用家庭层面的经济加强干预措施来改善学龄的艾滋病孤儿的教育和与健康相关的结果：乌干达南部的一项随机实验的经验教训

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Children comprise the largest proportion of the population in sub-Saharan Africa. Of these, millions are orphaned. Orphanhood increases the likelihood of growing up in poverty, dropping out of school, and becoming infected with HIV. Therefore, programs aimed at securing a healthy developmental trajectory for these orphaned children are desperately needed. We conducted a two-arm cluster-randomized controlled trial to evaluate the effectiveness of a family-level economic strengthening intervention with regard to school-attendance, school grades, and self-esteem in AIDS-orphaned adolescents aged 12–16 years from 10 public rural primary schools in southern Uganda. Children were randomly assigned to receive usual care (counseling, school uniforms, school lunch, notebooks and textbooks), “bolstered” with mentorship from a near-peer (control condition, n=167), or to receive bolstered usual care plus a family-level economic strengthening intervention in the form of a matched Child Savings Account (Suubi-Maka treatment arm, n = 179). The two groups did not differ at baseline, but 24-months later, children in the Suubi-Maka treatment arm reported significantly better educational outcomes, lower levels of hopelessness, and higher levels of self-concept compared to participants in the control condition. Our study contributes to the ongoing debate on how to address the developmental impacts of the increasing numbers of orphaned, and vulnerable children and adolescents in sub-Saharan Africa, especially those affected by HIV/AIDS. Our findings indicate that innovative family-level economic strengthening programs, over and above bolstered usual care that includes psychosocial interventions for young people, may have positive developmental impacts related to education, health, and psychosocial functioning.
机译：在撒哈拉以南非洲，儿童占人口的最大比例。其中有数百万人成为孤儿。孤儿院增加了陷入贫困，辍学并感染艾滋病毒的可能性。因此，迫切需要旨在确保这些孤儿健康成长轨迹的方案。我们进行了两组手臂随机对照试验，以评估家庭级经济强化干预措施对10名12岁至16岁的AIDS孤儿中入学率，学业成绩和自尊心的有效性。乌干达南部的农村小学。随机分配儿童接受日常护理（咨询，校服，学校午餐，笔记本和教科书），在近距离同伴的指导下“加强支持”（控制条件，n = 167），或接受加强的常规护理加家庭服务配套的儿童储蓄账户形式的经济增长干预措施（Suubi-Maka治疗部门，n = 179）。两组在基线时没有差异，但在24个月后，与对照组相比，Suubi-Maka治疗组的儿童教育效果显着提高，绝望水平降低，自我概念提高。我们的研究有助于就如何应对撒哈拉以南非洲越来越多的孤儿和弱势儿童和青少年，特别是受艾滋病毒/艾滋病影响的儿童和青少年的发展影响进行的辩论。我们的研究结果表明，创新性的家庭级经济加强计划，除包括针对年轻人的社会心理干预措施在内的常规护理之外，可能会对教育，健康和社会心理功能产生积极的发展影响。

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