一项旨在提高赞比亚农村地区艾滋病病毒感染者粮食安全的生计干预措施。
: A Livelihood Intervention to Increase Food Security of People Living with HIV in Rural Zambia.
作者信息
Masa Rainier, Chowa Gina, Nyirenda Victor
出版信息
J Health Care Poor Underserved. 2018;29(1):349-372. doi: 10.1353/hpu.2018.0024.
Abstract
The objective of this study was to evaluate the impact of Chuma na Uchizi, a livelihood intervention for people living with HIV (PLHIV) in rural Eastern Province, Zambia, on food security. The intervention included cash transfers to purchase income-generating assets, access to a savings account, and life-skills training. The study employed a non-equivalent groups design to compare intervention (n = 50) and control participants (n = 51) who were receiving outpatient care from two comparable health facilities in distinct constituencies in the same geographic area. We collected data before and after implementation of the intervention. Chuma na Uchizi improved access to food. At follow-up, the intervention group reported lower food insecurity scores compared with the control group (β = -5.65; 95% CI - 10.85 --0.45). Livelihood programs for PLHIV are practical and may be a promising approach to address food insecurity and its adverse effects.
摘要
本研究的目的是评估“Chuma na Uchizi”（赞比亚东部省农村地区针对艾滋病毒感染者开展的一项生计干预措施）对粮食安全的影响。该干预措施包括现金转移支付以购买创收资产、提供储蓄账户以及生活技能培训。本研究采用非等效组设计，比较了干预组（n = 50）和对照组（n = 51），两组参与者均在同一地理区域不同选区的两个类似卫生机构接受门诊护理。我们在干预措施实施前后收集了数据。“Chuma na Uchizi”改善了粮食获取情况。在随访时，干预组报告的粮食不安全得分低于对照组（β = -5.65；95%置信区间 - 10.85至 -0.45）。针对艾滋病毒感染者的生计项目切实可行，可能是解决粮食不安全及其不利影响的一种有前景的方法。
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