IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0284572.html

Bridges-Round 2: A study protocol to examine the longitudinal HIV risk prevention and care continuum outcomes among orphaned youth transitioning to young adulthood

Author

Listed:
  • Proscovia Nabunya
  • Ozge Sensoy Bahar
  • Torsten B Neilands
  • Noeline Nakasujja
  • Phionah Namatovu
  • Flavia Namuwonge
  • Abel Mwebembezi
  • Fred M Ssewamala

Abstract

Background: Youth orphaned by HIV in sub–Saharan Africa experience immense hardships including social disadvantage, adverse childhood events and limited economic prospects. These adversities disrupt the normative developmental milestones and can gravely compromise their health and emotional wellbeing. The Bridges to the Future study (2012–2018) prospectively followed 1,383 adolescents, between 10–16 years, to evaluate the efficacy and cost-effectiveness of a family-based economic empowerment intervention comprising of child development accounts, financial literacy training, family income generating activities and peer mentorship. Study findings show efficacy of this contextually-driven intervention significantly improving mental health, school retention and performance and sexual health. However, critical questions, such as those related to the longitudinal impact of economic empowerment on HIV prevention and engagement in care remain. This paper presents a protocol for the follow-up phase titled, Bridges Round 2. Methods: The Original Bridges study participants will be tracked for an additional four years (2022–2026) to examine the longitudinal developmental and behavioral health outcomes and potential mechanisms of the effect of protective health behaviors of the Bridges cohort. The study will include a new qualitative component to examine participants’ experiences with the intervention, the use of biomedical data to provide the most precise results of the highly relevant, but currently unknown sexual health outcomes among study participants, as well as a cost-benefit analysis to inform policy and scale-up. Discussion: Study findings may contribute to the scientific knowledge for low-resource communities on the potential value of providing modest economic resources to vulnerable boys and girls during childhood and early adolescence and how these resources may offer long-term protection against known HIV risks, poor mental health functioning and improve treatment among the HIV treatment care continuum.

