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Family economic strengthening and parenting stress among caregivers of AIDS-orphaned children: Results from a cluster randomized clinical trial in Uganda

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  • Nabunya, Proscovia
  • Ssewamala, Fred M.
  • Ilic, Vilma

Abstract

This study examines the impact of a family economic strengthening intervention on parenting stress among caregivers of AIDS-orphaned children in Uganda. The study uses data from a 4-year (2008–2012) NIMH randomized clinical trial for AIDS-orphaned children known as Suubi-Maka (N=346 dyads). Child–caregiver dyads from 10 comparable primary schools were randomly assigned to either the control group (n=167 dyads) receiving usual care for school-going orphaned children (such as food aid and scholastic materials) or the treatment group (n=179 dyads) receiving a family economic strengthening intervention (focused on a matched savings account), financial planning and management workshops over and above the usual care. Interviews were conducted at baseline and at 12month and 24month follow-ups. This study uses data from baseline and 24month post-intervention. We use multivariate regression methods, controlling for socioeconomic characteristics. At 24months, caregivers in the treatment group reported significantly lower levels of parenting stress compared to caregivers in the control group. Findings from this study point to the potential of a family economic strengthening intervention to improve caregiver's psychosocial well-being and that of their families. We conclude that programs and policies aimed at improving the psychosocial well-being of families caring for AIDS-orphaned children may consider incorporating economic strengthening components in their programming to help support these kinds of families, caregivers of AIDS-orphaned children especially those residing in developing countries.

Suggested Citation

  • Nabunya, Proscovia & Ssewamala, Fred M. & Ilic, Vilma, 2014. "Family economic strengthening and parenting stress among caregivers of AIDS-orphaned children: Results from a cluster randomized clinical trial in Uganda," Children and Youth Services Review, Elsevier, vol. 44(C), pages 417-421.
    • Handle: RePEc:eee:cysrev:v:44:y:2014:i:c:p:417-421
    DOI: 10.1016/j.childyouth.2014.07.018
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    References listed on IDEAS

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    1. Ssewamala, Fred M. & Han, Chang-Keun & Neilands, Torsten B., 2009. "Asset ownership and health and mental health functioning among AIDS-orphaned adolescents: Findings from a randomized clinical trial in rural Uganda," Social Science & Medicine, Elsevier, vol. 69(2), pages 191-198, July.
    2. Ssewamala, Fred M. & Karimli, Leyla & Han, Chang-Keun & Ismayilova, Leyla, 2010. "Social capital, savings, and educational performance of orphaned adolescents in Sub-Saharan Africa," Children and Youth Services Review, Elsevier, vol. 32(12), pages 1704-1710, December.
    3. Rodgers, Antoinette Y., 1993. "The assessment of variables related to the parenting behavior of mothers with young children," Children and Youth Services Review, Elsevier, vol. 15(5), pages 385-402.
    4. Ssewamala, F.M. & Han, C.-K. & Neilands, T.B. & Ismayilova, L. & Sperber, E., 2010. "Effect of economic assets on sexual risk-taking intentions among orphaned adolescents in Uganda," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 483-488.
    5. Nyambedha, Erick Otieno & Wandibba, Simiyu & Aagaard-Hansen, Jens, 2003. "Changing patterns of orphan care due to the HIV epidemic in western Kenya," Social Science & Medicine, Elsevier, vol. 57(2), pages 301-311, July.
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    Cited by:

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    2. Ismayilova, Leyla & Karimli, Leyla & Sanson, Jo & Gaveras, Eleni & Nanema, Rachel & Tô-Camier, Alexice & Chaffin, Josh, 2018. "Improving mental health among ultra-poor children: Two-year outcomes of a cluster-randomized trial in Burkina Faso," Social Science & Medicine, Elsevier, vol. 208(C), pages 180-189.

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