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PovertySuubi-MakaNCT01180114

Economic Empowerment Program Suubi-Maka

A study testing Suubi-Maka ('Hope for Families') in people with Poverty, run by Columbia University at 1 site in Uganda.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The overall goal of SUUBI-MAKA is to further develop and preliminarily examine a family economic empowerment intervention that creates economic opportunities (specifically Children Development Accounts) for families in Uganda who are caring for children orphaned due to the AIDS pandemic, and to lay groundwork for a… Read more about this study

Who is it for?
Ages 11 to 16 years
Conditions the study is for
Poverty
What is being tested?
Suubi-Maka ('Hope for Families')
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
1 siteUganda
Study dates
Aug 2008to Jul 2012
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 11 to 16 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • An AIDS-orphaned child, defined as a child who has lost one or both parents to AIDS;
  • Enrolled in the last two years of primary school (even though possibly not attending regularly);
  • Between the ages of 11 to 16 years;
  • Living within a family.

Who cannot join

  • Any youth below 11 years or above 16 years at the time of enrollment in the study;
  • Any youth not enrolled in the final two years of primary school;
  • Any youth who does not self-identify as an AIDS-orphan;
  • Any youth not being raised primarily within a family context at the start of the study.

Trial locations and contacts

1 site in 1 country.

Uganda1 site

  • St. Joseph's Matale Parish

    Rakai, Rakai

Other trials in Uganda

About this study

Official title: SUUBI MAKA ("Hope for Families"): A Family-Based Economic Empowerment Model for Orphaned Children in Uganda

The overall goal of SUUBI-MAKA is to further develop and preliminarily examine a family economic empowerment intervention that creates economic opportunities (specifically Children Development Accounts) for families in Uganda who are caring for children orphaned due to the AIDS pandemic, and to lay groundwork for a bigger study with practice and policy implications for Sub-Saharan Africa.

Read the detailed description

The study has two specific aims (1) To conduct formative work in order to understand children and families´ ability and interest in participating in a family-level economic empowerment intervention focused on savings and family income generation, and their response to this family-focused economic empowerment approach alongside additional intervention components, including savings for youth education and adult mentorship. (2) Based on formative data (Aim #1), to adapt the intervention and examine issues related to feasibility and preliminary outcome on a small scale in order to prepare for a larger study.

The intervention, SUUBI-MAKA, uses a novel approach by focusing on economic empowerment of families caring for children orphaned due to AIDS. The intervention has three key components (1) it promotes family-level income generating projects (micro-enterprises) which we believe will enhance economic stability, reduce poverty, and enhance protective family processes for youth orphaned by AIDS. (2) It promotes monetary savings for educational opportunities for AIDS-orphaned children. (3) It provides an adult mentor to children. The intervention will be evaluated via a two-group randomized trial. The two groups are SUUBI-MAKA or Usual care for orphaned children. The participating children will be nested within 20 primary schools that will be randomly assigned such that all children from a particular school receive the same intervention.

Conditions
Poverty
Being tested
Suubi-Maka ('Hope for Families'), Usual Care
Keywords
economic empowerment model,, orphaned children and youth,, Uganda,, sub-Saharan Africa

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Suubi-Maka ('Hope for Families')Behavioural

    Also called Children's savings account

    Each child in the SUUBI-MAKA condition receive the usual care plus asset focused services, specifically: a matched Child Development Account (CDA); twelve 1-2 hour training sessions on career planning, setting short-term and long-term career goals, and how to save money; and monthly mentorship program with young adult peers (undergraduate students) on life options and how to avoid risk behaviors. In addition, participants receive a 2:1 match for their deposits into the account. Further, participants and their adult caregivers receive specific training on microenterprise development and specifically on how to start an income-generating project using up to 50% of the matched savings. The intervention is delivered over a period of 24 months.

  • Usual CareOther

    Also called Usual services

    Each child in the control condition receives the usual services for orphaned children (counseling, school lunches, and textbooks).

