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Member Research & Reports

Member Research & Reports

NYU: Family Economic Empowerment Interventions for AIDS-Orphaned Adolescents in Uganda

A study co-authored by Dr. Yesim Tozan, assistant professor of Global Health, and doctoral student Ms. Ariadna Capasso at New York University College of Global Public Health, was published by PLOS ONE titled “Evaluation of a savings-led family-based economic empowerment intervention for AIDS-affected adolescents in Uganda: A four-year follow-up on efficacy and cost-effectiveness.

Children who have lost a parent to human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) face multiple stressors affecting their health and development. Family economic empowerment (FEE) interventions have the potential to improve these outcomes and mitigate the risks they face. This study examines the efficacy and cost-effectiveness of a savings-led FEE intervention targeted at adolescents orphaned by HIV/AIDS in Uganda, focusing on eight different health and mental health outcomes: self-rated health, depression, hopelessness, self-concept, self-efficacy, sexual risk-taking intentions, HIV prevention attitudes, and HIV knowledge. 

Results indicate that this multifaceted intervention has the potential to positively contribute to short-term and long-term effects on the health and overall development of adolescents impacted by HIV/AIDS by mitigating household financial instability. Further, the rate of incentive seems to matter to sustain the effects of the intervention in the long run. Higher savings incentives yielded a significant and lasting effect on a greater number of outcomes among adolescents compared to lower savings incentives at a similar incremental cost per unit effect. These findings contribute to the evidence supporting the incorporation of FEE interventions within national social protection frameworks.

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