A livelihood intervention to improve economic and psychosocial well-being in rural Uganda: Longitudinal pilot study

被引:18
作者
Kakuhikire, Bernard [1 ]
Suquillo, Diego [2 ]
Atuhumuza, Elly [3 ]
Mushavi, Rumbidzai [4 ]
Perkins, Jessica M. [5 ]
Venkataramani, Atheendar S. [6 ]
Weiser, Sheri D. [7 ]
Bangsberg, David R. [8 ]
Tsai, Alexander C. [9 ]
机构
[1] Mbarara Univ Sci & Technol, Inst Management Sci, Mbarara, Uganda
[2] Harvard Univ, Quincy House, Cambridge, MA USA
[3] Infect Dis Res Collaborat, Kampala, Uganda
[4] Harvard Med Sch, Boston, MA USA
[5] Massachusetts Gen Hosp, Div Global Psychiat, Boston, MA 02114 USA
[6] Harvard Med Sch, Med, Boston, MA USA
[7] Univ Calif San Francisco, Med, San Francisco, CA 94143 USA
[8] Portland State Univ, Sch Publ Hlth, Oregon Hlth Sci Univ, Portland, OR 97207 USA
[9] Harvard Med Sch, Psychiat, Boston, MA 02115 USA
基金
美国国家卫生研究院;
关键词
HIV; poverty; social stigma; Uganda; HIV-RELATED STIGMA; SUB-SAHARAN AFRICA; FOOD INSECURITY; INTERNALIZED STIGMA; SOCIAL SUPPORT; SHAMBA-MAISHA; AIDS; HIV/AIDS; IMPACTS; PEOPLE;
D O I
10.1080/17290376.2016.1230072
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
HIV and poverty are inextricably intertwined in sub-Saharan Africa. Economic and livelihood intervention strategies have been suggested to help mitigate the adverse economic effects of HIV, but few intervention studies have focused specifically on HIV-positive persons. We conducted three pilot studies to assess a livelihood intervention consisting of an initial orientation and loan package of chickens and associated implements to create poultry microenterprises. We enrolled 15 HIV-positive and 22 HIV-negative participants and followed them for up to 18 months. Over the course of follow-up, participants achieved high chicken survival and loan repayment rates. Median monthly income increased, and severe food insecurity declined, although these changes were not statistically significant (P-values ranged from 0.11 to 0.68). In-depth interviews with a purposive sample of three HIV-positive participants identified a constellation of economic and psychosocial benefits, including improved social integration and reduced stigma.
引用
收藏
页码:162 / 169
页数:8
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