Economic Empowerment Program Suubi-Maka

Columbia University

Status: Completed

Conditions: Poverty

Treatments: Behavioral: Suubi-Maka ('Hope for Families'); Other: Usual Care

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01180114

R34MH081763-02 (U.S. NIH Grant/Contract)

AAAD2525

Details and patient eligibility

About

The overall goal of SUUBI-MAKA is to further develop and preliminarily examine a family economic empowerment intervention that creates economic opportunities (specifically Children Development Accounts) for families in Uganda who are caring for children orphaned due to the AIDS pandemic, and to lay groundwork for a bigger study with practice and policy implications for Sub-Saharan Africa.

Full description

The study has two specific aims (1) To conduct formative work in order to understand children and families´ ability and interest in participating in a family-level economic empowerment intervention focused on savings and family income generation, and their response to this family-focused economic empowerment approach alongside additional intervention components, including savings for youth education and adult mentorship. (2) Based on formative data (Aim #1), to adapt the intervention and examine issues related to feasibility and preliminary outcome on a small scale in order to prepare for a larger study.

The intervention, SUUBI-MAKA, uses a novel approach by focusing on economic empowerment of families caring for children orphaned due to AIDS. The intervention has three key components (1) it promotes family-level income generating projects (micro-enterprises) which we believe will enhance economic stability, reduce poverty, and enhance protective family processes for youth orphaned by AIDS. (2) It promotes monetary savings for educational opportunities for AIDS-orphaned children. (3) It provides an adult mentor to children. The intervention will be evaluated via a two-group randomized trial. The two groups are SUUBI-MAKA or Usual care for orphaned children. The participating children will be nested within 20 primary schools that will be randomly assigned such that all children from a particular school receive the same intervention.

Enrollment: 300 patients

Sex: All

Ages: 11 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. An AIDS-orphaned child, defined as a child who has lost one or both parents to AIDS;
2. Enrolled in the last two years of primary school (even though possibly not attending regularly);
3. Between the ages of 11 to 16 years;
4. Living within a family.

Exclusion criteria

1. Any youth below 11 years or above 16 years at the time of enrollment in the study;
2. Any youth not enrolled in the final two years of primary school;
3. Any youth who does not self-identify as an AIDS-orphan;
4. Any youth not being raised primarily within a family context at the start of the study.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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300 participants in 2 patient groups

SUUBI-MAKA

Experimental group

Description:

Involves creating and broadening asset ownership opportunities and life options for children (ages 12 to 15 years) orphaned due to AIDS in Uganda.

Treatment:

Behavioral: Suubi-Maka ('Hope for Families')

Usual Care

Other group

Description:

No intervention for asset ownership, development of future planning skills, enhancement of mental health and reduction of risk taking behaviors for children orphaned due to AIDS in Uganda.

Treatment:

Other: Usual Care