Abstract: The Impact of an Economic Empowerment Intervention on Traditional Gender Norm Beliefs Among Adolescents Orphaned By HIV/AIDS in Uganda (Society for Social Work and Research 29th Annual Conference)

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391P The Impact of an Economic Empowerment Intervention on Traditional Gender Norm Beliefs Among Adolescents Orphaned By HIV/AIDS in Uganda

Schedule:
Friday, January 17, 2025
Grand Ballroom C, Level 2 (Sheraton Grand Seattle)
* noted as presenting author
Portia Nartey, MSW, MSP, Social Work PhD Student, Washington University in Saint Louis, St. Louis, MO
Vicent Ssentumbwe, MPH, Student, Washington University in St. Louis, St. Louis, MO
Proscovia Nabunya, MSW, PhD, Assistant Professor, Washington University in Saint Louis, St. Louis, MO
Samuel Kizito, MD, MS, Research fellow, Washington University in St. Louis, St Louis, MO
Mitra Naseh, PhD, Assistant Professor, Washington University in St. Louis, MO
Ozge Sensoy Bahar, PhD, Research Associate Professor, Washington University in St. Louis, MO
Fred Ssewamala, PhD, Professor, Washington University in Saint Louis, Saint Louis, MO
Mary M. McKay, PhD, Vice Provost of Interdisciplinary Initiatives, Washington University in Saint Louis, St Louis, MO
Background and Purpose: Traditional gender norm beliefs are deeply entrenched in low-resourced communities across sub-Saharan Africa, including Uganda. These inequitable gender norms contribute to low educational achievement, low self-confidence and lack of decision making and agency among adolescents. We assessed the impact of a family economic empowerment intervention on gender norm beliefs among adolescents orphaned by HIV and AIDS in Southwestern Uganda.

Methods: We utilized data from the Suubi-Maka study, a two-arm NIMH-funded cluster-randomized trial for orphaned adolescents (2008-2012). A total of 346 adolescents-caregivers (dyads) from 10 rural public primary schools were randomly assigned to either the control group (n = 167 dyads) receiving usual care for school-going orphaned children (such as lunch and learning materials) or the treatment group (n = 179 dyads) receiving a family economic empowerment intervention (focused on a matched savings account), financial planning and management workshops. Data were collected at baseline, at 12 month and 24 month follow-ups. This study used data from the three time points. We used mixed-effects linear regression analysis to examine the effect of the intervention on gender norm beliefs measured by a 10-item scale adapted from the Attitudes toward Women Scale for Adolescents (AWSA).

Results: Adolescents’ mean age was 13.38 years and females constituted 65% of the sample. Although we did not detect significant main effects between groups, we identified significant effects across time χ2(2) = 204.71, p < 0.001.

Conclusions and Implications: Across time, participants in the intervention arm increased in their egalitarian gender norms beliefs more than participants in the control arm. Based on our findings, we conclude that research and policy efforts aimed at addressing traditional gender norm beliefs among vulnerable adolescents must include economic empowerment components.