Study groups in NCT01180114
Study groupRoleWhat they receive
SUUBI-MAKAExperimentalInvolves creating and broadening asset ownership opportunities and life options for children (ages 12 to 15 years) orphaned due to AIDS in Uganda.
Receives: Behavioral: Suubi-Maka ('Hope for Families')
Usual CareOtherNo intervention for asset ownership, development of future planning skills, enhancement of mental health and reduction of risk taking behaviors for children orphaned due to AIDS in Uganda.
Receives: Other: Usual Care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Savings and asset-accumulation

    Formal and informal savings, wealth/assets (e.g. livestock, type of housing), and attitudes toward saving

    Measured: 12-month post-intervention

  2. Educational outcomes

    School enrollment, School attendance, School grades, Educational plans and aspirations

    Measured: 12-month post-intervention

  3. Sexual risk taking

    Sexual risk taking behavior (onset of sexual intercourse, unprotected sexual intercourse), Intentions to engage in sexual risk behaviors, HIV knowledge

    Measured: 12-month post-intervention

  4. Savings and asset-accumulation

    Formal and informal savings, wealth/assets (e.g. livestock, type of housing), and attitudes toward saving

    Measured: 24-month post-intervention

  5. Educational outcomes

    School enrollment, School attendance, School grades, Educational plans and aspirations

    Measured: 24-month post-intervention

  6. Sexual risk taking

    Sexual risk taking behavior (onset of sexual intercourse, unprotected sexual intercourse), Intentions to engage in sexual risk behaviors, HIV knowledge

    Measured: 24-month post-intervention

Secondary outcomes (4)

  1. Mental health

    Self-esteem, depression, hopelessness, helplessness

    Measured: 12-month post-intervention

  2. Social and family support

    Child-caregiver relationship, family cohesion, family communication, family support

    Measured: 12-month post-intervention

  3. Mental health

    Self-esteem, depression, hopelessness, and helplessness scales

    Measured: 24-month post-intervention

  4. Social and family support

    Child-caregiver relationship, family cohesion, family communication, family support

    Measured: 24-month post-intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Aug 2010 (estimated)
  2. Study startAug 2008
  3. Primary completionJul 2012
  4. Study completionJul 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
300 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01180114
Sponsor's protocol ID
AAAD2525
Other IDs
R34MH081763-02
Acronym
Suubi-Maka
Status last verified
Nov 2012
First submitted
14 Jul 2010
Last updated
27 Nov 2012
Results posted
No
Data monitoring committee
No

Publications

  • Tutlam NT, Filiatreau LM, Byansi W, Brathwaite R, Nabunya P, Sensoy Bahar O, Namuwonge F, Ssewamala FM. The Impact of Family Economic Empowerment Intervention on Psychological Difficulties and Prosocial Behavior Among AIDS-Orphaned Children in Southern Uganda. J Adolesc Health. 2023 May;72(5S):S51-S58. doi: 10.1016/j.jadohealth.2023.01.002.

    PubMed 37062584

  • Jennings L, Ssewamala FM, Nabunya P. Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda: results from the Suubi-Maka randomized experiment. AIDS Care. 2016;28(3):273-82. doi: 10.1080/09540121.2015.1109585. Epub 2015 Nov 7.

    PubMed 26548549

  • Han CK, Ssewamala FM, Wang JS. Family economic empowerment and mental health among AIDS-affected children living in AIDS-impacted communities: evidence from a randomised evaluation in southwestern Uganda. J Epidemiol Community Health. 2013 Mar;67(3):225-30. doi: 10.1136/jech-2012-201601.

    PubMed 23410851

Questions about this trial

What is this clinical trial studying?

A study testing Suubi-Maka ('Hope for Families') in people with Poverty, run by Columbia University at 1 site in Uganda.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Nov 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Uganda. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Savings and asset-accumulation (time frame: 12-month post-intervention). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01180114, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Nov 2012.

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