A livelihood intervention to improve economic and psychosocial well-being in rural Uganda: Longitudinal pilot study
A livelihood intervention to improve economic and psychosocial well-being in rural Uganda: Longitudinal pilot study
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DOI：
10.1080/17290376.2016.1230072
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发表时间：
2016-01-01
影响因子：
1.1
通讯作者：
Tsai, Alexander C.
中科院分区：
文献类型：
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作者：
Kakuhikire, Bernard;Suquillo, Diego;Tsai, Alexander C.
在撒哈拉以南非洲，艾滋病毒与贫穷密不可分。有人建议采取经济和生计干预战略，以帮助减轻艾滋病毒对经济的不利影响，但很少有干预研究专门针对艾滋病毒抗体阳性者。我们进行了三项试点研究，以评估生计干预措施，其中包括初步指导和一揽子鸡只贷款及相关工具，以创建家禽微型企业。我们招募了15名HIV阳性和22名HIV阴性的参与者，并对他们进行了长达18个月的随访。在随访过程中，参与者实现了较高的鸡存活率和贷款偿还率。中位月收入增加，严重粮食不安全下降，尽管这些变化在统计学上并不显著（P值范围为0.11至0.68）。通过对三名艾滋病毒抗体阳性参与者进行有目的抽样的深入访谈，确定了一系列经济和心理社会效益，包括改善社会融合和减少耻辱感。
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.