Kohli Anjalee, Perrin Nancy A, Remy Mitima Mpanano, Alfred Mirindi Bacikenge, Arsene Kajabika Binkurhorhwa, Nadine Mwinja Bufole, Heri Banyewesize Jean, Clovis Mitima Murhula, Glass Nancy
Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Center for Health Research, Portland, Oregon, USA.
BMJ Open. 2017 Mar 14;7(3):e013612. doi: 10.1136/bmjopen-2016-013612.
People living in poverty have limited access to traditional financial institutions. Microfinance programmes are designed to meet this gap and show promise in improving income, economic productivity and health. Our Congolese-US community academic research partnership developed two livestock productive asset transfer programmes, Pigs for Peace (PFP) and Rabbits for Resilience (RFR), to address the interlinked health, social and economic well-being of individuals, their families and communities. The community-based randomised controlled trials examine the effectiveness of PFP and RFR to improve health, economic stability, and family and community relationships among male and female adults and adolescents living in 10 rural, postconflict villages of eastern Democratic Republic of Congo.
PFP participants include adult permanent residents of rural villages; adolescent participants in RFR include male and female adolescents 10-15 years old living in the selected rural villages. Participants were randomised to intervention or delayed control group. Participants in PFP completed baseline interview prior to intervention and follow-up interview at 6, 12 and 18 months postintervention. In RFR, participants completed baseline interview prior to intervention and follow-up interview at 6, 12 and 18 months postbaseline. The primary outcome of both trials, the change in baseline mental health distress at 18 months in the intervention group (adults, adolescents) compared to control group, is used to calculate sample size.
The Johns Hopkins Medical Institute Internal Review Board approved this protocol. A committee of respected Congolese educators and community members (due to lack of local ethics review board) approved the study. The findings will provide important information on the potential for community-led sustainable development initiatives to build on traditional livelihood (livestock raising, agriculture) to have a sustained health, economic and social impact on the individual, family and community.
NCT02008708, NCT02008695.
生活贫困的人群获得传统金融机构服务的机会有限。小额金融项目旨在填补这一空白，并在改善收入、经济生产力和健康方面展现出前景。我们刚果裔美国社区学术研究伙伴关系开发了两个牲畜生产性资产转移项目，即“和平之猪”（PFP）和“韧性之兔”（RFR），以解决个人、其家庭和社区相互关联的健康、社会和经济福祉问题。基于社区的随机对照试验考察了PFP和RFR在改善刚果民主共和国东部10个农村冲突后村庄中成年男女及青少年的健康、经济稳定性以及家庭和社区关系方面的有效性。
PFP的参与者包括农村成年常住居民；RFR的青少年参与者包括居住在选定农村村庄的10至15岁的青少年男女。参与者被随机分配到干预组或延迟对照组。PFP的参与者在干预前完成基线访谈，并在干预后6个月、12个月和18个月进行随访访谈。在RFR中，参与者在基线前完成基线访谈，并在基线后6个月、12个月和18个月进行随访访谈。两项试验的主要结局，即干预组（成年人、青少年）与对照组相比在18个月时基线心理健康困扰的变化，用于计算样本量。
约翰霍普金斯医学院内部审查委员会批准了该方案。一个由受尊敬的刚果教育工作者和社区成员组成的委员会（由于缺乏当地伦理审查委员会）批准了该研究。研究结果将提供重要信息，说明以社区为主导的可持续发展倡议在利用传统生计（畜牧、农业）对个人、家庭和社区产生持续健康、经济和社会影响方面的潜力。
NCT02008708，NCT所2008695。
