IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i21p14326-d960945.html
   My bibliography  Save this article

Impact of Family-Based Economic Empowerment Intervention, Suubi+Adherence (2012–2018) on Multidimensional Poverty for Adolescents Living with HIV (ALWHIV) in Uganda

Author

Listed:
  • Darejan Dvalishvili

    (Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA)

  • Fred. M. Ssewamala

    (Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA)

  • Proscovia Nabunya

    (Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA)

  • Ozge Sensoy Bahar

    (Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA)

  • Samuel Kizito

    (Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA)

  • Flavia Namuwonge

    (Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA)

  • Phionah Namatovu

    (International Center for Child Health and Development (ICHAD), Uganda Office, Masaka 961105, Uganda)

Abstract

Children growing up in poverty are disproportionately affected by diseases, including HIV. In this study, we use data from Suubi+Adherence, a longitudinal randomized control trial (2012–2018) with 702 adolescents living with HIV (ALWHIV), to examine the effectiveness of a family-based multifaceted economic empowerment (EE) intervention in addressing economic instability and multidimensional poverty among ALWHIV in Southern Uganda. We constructed a Multidimensional Poverty Index of individual and household indicators, including health, assets, housing and family dynamics. We computed the proportion of multidimensionally poor children (H), estimated poverty intensity (A) and adjusted headcount ratio (M 0 ). Using repeated measures at five-time points (baseline, years 1, 2, 3 and 4-post baseline) across two study arms: treatment (receiving the EE intervention) vs. control arm (not receiving EE), we find that both the incidence and proportion of multidimensional poverty decreased in the treatment arm vs. the control arm. Given that there is a direct link between economic instability and poor health outcomes, these findings are informative. They point to the potential for family EE interventions to decrease multidimensional poverty among vulnerable children, including ALWHIV, impacting their overall wellbeing and ability to meet their treatment needs and improve HIV care continuum outcomes.

