Comparative effectiveness of an economic empowerment program on adolescent economic assets, education and health in a humanitarian setting
Comparative effectiveness of an economic empowerment program on adolescent economic assets, education and health in a humanitarian setting
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DOI：
10.1186/s12889-020-8219-6
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发表时间：
2020-02-04
影响因子：
4.5
通讯作者：
Perrin, Nancy
中科院分区：
文献类型：
--
作者：
Glass, Nancy;Remy, Mitima Mpanano;Perrin, Nancy
青少年是人类发展的关键时期，然而，对改善生活在受冲突影响和人道主义环境中的青少年健康和福祉的计划的研究有限。本研究的目的是评估在复杂的人道主义环境中，经济赋权计划对青少年结果的相对有效性。方法本纵向混合方法研究考察了综合父母（Pigs for Peace，PFP）和青少年（Rabbits for Resilience，RFR）动物小额信贷/资产转移计划（RFR + PFP）与仅RFR和PFP相比，在24个月内对青少年资产建设，入学率，心理健康，经历过的耻辱和食品安全的相对有效性。青少年的子样本完成了深入的定性访谈参与RFR的好处和挑战。结果542名青少年（10-15岁）分为3组：RFR + PFP组（N = 178）、单纯RFR组（N = 187）、单纯PFP组（N = 177）。501例（92.4%）完成基线调查，81.7%（n = 442）在终点时保留。按时间交互（24个月）分组在青少年资产建设（X-2 = 16.54，p = .002）、上学率（X-2 = 12.33，p = .015）和亲社会行为（X-2 = 10.56，p = .032）方面具有显著性。RFR + PFP（ES = 0.31，ES = 0.38）和RFR单独（ES-0.39，ES = 0.14）的青少年有更大的改善资产建设和亲社会行为相比，单独PFP。在过去的一个月里，与仅PFP相比，仅RFR和RFR + PFP中缺课两天或两天以上的几率分别低78.4%和45.1%。在内化行为、经历过的耻辱感或食品安全方面，两组之间没有发现随时间变化的差异。年龄和性别的差异，观察资产建设，亲社会行为，上学，经历的耻辱，和粮食安全。青少年的声音通过他们支付学费的能力，帮助他们的家庭满足基本需求，以及他们从家庭和社区获得的尊重，确定了RFR计划的好处。挑战包括兔子的死亡和家庭内部关于如何使用兔子资产的潜在冲突。这些研究结果强调了将经济赋权计划与父母和青少年相结合的潜力，以改善在农村和复杂的人道主义环境中成长的青少年的经济，教育和健康成果。
Background Adolescence is a critical period of human development, however, limited research on programs to improve health and well-being among younger adolescents living in conflict-affected and humanitarian settings exists. The purpose of this study was to assess the comparative effectiveness of an economic empowerment program on young adolescent outcomes in a complex humanitarian setting. Methods This longitudinal, mixed methods study examined the relative effectiveness of an integrated parent (Pigs for Peace, PFP) and young adolescent (Rabbits for Resilience, RFR) animal microfinance/asset transfer program (RFR + PFP) on adolescent outcomes of asset building, school attendance, mental health, experienced stigma, and food security compared to RFR only and PFP only over 24 months. A sub-sample of young adolescents completed in-depth qualitative interviews on the benefits and challenges of participating in RFR. Results Five hundred forty-two young adolescents (10-15 years) participated in three groups: RFR + PFP (N = 178), RFR only (N = 187), PFP only (N = 177). 501 (92.4%) completed baseline surveys, with 81.7% (n = 442) retention at endline. The group by time interaction (24 months) was significant for adolescent asset building (X-2 = 16.54, p = .002), school attendance (X-2 = 12.33, p = .015), and prosocial behavior (X-2 = 10.56, p = .032). RFR + PFP (ES = 0.31, ES = 0.38) and RFR only (ES-0.39, ES = 0.14) adolescents had greater improvement in asset building and prosocial behavior compared to PFP only, respectively. The odds of missing two or more days of school in the past month were 78.4% lower in RFR only and 45.1% lower in RFR + PFP compared to PFP only. No differences between groups in change over time were found for internalizing behaviors, experienced stigma, or food security. Differences by age and gender were observed in asset building, prosocial behavior, school attendance, experienced stigma, and food security. The voices of young adolescents identified the benefits of the RFR program through their ability to pay for school fees, help their families meet basic needs, and the respect they gained from family and community. Challenges included death of rabbits and potential conflict within the household on how to use the rabbit asset. Conclusion These findings underscore the potential for integrating economic empowerment programs with both parents and young adolescents to improve economic, educational, and health outcomes for young adolescents growing up in rural and complex humanitarian settings.