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Completed

NCT Number: NCT01180114

Economic Empowerment Program Suubi-Maka

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.

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Key information

Conditions

Age range

11 year–16 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

St. Joseph's Matale Parish

Rakai, Uganda

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

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

Treatment and study plan

Suubi-Maka ('Hope for Families')

Behavioral

Each child in the SUUBI-MAKA condition receive the usual care plus asset focused services, specifically: a matched Child Development Account (CDA); twelve 1-2 hour training sessions on career planning, setting short-term and long-term career goals, and how to save money; and monthly mentorship program with young adult peers (undergraduate students) on life options and how to avoid risk behaviors. In addition, participants receive a 2:1 match for their deposits into the account. Further, participants and their adult caregivers receive specific training on microenterprise development and specifically on how to start an income-generating project using up to 50% of the matched savings. The intervention is delivered over a period of 24 months.

Other names: Children's savings account

Usual Care

Other

Each child in the control condition receives the usual services for orphaned children (counseling, school lunches, and textbooks).

Other names: Usual services

Primary outcomes

  1. Savings and asset-accumulation

    Time frame: 12-month post-intervention

    Formal and informal savings, wealth/assets (e.g. livestock, type of housing), and attitudes toward saving

  2. Educational outcomes

    Time frame: 12-month post-intervention

    School enrollment, School attendance, School grades, Educational plans and aspirations

  3. Sexual risk taking

    Time frame: 12-month post-intervention

    Sexual risk taking behavior (onset of sexual intercourse, unprotected sexual intercourse), Intentions to engage in sexual risk behaviors, HIV knowledge

  4. Savings and asset-accumulation

    Time frame: 24-month post-intervention

    Formal and informal savings, wealth/assets (e.g. livestock, type of housing), and attitudes toward saving

  5. Educational outcomes

    Time frame: 24-month post-intervention

    School enrollment, School attendance, School grades, Educational plans and aspirations

  6. Sexual risk taking

    Time frame: 24-month post-intervention

    Sexual risk taking behavior (onset of sexual intercourse, unprotected sexual intercourse), Intentions to engage in sexual risk behaviors, HIV knowledge

Secondary outcomes

  1. Mental health

    Time frame: 12-month post-intervention

    Self-esteem, depression, hopelessness, helplessness

  2. Social and family support

    Time frame: 12-month post-intervention

    Child-caregiver relationship, family cohesion, family communication, family support

  3. Mental health

    Time frame: 24-month post-intervention

    Self-esteem, depression, hopelessness, and helplessness scales

  4. Social and family support

    Time frame: 24-month post-intervention

    Child-caregiver relationship, family cohesion, family communication, family support

Sponsors and collaborators

Lead sponsor

Columbia University

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Official study title

SUUBI MAKA ("Hope for Families"): A Family-Based Economic Empowerment Model for Orphaned Children in Uganda

Acronym: Suubi-Maka

Important dates

Study start
2008
Primary completion
2012
Study completion
2012
First posted
Aug 11, 2010
Registry last updated
Nov 27, 2012

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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