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

基本信息

批准号：
9085340
负责人：
NANCY E GLASS
金额：
$ 51.89万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-16 至 2018-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9085340
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 Rights Individual Institution Intervention Life Measures Mediating Mental Health Mentors Methods National Institute of Child Health and Human Development Outcome Parents Participant Patient Self-Report Poverty Randomized 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

项目摘要

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）：我们研究的地点是刚果民主共和国东部（DRC），其主要特点是缺乏安全、不可预测性和日常生活中缺乏结构。学校和诊所等基本服务和机构遭到武装团体的破坏或故意摧毁。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，刚果个人、家庭和社区也表现出了韧性，并努力重建未来，例如，通过积极参与成人畜牧业小额信贷计划“养猪和平”(PFP)。除了小额信贷的经济效益之外，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。我们在刚果民主共和国农村地区的 PFP 小额信贷计划的初步证据表明，参与家庭的健康和经济稳定性得到了改善。然而，PFP 小额信贷对参与家庭中的年轻人的直接影响尚不清楚。研究人员建议利用他们现有的研究《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》(R01MD006075-01)，在刚果民主共和国农村测试青年主导的畜牧业小额信贷计划与成人 PFP 小额信贷计划相结合的有效性。青年、家庭和社区复原力成果。这项纵向、混合方法、整群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) 青年主导的小额信贷加 PFP 小额信贷； 2) 仅限青年主导的小额信贷； 3) 仅限 PFP 小额信贷。参与家庭中年龄为 10-14 岁的所有青少年都有资格参加青少年主导的小额信贷计划，一名家长/看护者有资格参加 PFP。结果将从多个来源收集，包括：青年复原力（入学率、与家庭成员和同龄人的关系、健康、自尊、未来展望）、家庭复原力（家庭经济、粮食安全、父母/照顾者健康）社区复原力（青少年和成年人参与体育、传统舞蹈和合唱团等社区活动）。该研究涉及国家儿童健康和人类发展研究所 (NICHD) 的优先事项，以制定和测试干预措施，以减少健康差距并改善儿童、家庭和社区的健康。研究结果将为大规模实施结构性干预措施提供科学依据，旨在建立青年和成人小额信贷计划之间的因果关系，并提高冲突后环境中青年、家庭和村庄的复原力成果。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Caregiver and community insights on coping strategies used by adolescents living in conflict-affected communities.

DOI：
10.1080/17441692.2017.1395471
发表时间：
2018-09
期刊：
Global public health
影响因子：
3.3
作者：
Cherewick M;Glass N
通讯作者：
Glass N

Preventing risky behaviours among young adolescents in eastern Democratic Republic of Congo: A qualitative study.

DOI：
10.1080/17441692.2017.1317009
发表时间：
2018-09
期刊：
Global public health
影响因子：
3.3
作者：
Kohli A;Remy MM;Binkurhorhwa AK;Mitima CM;Mirindi AB;Mwinja NB;Banyewesize JH;Ntakwinja GM;Perrin NA;Glass N
通讯作者：
Glass N

The relationship between parent mental health and intimate partner violence on adolescent behavior, stigma and school attendance in families in rural Democratic Republic of Congo.