School of Social Sciences, Western Sydney University, Penrith, 2751, Australia.
Translational Health Research Institute, Western Sydney University, Penrith, 2751, Australia.
BMC Public Health. 2020 Dec 7;20(1):1872. doi: 10.1186/s12889-020-09868-y.
Various interventions to improve the quality of life (QoL) among slum dwellers across sub Saharan Africa have been implemented. However, the interventions impacts remain less understood. We assessed the impact of the Urban Program on Livelihoods and Income Fortification and Socio-civic Transformation (UPLIFT) project on QoL, psychological wellbeing, self-esteem, and the quality of neighbourhood social environment of young people aged 13-25 years in slum areas of Makindye and Nakawa Divisions in Kampala, Uganda.
The study was designed as a mixed method evaluation using repeated cross-sectional survey and grounded theory in both the intervention and comparison communities. The intervention effect was estimated using the difference-in-differences Kernel propensity-score matching technique, with bootstrapping. The "rcs" option was used given that data were from repeated cross-sectional surveys. A thematic analysis was adopted for the qualitative data to triangulate and complement the quantitative data.
The UPLIFT project led to an improvement in QoL, psychological wellbeing, and self-esteem of young people. In terms of QoL, the project led to a six-percentage point increase in quality of living conditions scores (where higher scores reflect better living conditions; lower ones, worse living conditions). However, a negative effect was observed for personal independence whilst the project did not have any impact on social relations. In terms of self-esteem and psychological wellbeing, the project led to a 4.6-point increase in self-esteem scores, a 5.4-point increase in self-acceptance scores, a 5.3- point increase in purpose in life scores, a 5.7 - point increase in personal growth, and a 10.7-point increase in autonomy scores. However, the project had a negative effect on personal independence; and had no impact on environmental mastery and the quality of neighbourhood social environment.
Functional community-owned assets accumulation and capacity building initiatives for young people in slum areas improved their psychological wellbeing and quality of life. However, such initiatives do not appear to address social relationships and personal independence of young people in slum areas.
为改善撒哈拉以南非洲各地贫民窟居民的生活质量（QoL），已实施了各种干预措施。然而，干预措施的影响仍不太清楚。我们评估了城市生计和收入强化与社会-公民转型项目（UPLIFT）对乌干达坎帕拉马金迪耶和纳卡瓦分区贫民窟地区 13-25 岁年轻人的生活质量、心理健康、自尊和邻里社会环境质量的影响。
本研究采用混合方法评估，在干预和对照社区中均使用重复的横断面调查和扎根理论。使用差异中的差异核倾向得分匹配技术（带有引导）来估计干预效果。由于数据来自重复的横断面调查，因此使用了“rcs”选项。采用主题分析对定性数据进行分析，以对定量数据进行三角剖分和补充。
UPLIFT 项目改善了年轻人的生活质量、心理健康和自尊。就生活质量而言，该项目使生活条件质量评分提高了 6 个百分点（得分越高表示生活条件越好，得分越低表示生活条件越差）。然而，个人独立性方面出现了负面影响，而该项目对社会关系没有任何影响。就自尊和心理健康而言，该项目使自尊评分提高了 4.6 分，自我接纳评分提高了 5.4 分，生活目标评分提高了 5.3 分，个人成长评分提高了 5.7 分，自主评分提高了 10.7 分。然而，该项目对个人独立性产生了负面影响，对环境掌控和邻里社会环境质量没有影响。
功能性社区所有资产积累和青年能力建设举措改善了贫民窟地区年轻人的心理健康和生活质量。然而，这些举措似乎并没有解决贫民窟地区年轻人的社会关系和个人独立性问题。
