Online Program

Impact of a family economic empowerment intervention on parenting stress among caregivers of AIDS orphaned children in Uganda

Tuesday, November 5, 2013 : 12:30 p.m. - 12:45 p.m.

Proscovia Nabunya, MSW, School of Social Service Administration, University of Chicago, Chicago, IL
Leyla Ismayilova, PhD, School of Social Service Administration, University of Chicago, Chicago, IL
Fred Ssewamala, PhD, Director, International Center for Child Health & Asset Development, Columbia University, New York, NY
HIV/AIDS pandemic in sub-Saharan Africa continue to significantly contribute to the problem of orphanhood. Uganda is a home to 1.2 million AIDS-orphaned children (UNAIDS, 2012). Most AIDS orphans are absorbed into the extended family system (as opposed to institutions). However, the psychological and financial constraints increase caregiver distress, resulting into negative parenting practices, which may have a direct impact on the children's health, behavioral and emotional outcomes. Yet, very few studies exist on effective interventions to support and buffer caregiver parenting stress. This study examines the impact of a family economic empowerment intervention on parenting stress among caregivers of AIDS orphans in Uganda. The study utilizes data from the NIMH-funded randomized clinical trial - Suubi-Maka. Caregiver-child dyads were randomly assigned to either the control condition (n=167) receiving usual care or the treatment condition (n=179) receiving an economic intervention (matched savings accounts and financial planning and management workshops). Interviews were conducted at baseline, 10-month; and 20-month follow-up. Controlling for socioeconomic demographics at 20-months follow up, caregivers (mean age 45.7, range 18-87) in the treatment condition reported significant decline in stress levels (B= -4.87, 95%CI =-8.3, -1.5, p=. 005) compared to the control condition. Specifically, caregivers reported significant decline on parental distress and parent-child dysfunctional relationship subscales. Findings from this study point to the potential of family economic empowerment intervention to improve the health functioning and wellbeing of caregivers. Future public health programs and policies should consider incorporating family economic strengthening components in their programming to help support caregivers and their families.

Learning Areas:

Public health or related research

Learning Objectives:
Identify key insights that would inform future interventions aimed at improving and promoting the public health and welfare of caregivers in low resource communities. Demonstrate the dynamics involved in adapting and implementing evidence-based interventions in an international setting.

Keyword(s): Caregivers, International Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a research coordinator of 2 NIH funded grants focusing on testing and refining an innovative family economic empowerment model, based on asset development -for care and support of AIDS orphaned children in Uganda. Among my interests has been developing strategies to improve caregiver mental health functioning to enable them to better support and care for the orphaned children.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4251.0: International public health