Fred M Ssewamala
Dados Biográficos
| ID | 1562957 |
|---|---|
| NOME | Fred M Ssewamala |
| PRENOMES | Fred M |
| SOBRENOME | Ssewamala |
| ASSINATURA | SSEWAMALA F M |
| AFILIAÇÕES | Washington University in St. Louis |
| ORCID | 0000-0002-4849-5650 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 128 |
| TOTAL DE CITAÇÕES | 250 |
| TOTAL COMO AUTOR | 128 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2004 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 8 |
Between justice and mediation
HIV disclosure in Ugandan schools
Adolescents living with HIV (ALHIV) spend much of their daily lives in school environments, yet little research has examined how HIV-related disclosure unfolds within educational institutions. Most studies focus on disclosure decisions within families or clinical settings, leaving limited understanding of how schools encounter and manage knowledge of students' HIV status. This study examines how educators learn about and respond to the presence o…
Knowledge and perception of the implementation of the policy against sexual harassment at Makerere University, Uganda
Sexual misconduct and harassment are prevalent at higher education institutions. Makerere University introduced a Policy and Regulations against Sexual Harassment in 2006, which was revised in 2018 following institutional investigations and recommendations. However, the extent to which the revised policy has been effectively implemented has not been formally evaluated. This study evaluated the implementation of Makerere University's policy agains…
Social Stigma and Vulnerabilities of Women Living With HIV/Aids in Kyrgyzstan
In Kyrgyzstan, registered HIV cases doubled from 2013 to 2019, with women constituting 39% of cases in 2021. Women living with HIV (WLHIV) encounter heightened intimate partner violence, stigma, and discrimination. This study explores the experiences and vulnerabilities of WLHIV in Kyrgyzstan from the perspective of professionals engaged in HIV care and advocacy. Data from in-depth, semi-structured interviews with 10 professionals engaged in HIV …
Preliminary Effects of the Anzansi Family Program on Caregiver Outcomes in Northern Ghana
High levels of poverty and entrenched gender norms in Northern Ghana increase the risk of adolescent girls leaving school, engaging in child labor, and migrating unaccompanied. Caregivers play a vital role in reducing these risks, but few interventions focus on family-level support for girls’ education. The ANZANSI Family Program combines economic empowerment with family strengthening to address child labor. A pilot randomized clinical trial ( n …
Correlates of willingness to use pre-exposure prophylaxis (PrEP) among young people impacted by HIV in Uganda
We assessed the correlates of willingness to use PrEP among young people (YP) impacted by HIV in Uganda. This cross-sectional study included 905 YP aged 18-21 years, orphaned to AIDS and participating in a longitudinal study in Uganda. Willingness to use PrEP, the primary outcome, was measured using a hypothetical scenario. "If PrEP were safe, effective, free, and used by few people around you, how likely would you be willing to use it?" Independ…
Feasibility and acceptability of an integrated economic empowerment and substance use risk reduction intervention for youth living with HIV in Uganda
Youth living with HIV (YLHIV) in sub-Saharan Africa experience high rates of alcohol and drug use (ADU), yet evidence-based interventions remain limited. We conducted a pilot cluster randomized trial to assess the feasibility, acceptability, and short-term outcomes of a life-skills-based Alcohol and Drug Use Risk Reduction intervention (ADURR), delivered alone or combined with economic empowerment (EE) through financial literacy training and matc…
HIV-related stigma and academic outcomes
Among Adolescents living with HIV (ALHIV) in Uganda, pathways linking HIV-related stigma to mental health (depression, hopelessness and self-esteem) and academic engagement (school satisfaction and self-concept) are under-examined. Using cross-sectional data from 833 ALHIV (ages 10–17), we first estimated a fully latent structural equation model to assess these pathways. Model fit was excellent (χ2[21] = 45.16, p = .002; CFI = .987; RMSEA = .037;…
The direct and indirect pathways through which gender norms influences decision-making autonomy among young women and men in Southern Uganda. A mediation analysis
Adapting a U.S.-based micro-savings program for Uganda
Effects of economic empowerment and relationship strengthening intervention on financial behaviors among couples living with HIV
