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Improving Education Opportunity, Health, and Quality of Life of Orphans and Vulnerable Children: The Sustainable Action against HIV and AIDS in Communities (SAHACOM)

机译:改善孤儿和弱势儿童的教育机会,健康状况和生活质量:社区中针对艾滋病毒和艾滋病的可持续行动(SAHACOM)

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Aims: This study evaluated the impact of the Sustainable Action against HIV and AIDS in Communities (SAHACOM) project in improving education opportunity, health, and quality of life of orphans and vulnerable children (OVC) in Cambodia. Study Design: Operational intervention study. Place and Duration of the Study: Five provinces in Cambodia, from 2010 to 2014. Methodology: A two-stage cluster sampling method was used to select 756 OVC at midterm and 785 OVC at end line for face-to-face interviews. Outcome indicators from end line (2014) were compared to those obtained at midterm (2012). Where possible, the data were also compared with data obtained from baseline documentation (2010). Results: The percentage of OVC receiving external support for child care surged from 30.0% at baseline to 84.0% at midterm but decreased to 76.8% at end line. Compared to children at midterm, children at end line were significantly more likely to report having attended school regularly in the past 12 months, less likely to suspend study in order to work to help feed the family in the past 12 months, less likely to respond that food supports and other basic needs such as clothes and other household materials were the most important needs for their family today, more likely to perceive that supports for child education were the most important for their family today, less likely to report that their family reduced times for daily meals due to the shortage of food in the past 12 months, and more likely to rate their general health and overall quality of life as fair, good, or very good. Conclusion: This study indicates significant impact of the SAHACOM on education, health, and quality of life of OVC in Cambodia. This community-based model should be adapted for future interventions, taking into account the available resources.
机译:目的:本研究评估了针对社区的艾滋病毒/艾滋病可持续行动(SAHACOM)项目对改善柬埔寨孤儿和弱势儿童的教育机会,健康状况以及生活质量(OVC)的影响。研究设计:运营干预研究。研究的地点和持续时间:2010年至2014年,柬埔寨的五个省。方法:采用两阶段整群抽样方法,在中期选择756 OVC,在终点选择785 OVC进行面对面访谈。将来自最终指标(2014年)的结果指标与中期(2012年)获得的指标进行了比较。在可能的情况下,还将数据与从基准文档(2010年)获得的数据进行比较。结果:OVC接受外部支持的儿童保育百分比从基线的30.0%上升到中期的84.0%,但在终点线下降到76.8%。与期中的孩子相比,末期的孩子在过去12个月内更有可能报告定期上学,在过去12个月内停学以帮助家庭养活的可能性较小,而回应的可能性较小食物支持和其他基本需求(例如衣服和其他家庭材料)是当今家庭最重要的需求,更有可能认为支持儿童教育对于当今家庭来说是最重要的,不太可能报告他们的家庭减少了由于过去12个月中食物短缺,因此每天的用餐时间增加了,因此更有可能将其总体健康状况和总体生活质量评为“公平,良好或非常好”。结论:这项研究表明,SAHACOM对柬埔寨OVC的教育,健康和生活质量具有重大影响。这种基于社区的模型应考虑到可用资源,以适应将来的干预措施。

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