ITEM VIEW

How effective is help on the doorstep? a longitudinal evaluation of community-based organisation support

dc.contributor.authorSherr, Lorraineen_ZA
dc.contributor.authorYakubovich, Alexa R.en_ZA
dc.contributor.authorSkeen, Sarahen_ZA
dc.contributor.authorCluver, Lucie D.en_ZA
dc.contributor.authorHensels, Imca S.en_ZA
dc.contributor.authorMacedo, Anaen_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.date.accessioned2017-09-19T12:13:46Z
dc.date.available2017-09-19T12:13:46Z
dc.date.issued2016
dc.identifier.citationSherr, L., et al. 2016. How effective is help on the doorstep? a longitudinal evaluation of community-based organisation support. PLoS ONE, 11(3):e0151305, doi:10.1371/ journal.pone.0151305
dc.identifier.issn1932-6203 (online)
dc.identifier.otherdoi:10.1371/journal.pone.0151305
dc.identifier.urihttp://hdl.handle.net/10019.1/102258
dc.descriptionCITATION: Sherr, L., et al. 2016. How effective is help on the doorstep? a longitudinal evaluation of community-based organisation support. PLoS ONE, 11(3):e0151305, doi:10.1371/ journal.pone.0151305.
dc.descriptionThe original publication is available at http://journals.plos.org/plosone
dc.description.abstractENGLISH ABSTRACT: Community-based responses have a lengthy history. The ravages of HIV on family functioning has included a widespread community response. Although much funding has been invested in front line community-based organisations (CBO), there was no equal investment in evaluations. This study was set up to compare children aged 9–13 years old, randomly sampled from two South African provinces, who had not received CBO support over time (YC) with a group of similarly aged children who were CBO attenders (CCC). YC baseline refusal rate was 2.5% and retention rate was 97%. CCC baseline refusal rate was 0.7% and retention rate was 86.5%. 1848 children were included—446 CBO attenders compared to 1402 9–13 year olds drawn from a random sample of high-HIV prevalence areas. Data were gathered at baseline and 12–15 months follow-up. Standardised measures recorded demographics, violence and abuse, mental health, social and educational factors. Multivariate regression analyses revealed that children attending CBOs had lower odds of experiencing weekly domestic conflict between adults in their home (OR 0.17; 95% CI 0.09, 0.32), domestic violence (OR 0.22; 95% CI 0.08, 0.62), or abuse (OR 0.11; 95% CI 0.05, 0.25) at follow-up compared to participants without CBO contact. CBO attenders had lower odds of suicidal ideation (OR 0.41; 95% CI 0.18, 0.91), fewer depressive symptoms (B = -0.40; 95% CI -0.62, -0.17), less perceived stigma (B = -0.37; 95% CI -0.57, -0.18), fewer peer problems (B = -1.08; 95% CI -1.29, -0.86) and fewer conduct problems (B = -0.77; 95% CI -0.95, -0.60) at follow-up. In addition, CBO contact was associated with more prosocial behaviours at follow-up (B = 1.40; 95% CI 1.13, 1.67). No associations were observed between CBO contact and parental praise or post-traumatic symptoms. These results suggest that CBO exposure is associated with behavioural and mental health benefits for children over time. More severe psychopathology was not affected by attendance and may need more specialised input.en_ZA
dc.description.urihttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0151305
dc.format.extent12 pagesen_ZA
dc.language.isoen_ZAen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.subjectHIV infectionsen_ZA
dc.subjectCommunity-based organizationsen_ZA
dc.subjectHIV-positive childrenen_ZA
dc.subjectAntiretroviral drugsen_ZA
dc.titleHow effective is help on the doorstep? a longitudinal evaluation of community-based organisation supporten_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyrighten_ZA


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

ITEM VIEW