Youth and Adult Microfinance to Improve Resilience Outcomes in DRC

青年和成人小额信贷可改善刚果民主共和国的复原力成果

• 批准号: 8669739
• 负责人: NANCY E GLASS
• 金额: $ 50.95万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-16 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8669739
• 关键词: Address; Adult; Age; Animal Husbandry; Caregivers; Child; Child health care; Chronic; Clinic; Communities; Community Health; Community Trial; Conflict (Psychology); Consent; Dancing; Democratic Republic of the Congo; Disease; Distress; Economics; Effectiveness; Empathy; Exhibits; Exposure to; Family; Family member; Family suidae; Forcible intercourse; Friends; Future; Glass; Group Interviews; Health; Household; Human Development; Human Rights; Individual; Institutes; Institution; Intervention; Life; Measures; Mediating; Mental Health; Mentors; Methods; Outcome; Parents; Participant; Patient Self-Report; Poverty; Randomized; Relative (related person); Reporting; Research; Research Personnel; Risk; Rural; Schools; Science; Security; Services; Social Conditions; Social Impacts; Social Network; Social isolation; Soldier; Source; Sports; Stress; Structure; Survivors; Testing; Torture; Trauma; Victimization; Violence; War; Woman; Work; Youth; arm; base; caregiving; economic impact; emotional adjustment; experience; food security; health disparity; health economics; improved; mature animal; member; men; peace; peer; programs; resilience; self esteem; social; social stigma

DESCRIPTION (provided by applicant): Eastern Democratic Republic of Congo (DRC), the setting for our study, has primarily been characterized by a loss of security, unpredictability and lack of structure in daily life. Essential services and institutions, such as schools and health clinics were damaged or purposely destroyed by armed groups. Family and social networks were displaced by violence, rape, looting and abduction. Even in the context of these significant adversities, Congolese individuals, families and communities are demonstrating resilience and working to rebuild their futures, for example, through active participation in an adult animal husbandry microfinance program, Pigs for Peace (PFP). In addition to the economic benefits of microfinance, there is evidence to suggest that it may be an effective vehicle for improving health and social outcomes for youth and adults. Initial evidence from our PFP microfinance program in rural DRC indicates that health and economic stability is improved in participating households. However, the direct impact of the PFP microfinance on youth in participating households is not known. The investigators propose to leverage their existing study, A Microfinance Intervention to Improve Health of Rape Survivors in DRC (R01MD006075-01) in rural DRC villages to test the effectiveness of a youth- led animal husbandry microfinance program combined with the adult PFP microfinance program on youth, family and community resilience outcomes. This longitudinal, mixed-method, cluster randomized community trial will include households in 24 villages randomized to one of three groups: 1) youth-led microfinance plus PFP microfinance; 2) youth-led microfinance only; and 3) PFP microfinance only. All youth in participating households ages 10-14 years are eligible for the youth-led microfinance program and one parent/caregiver is eligible for PFP. The outcomes will be collected from multiple sources and will include: youth resilience (school attendance, relationship with family members and peers, health, self-esteem, outlook for future), family resilience (household economy, food security, parent/caregiver health) and community resilience (youth and adults engagement in community activities such as sports, traditional dance, and choir). The study addresses National Institute of Child Health and Human Development (NICHD) priorities to develop and test interventions to reduce health disparities and improve the health of children, families and communities. Research findings will inform the science base for large-scale implementation of structural interventions, with the aim to establish a causal relationship between youth and adult microfinance programs and improved resilience outcomes of youth, families and villages in post-conflict settings.

描述（由申请人提供）：刚果民主共和国（DRC）是我们研究的环境，主要是具有安全性，不可预测性和 日常生活中缺乏结构。基本的服务和机构，例如学校和卫生诊所，被武装团体损坏或故意破坏。家庭和社交网络因暴力，强奸，抢劫和绑架而流离失所。即使在这些重大逆境的背景下，刚果人，家庭和社区也在表现出韧性，并努力重建其未来，例如，通过积极参与成年的成年动物饲养小额信贷计划，《养猪的猪》（PFP）。除了小额信贷的经济利益外，还有证据表明，它可能是改善青年和成人健康和社会成果的有效工具。我们的PFP小额信贷计划的最初证据表明，参与家庭的健康和经济稳定得到了改善。但是，尚不清楚PFP小额信贷对参与家庭青年的直接影响。研究人员建议利用他们现有的研究，一种小额信贷干预措施，以改善农村刚果民主共和国村庄中刚果民主共和国（R01MD006075-01）中强奸幸存者的健康，以测试青年人畜牧业小额信贷计划的有效性，结合了成人PFP小额信贷计划对青年，家庭和社区及时的稳定效果。这个纵向，混合方法，聚类随机社区试验将包括24个村庄的家庭，随机分为三组之一：1）青年领导的小额信贷加上PFP小额信贷； 2）仅由青年领导的小额信贷； 3）仅PFP小额信贷。所有10-14岁家庭中的年轻人都有资格参加青年领导的小额信贷计划，一位父母/照顾者符合PFP的资格。结果将从多个来源收集，其中包括：青年韧性（上学，与家庭成员和同龄人的关系，健康，自尊，未来的前景），家庭韧性（家庭经济，粮食安全，父母/照顾者健康）和社区韧性（青年和成人参与社区活动，包括体育，传统舞蹈，传统的舞蹈和合影）。该研究介绍了国家儿童健康与人类发展研究所（NICHD）的优先事项，以制定和测试干预措施，以减少健康差异并改善儿童，家庭和社区的健康。研究发现将为科学基础提供大规模实施结构干预措施，旨在建立青年与成人小额信贷计划之间的因果关系，并在冲突后环境中改善青年，家庭和村庄的弹性结果。