NCT04906616
The effect of an economic empowerment and relationship strengthening intervention on food insecurity among couples living with HIV in Malawi
Mlambe was registered on ClinicalTrials.gov (NCT #04906616, 08/15/2019)
Exploring Alcohol Use Expectancies as Mediators in the Relationship Between Psychological Stressors and Substance Use Among Youths Living with HIV in Uganda
Identifying Predictors of Problematic Substance Use Among Youth Living with HIV in Uganda
Social Determinants of Mental Health Outcomes Among Refugee Adolescents and Youth Living with HIV in Refugee Settlements in Uganda
Sex Work Stigma as a Partial Mediator Between Social Support and Depressive Symptoms Among Vulnerable Women Engaged in Sex Work in Southern Uganda
Preliminary Impact of Public Health Messaging on HPV Vaccine Uptake Among Adolescent Girls and Young Women Living with HIV in Central Uganda
The Impact of a Family Economic Empowerment Intervention on Cultural Gender Norm Beliefs Among HIV-Orphaned Adolescents in Southern Uganda
HPV Vaccine Uptake and its Predictors among Adolescent Girls and Young Women Living with HIV-in Central Uganda
Impact of Covid-19-Related Disruptions on Antiretroviral Therapy Adherence Among Young Adults Living with HIV in Southern Uganda
The Impact of an Economic Empowerment Intervention on Economic Security among Aids-Orphaned Adolescents in Southern Uganda
She Is a Guest in My House
Traditional values and beliefs perpetuate gender inequalities and marginalize women in many societies worldwide by limiting their access to economic resources and decision‐making abilities. In‐depth interviews were conducted among 53 young women and men to explore the barriers to asset development and decision‐making autonomy among adolescent girls transitioning into young women in southern Uganda. Five themes emerged from the participants’ narra…
Addressing Psychosocial Outcomes among Vulnerable Adolescent Girls
Cost-Effectiveness of an Economic Empowerment and Family Intervention on Mental Health Among School-Going Adolescent Girls in Uganda, 2017‒2022
Objectives. To assess the cost-effectiveness of an economic empowerment and family intervention on mental health outcomes among school-going adolescent girls in Uganda from 2017 to 2022. Methods. We randomized adolescent girls aged 14 to 17 years into 3 arms: (1) health and sex education (usual care; n = 408), (2) youth development accounts (YDAs; n = 471), and (3) a combination intervention (YDA plus multiple family group [MFG]; n = 381). We fit…
Preliminary impact of the say no to stigma intervention on attitudes toward mental illness
Asset ownership and health and mental health functioning among Aids-orphaned adolescents
Integrating Children's Savings Accounts in the Care and Support of Orphaned Adolescents in Rural Uganda
This study examines an economic empowerment model of care and support for orphaned adolescents in rural Uganda. Under this model, 277 AIDS-orphaned youths (ages 11-17) from 15 comparable schools were randomly assigned to either the usual care, which involves provision of counseling and education-related supplies, or the experimental condition, in which participants also received matched-savings accounts. The analyses indicate that poor families i…
Integrating Saving into Microenterprise Programs for the Poor
This study examines factors that affect saving performance among participants in a subsidized saving program who intend to use their savings to help capitalize a microenterprise. Using data from 14 community‐based organizations promoting self‐employment among the poor, and drawing on institutional theory, we find that individual‐level theories do not fully explain the variance in savings and that institutional influences also are predictive. Poli…
Effect of Economic Assets on Sexual Risk-Taking Intentions Among Orphaned Adolescents in Uganda
Objectives. We examined the effect of economic assets on sexual risk-taking intentions among school-going AIDS-orphaned adolescents in rural Uganda. Methods. AIDS-orphaned adolescents from 15 comparable schools were randomly assigned to control (n = 133) or treatment (n = 127) conditions. Treatment participants received child savings accounts, workshops, and mentorship. This economic intervention was in addition to the traditional care and suppor…
The potential of asset‐based development strategies for poverty alleviation in Sub‐Saharan Africa
