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 |
Preliminary impact of a combination intervention on intention to migrate and school absence among adolescent girls
School absenteeism during menstruation among adolescent girls in Southern Uganda
The intersection of caregiving and financial vulnerability
The long-term impact of family economic empowerment on viral suppression and mental health outcomes among adolescents living with HIV in low-income settings
The longitudinal impact of an evidence‐based multiple family group intervention ( Amaka Amasanyufu ) on family cohesion among children in Uganda
Family functioning plays a critical role in childhood disruptive behavior disorders ( The Family Journal , 2003, 11 (1), 33–41; Research in Nursing and Health , 2016, 39 (4), 229–243). Yet, there is limited research on the impact of evidence‐based family strengthening interventions on improving family cohesion as a protective factor among children experiencing behavioral challenges. To address this gap, we analyzed data ( N = 636) from the SMART …
Exploring mediators of the Amaka Amasanyufu Multiple Family Group Intervention (2016–2022) on parenting stress reduction among caregivers of children with disruptive behavior disorders in Uganda
Residing in poverty-impacted Ugandan communities and raising children with disruptive behavior disorders (DBDs) is associated with above heightened parenting stress. An evidence-based intervention designed to help parents tailor their parenting style to effectively manage children with DBDs was implemented in Uganda between 2017 and 2023. At the end of the intervention, caregivers displayed lower levels of parenting stress than controls, however …
Examining the Intrapersonal, Interpersonal and Community Level Correlates of Access to Medical Care Among Women Employed by Sex Work in Southern Uganda
Prevalence and Correlates of Substance Use Among Youth Living with HIV in Fishing Communities in Uganda
Pilot Trial Results of Mlambe
Psychometric Validation of the East Africa Alcohol Expectancy Scale (Afexs) for Youth Living with HIV in Southwestern Uganda
Feasibility and Acceptability of Group-Based Stigma Reduction Interventions for Adolescents Living with HIV and Their Caregivers
A Cluster-Randomized Controlled Trial of an Economic Strengthening Intervention to Enhance Antiretroviral Therapy Adherence among Adolescents Living with HIV
Low HIV Viral Load Suppression and Its Implications for Controlling HIV among Refugee Adolescents and Youth Living in Refugee Settlements in Uganda
Short‐term impact of a combination intervention on family cohesion
Child labor remains a concern in sub-Saharan Africa. Yet, evidence-based preventive efforts are limited. We analyzed longitudinal data from Ghanaian adolescent girls in a pilot randomized clinical trial testing the preliminary impact of a combination intervention on family cohesion as a protective factor against child labor and school dropout. While there was no statistical difference between the control and intervention groups at 9 months, the r…
Self‐esteem and self‐concept as correlates of life satisfaction and attitudes toward school among Ghanaian girls
During adolescence, youth experience several physical, psychosocial, and cognitive changes. Self-esteem and self-concept are identified as protective factors for adolescents in high-income countries, but studies are limited in sub-Saharan Africa. We examined the associations of self-esteem and self-concept with life satisfaction and attitudes toward school using baseline data from 97 Ghanaian adolescent girls at risk of school dropout. Ordinary L…
The impact of an economic empowerment intervention on intimate partner violence among women engaged in sex work in southern Uganda
Mlambe economic and relationship-strengthening intervention for alcohol use decreases violence and improves relationship quality in couples living with HIV in Malawi
The impact of Covid-19 changes and disruptions on generalized anxiety disorder among young adults living with HIV (Ylhiv) in Uganda
In the context of the COVID-19 pandemic, we investigated associations between specific COVID-19-related changes and its impact on generalized anxiety disorder (GAD) levels among vulnerable young adults living with HIV (YALHIV) in a low-resource setting in Southern Uganda. This research utilized data from 500 YALHIV aged 19 to 25 from the Suubi+Adherence-R2 COVID-19 Supplement study. Disruptions were assessed using an 8-item modified Coronavirus I…
Conducting high-frequency data collection in low-resource settings
Poverty and economic insecurity are driving forces in entering sex work among women in low resource areas. This increases their risk for HIV by influencing the decision-making process for high-risk behaviors. Few studies examine financial behaviors and capacities of women engaged in sex work (WESW). This paper describes the methodology used in a financial diary study aimed at characterizing women's spending patterns within a larger prevention int…
Sexual Health Behaviors and Knowledge Among Ugandan Adolescent Girls
The effect of family support on self‐reported adherence to ART among adolescents perinatally infected with HIV in Uganda
INTRODUCTION: This study examined the mechanisms through which family support affects self-reported adherence to antiretroviral therapy among adolescents perinatally infected with HIV in Uganda. METHODS: Longitudinal data from 702 adolescent boys and girls (10-16 years) were analyzed. Structural equation models were conducted to assess the direct, indirect, and total effects of family support on adherence. RESULTS: Results showed a significant in…
Typology and correlates of parental stress among caregivers of children with DBDs in low-resourced communities in Uganda
Disruptive Behavior Disorders (DBDs) is one of the most common mental health problems among children in Uganda and SSA. Yet, to our knowledge no research has studied parenting stress (PS) among caregivers of children with DBDs, or investigated which risk factors originate from the child, parent, and contextual environment. Using a rigorous analytical approach, we aimed to: 1) identify different types and; 2) examine factors associated with PS and…
Examining Cash Expenditures and Associated HIV-Related Behaviors Using Financial Diaries in Women Employed by Sex Work in Rural Uganda
Financial diaries are a feasible tool to assess the economic lives of vulnerable women. Despite having paid work, most WESW encountered a myriad of financial challenges with limited spending on HIV prevention. Financial protections and additional income-generating activities may improve their status. More robust research is needed to understand the potentially complex relationship between income, expenditures, and HIV risk among vulnerable sex wo…
It gives you a road map of what to do to solve your problems”
NCT03307226 (Registered: 10/11/17)
Suubi + Adherence4Youth
This project was registered at clinicaltrials.gov (NCT05600621) on October, 31, 2022. https://clinicaltrials.gov/ct2/show/NCT05600621
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)