Suggested Citation

  • Darejan Dvalishvili & Fred. M. Ssewamala & Proscovia Nabunya & Ozge Sensoy Bahar & Samuel Kizito & Flavia Namuwonge & Phionah Namatovu, 2022. "Impact of Family-Based Economic Empowerment Intervention, Suubi+Adherence (2012–2018) on Multidimensional Poverty for Adolescents Living with HIV (ALWHIV) in Uganda," IJERPH, MDPI, vol. 19(21), pages 1-17, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14326-:d:960945
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/21/14326/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/21/14326/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Peter Piot & Robert Greener & Sarah Russell, 2007. "Squaring the Circle: AIDS, Poverty, and Human Development," PLOS Medicine, Public Library of Science, vol. 4(10), pages 1-5, October.
    2. Simone Schaner, 2018. "The Persistent Power of Behavioral Change: Long-Run Impacts of Temporary Savings Subsidies for the Poor," American Economic Journal: Applied Economics, American Economic Association, vol. 10(3), pages 67-100, July.
    3. 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.
    4. Trani, Jean-François & Cannings, Tim I., 2013. "Child Poverty in an Emergency and Conflict Context: A Multidimensional Profile and an Identification of the Poorest Children in Western Darfur," World Development, Elsevier, vol. 48(C), pages 48-70.
    5. Marlous Milliano & Ilze Plavgo, 2018. "Analysing Multidimensional Child Poverty in Sub-Saharan Africa: Findings Using an International Comparative Approach," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 11(3), pages 805-833, June.
    6. Daniele Pacifico & Felix Poege, 2017. "Estimating measures of multidimensional poverty with Stata," Stata Journal, StataCorp LP, vol. 17(3), pages 687-703, September.
    7. Bennell, Paul, 2021. "The educational attainment of orphans in high HIV countries in sub-Saharan Africa: An update," International Journal of Educational Development, Elsevier, vol. 82(C).
    8. Keetie Roelen, 2017. "Monetary and Multidimensional Child Poverty: A Contradiction in Terms?," Development and Change, International Institute of Social Studies, vol. 48(3), pages 502-533, May.
    9. Sen, Amartya, 1999. "Commodities and Capabilities," OUP Catalogue, Oxford University Press, number 9780195650389.
    10. Julia Shu-Huah Wang & Bilal Malaeb & Fred M. Ssewamala & Torsten B. Neilands & Jeannie Brooks-Gunn, 2021. "A Multifaceted Intervention with Savings Incentives to Reduce Multidimensional Child Poverty: Evidence from the Bridges Study (2012–2018) in Rural Uganda," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 158(3), pages 947-990, December.
    11. 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.
    12. Alkire, Sabina & Santos, Maria Emma, 2014. "Measuring Acute Poverty in the Developing World: Robustness and Scope of the Multidimensional Poverty Index," World Development, Elsevier, vol. 59(C), pages 251-274.
    13. Amélia Bastos & Carla Machado, 2009. "Child poverty: a multidimensional measurement," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 36(3), pages 237-251, February.
    14. Fred M Ssewamala & Darejan Dvalishvili & Claude A Mellins & Elvin H Geng & Fredderick Makumbi & Torsten B Neilands & Mary McKay & Christopher Damulira & Proscovia Nabunya & Ozge Sensoy Bahar & Gertrud, 2020. "The long-term effects of a family based economic empowerment intervention (Suubi+Adherence) on suppression of HIV viral loads among adolescents living with HIV in southern Uganda: Findings from 5-year," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-13, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Julia Shu-Huah Wang & Bilal Malaeb & Fred M. Ssewamala & Torsten B. Neilands & Jeannie Brooks-Gunn, 2021. "A Multifaceted Intervention with Savings Incentives to Reduce Multidimensional Child Poverty: Evidence from the Bridges Study (2012–2018) in Rural Uganda," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 158(3), pages 947-990, December.
    2. Khaufelo Raymond Lekobane & Keetie Roelen, 2020. "Leaving No One Behind: Multidimensional Child Poverty in Botswana," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 13(6), pages 2003-2030, December.
    3. Khaufelo Raymond Lekobane, 2022. "Leaving No One Behind: An Individual-Level Approach to Measuring Multidimensional Poverty in Botswana," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 162(1), pages 179-208, July.
    4. Song-Iee Hong & Chang-Keun Han, 2014. "Asset Impacts on Life Satisfaction in an Asset-Rich Country: Focusing on Older Adults in Singapore," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 118(1), pages 125-140, August.
    5. Joaquín Prieto, 2022. "A Multidimensional Approach to Measuring Economic Insecurity: The Case of Chile," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 163(2), pages 823-855, September.
    6. Shiyou Wu & Mimi V. Chapman & Meihua Zhu & Xiafei Wang, 2020. "Household Assets, the Role of Government Assistance, and Depression Among Low-Income Families in Shanghai," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 149(2), pages 571-584, June.
    7. Keetie Roelen, 2018. "Poor Children in Rich Households and Vice Versa: A Blurred Picture or Hidden Realities?," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 30(2), pages 320-341, April.
    8. Frank Agyire-Tettey & Derek Asuman & Charles Godfred Ackah & Antoinette Tsiboe-Darko, 2021. "Multidimensional Child Poverty in Ghana: Measurements, Determinants, and Inequalities," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 14(3), pages 957-979, June.
    9. Burhan Can Karahasan & Fırat Bilgel, 2021. "The Topography and Sources of Multidimensional Poverty in Turkey," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 154(2), pages 413-445, April.
    10. Rodrigo García Arancibia & Ignacio Girela, 2024. "Graphical Representation of Multidimensional Poverty: Insights for Index Construction and Policy Making," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 172(2), pages 595-634, March.
    11. Isaac Koomson & Raymond Elikplim Kofinti & Esther Laryea, 2024. "Financial inclusion and multidimensional child poverty," Review of Economics of the Household, Springer, vol. 22(1), pages 237-260, March.
    12. Erlangga Agustino Landiyanto, 2022. "Comparison of Child Poverty Measures: Looking for Consensus," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(1), pages 35-66, February.
    13. Bojan Srbinoski & Blagica Petreski & Marjan Petreski, 2023. "Measurement of Multidimensional Child Poverty: Evidence from North Macedonia," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(1), pages 247-271, February.
    14. 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.
    15. Hoolda Kim, 2019. "Beyond Monetary Poverty Analysis: The Dynamics of Multidimensional Child Poverty in Developing Countries," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 141(3), pages 1107-1136, February.
    16. Veronika V. Eberharter, 2018. "Capability Deprivation, and the Intergenerational Transmission of Social Disadvantages—Empirical Evidence from Selected Countries," Social Sciences, MDPI, vol. 7(12), pages 1-22, December.
    17. Sabina Alkire, 2018. "The Research Agenda on Multidimensional Poverty Measurement: Important and As-yet Unanswered Questions," OPHI Working Papers ophiwp119_3.pdf, Queen Elizabeth House, University of Oxford.
    18. Igei, Kengo, 2017. "Untangling Disability and Poverty: A Matching Approach Using Large-scale Data in South Africa," Working Papers 142, JICA Research Institute.
    19. Khaufelo Raymond Lekobane, 2022. "Does it matter which poverty measure we use to identify those left behind? Investigating poverty mismatch and overlap for Botswana," Journal of Social and Economic Development, Springer;Institute for Social and Economic Change, vol. 24(1), pages 171-196, June.
    20. Sylvia Shangani & Don Operario & Becky Genberg & Kipruto Kirwa & Miriam Midoun & Lukoye Atwoli & David Ayuku & Omar Galárraga & Paula Braitstein, 2017. "Unconditional government cash transfers in support of orphaned and vulnerable adolescents in western Kenya: Is there an association with psychological wellbeing?," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-15, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14326-:d:960945. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.