Ssewamala FM, Sperber, ES, Zimmerman JM, Karimli L. The potential of asset‐based development strategies for poverty alleviation in Sub‐Saharan Africa Int J Soc Welfare 2010: 19: 433–443 © 2010 The Author(s), Journal compilation © 2010 Blackwell Publishing Ltd and International Journal of Social Welfare. This article explores the potential of a relatively new approach to social development as a poverty alleviation strategy in Sub‐Saharan Africa (S…
Family economic empowerment and mental health among Aids-affected children living in Aids-impacted communities
OBJECTIVE: The authors examine whether an innovative family economic empowerment intervention addresses mental health functioning of AIDS-affected children in communities heavily impacted by HIV/AIDS in Uganda. METHODS: A cluster randomised controlled trial consisting of two study arms, a treatment condition (n=179) and a control condition (n=118), was used to examine the impact of the family economic empowerment intervention on children's levels…
Saving and asset accumulation among low-income families with children in IDAs
Poor Families Striving to Save in Matched Children’s Savings Accounts
This study examines participants' savings in children's savings accounts (CSAs) set up for AIDS-orphaned children ages 10-15 in Uganda. Using a cluster randomized experimental design, we examine the extent to which families participating in a CSA program report more savings than their counterparts not participating in the program, explore the extent to which families who participate in the CSA program report using formal financial institutions co…
Social capital, savings, and educational performance of orphaned adolescents in Sub-Saharan Africa
Assets and educational outcomes
Poverty, economic strengthening, and mental health among Aids orphaned children in Uganda
Effects of Financial Incentives on Saving Outcomes and Material Well‐Being
The use of savings products to promote financial inclusion has increasingly become a policy priority across sub-Saharan Africa, yet little is known about how families respond to varying levels of savings incentives and whether the promotion of incentivized savings in low-resource settings may encourage households to restrict expenditures on basic needs. Using data from a randomized controlled trial in Uganda, we examine: 1) whether low-income hou…
Extended families and perceived caregiver support to Aids orphans in Rakai district of Uganda
Strengthening Universal Primary Education in Uganda
A Multifaceted Intervention with Savings Incentives to Reduce Multidimensional Child Poverty
Efficacy of a Savings-Led Microfinance Intervention to Reduce Sexual Risk for HIV Among Women Engaged in Sex Work
Objectives. We tested whether a structural intervention combining savings-led microfinance and HIV prevention components would achieve enhanced reductions in sexual risk among women engaging in street-based sex work in Ulaanbaatar, Mongolia, compared with an HIV prevention intervention alone. Methods. Between November 2011 and August 2012, we randomized 107 eligible women who completed baseline assessments to either a 4-session HIV sexual risk re…
Reforming child institutional care in the Post-Soviet bloc
Child development accounts (CDAs)
This study explores an innovative intervention for orphaned children in Uganda. It combines standard health care with an economic empowerment component. We refer to this combination as a family asset-based intervention, which provides each child with a child development account (CDA), a matched savings account for secondary schooling; financial education; and a mentor. This article examines the educational outcomes of the girls in this study. The…
Impact of a Family Economic Intervention (Bridges) on Health Functioning of Adolescents Orphaned by HIV/Aids
Objectives. To investigate the long-term impacts of a family economic intervention on physical, mental, and sexual health of adolescents orphaned by AIDS in Uganda. Methods. Students in grades 5 and 6 from 48 primary schools in Uganda were randomly assigned at the school level (cluster randomization) to 1 of 3 conditions: (1) control (n = 487; 16 schools), (2) Bridges (1:1 savings match rate; n = 396; 16 schools), or (3) Bridges PLUS (2:1 savings…
Optimizing the “demographic dividend” in young developing countries
Many developing regions are facing a youth bulge, meaning that young people comprise the highest proportion of the population. These regions are at risk of losing what could be a tremendous opportunity for economic growth and development if they do not capitalize on this young and economically productive population - also referred to as the "demographic dividend," defined as the increase in economic growth that tends to follow increases in the ra…
