A microfinance intervention to improve health of rape survivors in the DRC

旨在改善刚果民主共和国强奸幸存者健康的小额信贷干预措施

• 批准号: 8208998
• 负责人: NANCY E GLASS
• 金额: $ 35.26万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-12-24 至 2015-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8208998
• 关键词: 15 year old; Address; Africa South of the Sahara; Animal Husbandry; Area; Caring; Cattle; Cessation of life; Child; Chronic stress; Collaborations; Communities; Conflict (Psychology); Coupled; Democratic Republic of the Congo; Disease; Economics; Effectiveness; Family; Fees; Food; Forcible intercourse; Fright; Funding; Gender; Goals; Goat; Government; Health; Health Services; Health Services Accessibility; Health Status; Household; Housing; Human Rights; Individual; Infection; Injury; Intervention; Interview; Kidnappings; Knowledge; Life; Measurement; Measures; Methods; Natural Disasters; Outcome; Patient Self-Report; Persons; Pharmaceutical Preparations; Play; Population; Poverty; Randomized; Reporting; Research; Resources; Role; Rwanda; Schools; Science; Security; Social isolation; Soldier; Source; Stigmata; Survivors; Techniques; Testing; Theft; Torture; Trauma; USAID; United States; Violence; War; Woman; Women' s Health; Work; assault; base; economic impact; girls; global health; health disparity; health economics; improved; innovation; killings; man; member; minority health; programs; response; social stigma; weapons

The United States plays a significant role in global health. It is both the largest funder of innovation in global health and the largest donor to care and support programs in sub-Saharan Africa. The effectiveness and sustainability of these efforts are limited by gaps in knowledge of the role of social determinants, such as poverty, social isolation, chronic stress and trauma, and limited access to health care services has on disparities in health. The overall goal of the study is to build the science base for large-scale implementation of economic programs to improve the health of women survivors of sexual and gender based violence (SGBV). The last decade in the Democratic Republic of Congo (DRC) has seen the use of rape as a weapon of war, where rebels and soldiers subject women and girls to brutalizing attacks, rape, torture, and mutilation. Survivors of rape are often further traumatized by infections, disease, poverty, stigma and social isolation. The study objective is to test the effectiveness of an innovative, village-led microfinance program on SGBV survivor's health, household economic stability, and reintegration to family and village. Our preliminary evidence indicates that a village-led microfinance program improves Congolese women's health and household economic stability, through increased funds to purchase food, housing and medication and to pay school fees for children. Survivors also report a reduction in the negative health impacts of chronic stress, stigma and trauma associated with SGBV because they are once again productive family and village members. As a result of our preliminary work, our microfinance-academic research collaboration proposes a five-year experimental trial using mixed-methods (quantitative and qualitative techniques). In this trial, 10 villages in the Ngweshe Chiefdom in the Walungu Territory in South Kivu DRC will be randomized to either the microfinance intervention (n=5) or delayed control (n=5) group. Outcomes will be measured at the individual and household levels in both intervention and control villages. We estimate 50 household in each of the intervention and control villages will participate for a total of 500 households. Measurement of outcomes in each village will be collected at baseline and 3, 6, 12 and 18-months post-baseline assessment. The study addresses the National Center for Minority Health and Health Disparities (NCMHD) priorities to develop and test structural interventions to reduce health disparities. Research findings will inform the science base for large-scale implementation of structural interventions, with the aim to establish a causal relationship between a mcirofinance intervention and improved health, household economic security, and reintegration for survivors of sexual and gender-based violence and their families.

美国在全球卫生中起着重要作用。它既是全球创新的最大资助者 卫生和撒哈拉以南非洲护理和支持计划的最大捐助者。有效性和 这些努力的可持续性受到社会决定因素作用的知识的差异，例如 贫困，社会隔离，慢性压力和创伤以及对医疗服务的机会有限 健康差异。该研究的总体目标是建立科学基础，以大规模实施 经济计划，以改善基于性别和性别的暴力的妇女幸存者的健康（SGBV）。 刚果民主共和国（DRC）的最后十年将强奸用作战争武器， 叛军和士兵使妇女和女孩遭受野蛮袭击，强奸，酷刑和肢解。 强奸的幸存者通常会因感染，疾病，贫困，污名和社会隔离而进一步创伤。这 研究目标是测试由SGBV的创新，村长的小额信贷计划的有效性 幸存者的健康，家庭经济稳定以及对家庭和村庄的重新融合。我们的初步 有证据表明，由乡村领导的小额信贷计划改善了刚果妇女的健康和 家庭经济稳定，通过增加资金购买食物，住房和药物并付款 儿童的学费。幸存者还报告说，慢性压力的负面影响减少了， 与SGBV相关的污名和创伤，因为它们再次成为富有成效的家庭和村庄 成员。由于我们的初步工作，我们的小额信贷 - 学术研究合作提出了 使用混合方法（定量和定性技术）的五年实验试验。在这项试验中，10 Ngweshe酋长国的Walungu领土上的村庄将随机分配给 小额信贷干预（n = 5）或延迟对照组（n = 5）组。结果将在个人衡量 以及干预和控制村庄的家庭水平。我们估计每个家庭中的50个家庭 干预和控制村将共有500个家庭。测量结果 每个村庄将在基线和基线后3、6、12和18个月收集。 该研究针对国家少数民族健康与健康差异（NCMHD）的重点介绍 制定和测试结构干预以减少健康差异。研究结果将为科学提供信息 大规模实施结构干预措施的基础，目的是建立因果关系 在MCIROFINANCE干预和改善健康，家庭经济安全和重新融入的之间 性和基于性别的暴力及其家人的幸存者。