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

Darejan Dvalishvili (), Fred. M. Ssewamala, Proscovia Nabunya, Ozge Sensoy Bahar, Samuel Kizito, Flavia Namuwonge and Phionah Namatovu
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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

IJERPH, 2022, vol. 19, issue 21, 1-17

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.

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 (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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