The Role of Informal Social Networks in Micro-Savings Mobilization
The influence of informal institutions on economic outcomes for low income individuals and households has received little attention in the United States. Yet, drawing on social capital theory and existing studies from developing countries where informal institutions have been widely used in promoting economic opportunities offamilies in poverty, one would expect these institutions to have positive effects on the economic outcomes of low income in…
Evaluating potential mediators for the impact of a family-based economic intervention (Suubi+Adherence) on the mental health of adolescents living with HIV in Uganda
The Effects of parental loss on the psychosocial wellbeing of Aids-orphaned children living in Aids-impacted communities
Family economic strengthening and parenting stress among caregivers of Aids-orphaned children
Economic Empowerment, HIV Risk Behavior, and Mental Health Among School-Going Adolescent Girls in Uganda
Objectives. To investigate the long-term (12- and 24-month) impact of an economic empowerment intervention on HIV risk behaviors and mental health among school-going adolescent girls in Uganda. Methods. A total of 1260 girls aged 14 to 17 years were randomized at the school level to (1) standard health and sex education (controls; n = 408 students; n = 16 schools), (2) 1-to-1 matched savings youth development account (YDA; n = 471 students; n = 1…
Integrating Saving into Microenterprise Programs for the Poor
This study examines factors that affect saving performance among participants in a subsidized saving program who intend to use their savings to help capitalize a microenterprise. Using data from 14 community‐based organizations promoting self‐employment among the poor, and drawing on institutional theory, we find that individual‐level theories do not fully explain the variance in savings and that institutional influences also are predictive. Poli…
Expanding women's opportunities
Throughout the world, deeply entrenched barriers exclude women from meaningful participation in socio-economic and political activities. This is not merely an issue of fairness and equality. It has been argued that by expanding women's opportunities, society as a whole would simultaneously be strengthened and this would enhance broader development prospects. Recently, a wide variety of international initiatives have been developed to expand women…
Saving and asset accumulation among low-income families with children in IDAs
The Role of Informal Social Networks in Micro-Savings Mobilization
The influence of informal institutions on economic outcomes for low income individuals and households has received little attention in the United States. Yet, drawing on social capital theory and existing studies from developing countries where informal institutions have been widely used in promoting economic opportunities offamilies in poverty, one would expect these institutions to have positive effects on the economic outcomes of low income in…
Institutions and Savings in Low-Income Households
This paper examines the influence of structured savings program arrangements on the saving performance of low-income households in individual development accounts (IDAs). Data are drawn from the American Dream Demonstration (1997-2004), which looked at the saving performance of low-income households in matched savings accounts across the United States. Hierarchical multivariate regression is used to identify which specific structural program arra…
Integrating Children's Savings Accounts in the Care and Support of Orphaned Adolescents in Rural Uganda
This study examines an economic empowerment model of care and support for orphaned adolescents in rural Uganda. Under this model, 277 AIDS-orphaned youths (ages 11-17) from 15 comparable schools were randomly assigned to either the usual care, which involves provision of counseling and education-related supplies, or the experimental condition, in which participants also received matched-savings accounts. The analyses indicate that poor families i…
Asset ownership and health and mental health functioning among Aids-orphaned adolescents
The potential of asset‐based development strategies for poverty alleviation in Sub‐Saharan Africa
Ssewamala FM, Sperber, ES, Zimmerman JM, Karimli L. The potential of asset‐based development strategies for poverty alleviation in Sub‐Saharan Africa Int J Soc Welfare 2010: 19: 433–443 © 2010 The Author(s), Journal compilation © 2010 Blackwell Publishing Ltd and International Journal of Social Welfare. This article explores the potential of a relatively new approach to social development as a poverty alleviation strategy in Sub‐Saharan Africa (S…