Suggested Citation

  • Proscovia Nabunya & Ozge Sensoy Bahar & Torsten B Neilands & Noeline Nakasujja & Phionah Namatovu & Flavia Namuwonge & Abel Mwebembezi & Fred M Ssewamala, 2023. "Bridges-Round 2: A study protocol to examine the longitudinal HIV risk prevention and care continuum outcomes among orphaned youth transitioning to young adulthood," PLOS ONE, Public Library of Science, vol. 18(5), pages 1-23, May.
    • Handle: RePEc:plo:pone00:0284572
    DOI: 10.1371/journal.pone.0284572
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0284572
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284572&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0284572?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Julia Shu-Huah Wang & Bilal Malaeb & Fred M. Ssewamala & Torsten B. Neilands & Jeannie Brooks-Gunn, 2021. "A Multifaceted Intervention with Savings Incentives to Reduce Multidimensional Child Poverty: Evidence from the Bridges Study (2012–2018) in Rural Uganda," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 158(3), pages 947-990, December.
    2. Atwine, Benjamin & Cantor-Graae, Elizabeth & Bajunirwe, Francis, 2005. "Psychological distress among AIDS orphans in rural Uganda," Social Science & Medicine, Elsevier, vol. 61(3), pages 555-564, August.
    3. Julia Shu†Huah Wang & Fred M. Ssewamala & Torsten B. Neilands & Laura Gauer Bermudez & Irwin Garfinkel & Jane Waldfogel & Jeannie Brooks†Gunn & Jing You, 2018. "Effects of Financial Incentives on Saving Outcomes and Material Well†Being: Evidence From a Randomized Controlled Trial in Uganda," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 37(3), pages 602-629, June.
    4. repec:plo:pone00:0008169 is not listed on IDEAS
    5. Kaggwa, Esther B. & Hindin, Michelle J., 2010. "The psychological effect of orphanhood in a matured HIV epidemic: An analysis of young people in Mukono, Uganda," Social Science & Medicine, Elsevier, vol. 70(7), pages 1002-1010, April.
    6. Kathleen Beegle & Luc Christiaensen, 2019. "Accelerating Poverty Reduction in Africa [Accélérer la réduction de la pauvreté en Afrique]," World Bank Publications - Books, The World Bank Group, number 32354, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Karimli, Leyla & Ssewamala, Fred M. & Neilands, Torsten B. & Wells, Christine R. & Bermudez, Laura Gauer, 2019. "Poverty, economic strengthening, and mental health among AIDS orphaned children in Uganda: Mediation model in a randomized clinical trial," Social Science & Medicine, Elsevier, vol. 228(C), pages 17-24.
    2. Wang, Bo & Li, Xiaoming & Barnett, Douglas & Zhao, Guoxiang & Zhao, Junfeng & Stanton, Bonita, 2012. "Risk and protective factors for depression symptoms among children affected by HIV/AIDS in rural China: A structural equation modeling analysis," Social Science & Medicine, Elsevier, vol. 74(9), pages 1435-1443.
    3. Rachel Goldberg & Susan Short, 2012. "“The Luggage that isn’t Theirs is Too Heavy…”: Understandings of Orphan Disadvantage in Lesotho," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 31(1), pages 67-83, February.
    4. Perry, Elizabeth W. & Culbreth, Rachel & Swahn, Monica & Kasirye, Rogers & Self-Brown, Shannon, 2020. "Psychological distress among orphaned youth and youth reporting sexual exploitation in Kampala, Uganda," Children and Youth Services Review, Elsevier, vol. 119(C).
    5. Jeffrey Kouton, 2021. "The impact of renewable energy consumption on inclusive growth: panel data analysis in 44 African countries," Economic Change and Restructuring, Springer, vol. 54(1), pages 145-170, February.
    6. Jeremy Lind & Rachel Sabates‐Wheeler & John Hoddinott & Alemayehu Seyoum Taffesse, 2022. "Targeting Social Transfers in Ethiopia's Agro‐pastoralist and Pastoralist Societies," Development and Change, International Institute of Social Studies, vol. 53(2), pages 279-307, March.
    7. Qi Zhao & Hui He & Huang Gu & Junfeng Zhao & Peilian Chi & Xiaoming Li, 2021. "Facial Expression Processing of Children Orphaned by Parental HIV/AIDS: A Cross-Sectional ERP Study with Rapid Serial Visual Presentation," IJERPH, MDPI, vol. 18(19), pages 1-11, September.
    8. Yanagisawa, Satoko & Poudel, Krishna C. & Jimba, Masamine, 2010. "Sibling caregiving among children orphaned by AIDS: Synthesis of recent studies for policy implications," Health Policy, Elsevier, vol. 98(2-3), pages 121-130, December.
    9. Wu, Haoyu & Atamanov, Aziz & Bundervoet, Tom & Paci, Pierella, 2024. "Is economic growth less welfare enhancing in Africa? Evidence from the last forty years," World Development, Elsevier, vol. 184(C).
    10. Mager, Gregor & Faße, Anja, 2021. "The Contribution of Smallholders´ Livelihood Activities on Income Inequality and Poverty: Case Study from Rural Tanzania," 2021 Conference, August 17-31, 2021, Virtual 315405, International Association of Agricultural Economists.
    11. Nxumalo, Mpumelelo Author-Name: Raju, Dhushyanth, "undated". "Structural Transformation and Labor Market Performance in Ghana," Jobs Group Papers, Notes, and Guides 154568, The World Bank.
    12. Haydeeliz Carrasco & Hamidou Jawara & Moritz Meyer, 2022. "The Effects Of Fiscal Policy On Inequality And Poverty In The Gambia," Commitment to Equity (CEQ) Working Paper Series 117, Tulane University, Department of Economics.
    13. Ville-Pekka Niskanen & Mikko Rask & Harri Raisio, 2021. "Wicked Problems in Africa: A Systematic Literature Review," SAGE Open, , vol. 11(3), pages 21582440211, July.
    14. Aihounton, Ghislain & Christiaensen, Luc, 2024. "Does agricultural intensification pay in the context of structural transformation?," Food Policy, Elsevier, vol. 122(C).
    15. Rachel Goldberg, 2013. "Family Instability and Early Initiation of Sexual Activity in Western Kenya," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 725-750, April.
    16. Cheryl O’Brien & Laura Leavens & Cheikh Ndiaye & Djibril Traoré, 2022. "Women’s Empowerment, Income, and Nutrition in a Food Processing Value Chain Development Project in Touba, Senegal," IJERPH, MDPI, vol. 19(15), pages 1-29, August.
    17. Biggeri, Mario & Carraro, Alessandro & Ciani, Federico & Romano, Donato, 2022. "Disentangling the impact of a multiple-component project on SDG dimensions: The case of durum wheat value chain development in Oromia (Ethiopia)," World Development, Elsevier, vol. 153(C).
    18. Cesar Calderon & Albert G. Zeufack & Gerard Kambou & Calvin Z. Djiofack & Megumi Kubota & Vijdan Korman & Catalina Cantu Canales, "undated". "Africa's Pulse, No. 21, Spring 2020 [Africa's Pulse]," World Bank Publications - Reports 33541, The World Bank Group.
    19. N/A, 2011. "Mental health consequences of non-communicable and communicable health conditions in adolescents," International Journal of Social Psychiatry, , vol. 57(1_suppl), pages 79-85, March.
    20. Carolyn Chisadza & Matthew Clance & Fritz van der Merwe & Eleni Yitbarek, 2023. "Ruggedness and child health outcomes: Evidence from Burundi, Cameroon, Ethiopia and Nigeria," South African Journal of Economics, Economic Society of South Africa, vol. 91(4), pages 498-527, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0284572. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.