Journal
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Volume 19, Issue 21, Pages -Publisher
MDPI
DOI: 10.3390/ijerph192114326
Keywords
adolescent wellbeing; adolescents living with HIV; HIV care; evidence-based intervention; impact evaluation; family-based multifaceted economic empowerment intervention; multidimensional poverty; poverty reduction; resource-limited settings
Funding
- Eunice Kennedy National Institute of Child and Human Development (NICHD) [1R01HD074949-01]
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In this study, the effectiveness of a family-based multifaceted economic empowerment intervention in reducing economic instability and multidimensional poverty among adolescents living with HIV in Southern Uganda was examined. The findings showed that the incidence and proportion of multidimensional poverty decreased in the treatment group compared to the control group.
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.
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