Strengthening Universal Primary Education in Uganda
Social capital, savings, and educational performance of orphaned adolescents in Sub-Saharan Africa
Assets and educational outcomes
Effect of Economic Assets on Sexual Risk-Taking Intentions Among Orphaned Adolescents in Uganda
Objectives. We examined the effect of economic assets on sexual risk-taking intentions among school-going AIDS-orphaned adolescents in rural Uganda. Methods. AIDS-orphaned adolescents from 15 comparable schools were randomly assigned to control (n = 133) or treatment (n = 127) conditions. Treatment participants received child savings accounts, workshops, and mentorship. This economic intervention was in addition to the traditional care and suppor…
Correlates of depression among caregivers of children affected by HIV/Aids in Uganda
This study uses the baseline (wave 1) data from a four-year (2008-2012) longitudinal study called the Suubi-Maka family economic empowerment intervention for AIDS-orphaned children in Uganda funded by the National Institute of Mental Health (Grant # RMH081763A). Specifically, using baseline data from the Suubi-Maka study, this article provides a contextualized understanding of depression levels among caregivers for AIDS-orphaned children in two r…
Imagining the future
Increasing opportunities for inner-city youth
Extended families and perceived caregiver support to Aids orphans in Rakai district of Uganda
The Potential of Youth Savings Accounts in Three East African Countries
This paper explores the potential of expanding a youth-focused asset-based intervention program for poor communities heavily affected by HIV and AIDS-currently underway in one East African country, Uganda-into similar communities in the other two East African countries: Kenya and Tanzania. This concept paper is informed by prior work on youth-focused asset-based programs first proposed in the United States of America and now successfully implemen…
Family economic empowerment and mental health among Aids-affected children living in Aids-impacted communities
OBJECTIVE: The authors examine whether an innovative family economic empowerment intervention addresses mental health functioning of AIDS-affected children in communities heavily impacted by HIV/AIDS in Uganda. METHODS: A cluster randomised controlled trial consisting of two study arms, a treatment condition (n=179) and a control condition (n=118), was used to examine the impact of the family economic empowerment intervention on children's levels…
Family economic strengthening and mental health functioning of caregivers for Aids-affected children in rural Uganda
In sub-Saharan Africa, many extended families assume the role of caregivers for children orphaned by AIDS (AIDS-affected children). The economic and psychological stress ensued from caregiving duties often predispose caregivers to poor mental health outcomes. Yet, very few studies exist on effective interventions to support these caregivers. Using data from a randomized controlled trial called Suubi-Maka ( N = 346), this paper examines whether a …
Optimizing the “demographic dividend” in young developing countries
Many developing regions are facing a youth bulge, meaning that young people comprise the highest proportion of the population. These regions are at risk of losing what could be a tremendous opportunity for economic growth and development if they do not capitalize on this young and economically productive population - also referred to as the "demographic dividend," defined as the increase in economic growth that tends to follow increases in the ra…
Economic Dimensions of Child Protection and Well-being
The Effects of parental loss on the psychosocial wellbeing of Aids-orphaned children living in Aids-impacted communities
Family economic strengthening and parenting stress among caregivers of Aids-orphaned children
Reforming child institutional care in the Post-Soviet bloc
Reprint of “Family economic strengthening and parenting stress among caregivers of Aids-orphaned children
Medicine (92 obras) · Psychology (78 obras) · Poverty, Education, and Child Welfare (70 obras) · Psychiatry (57 obras) · Psychological intervention (46 obras) · Environmental health (45 obras) · Economic growth (43 obras) · Adolescent Sexual and Reproductive Health (42 obras) · HIV/AIDS Research and Interventions (42 obras) · Public health (39 obras)