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Strengthening Community-Based Services For Children And Families Affected By Hiv: An Evaluation Of The Zambia Family Program, Project Soar

HIV and AIDS

As the US President’s Emergency Plan for AIDS Relief (PEPFAR) pivots its focus to care and treatment, there is strong interest in learning to what extent community-based programs contribute to achieving the public health goals of getting people—including children and adolescents—tested, enrolled in care if infected, and adherent to treatment. This brief describes Project SOAR’s evaluation of the Zambia Family (ZAMFAM) program, which will generate critical evidence to help fill knowledge gaps. The evidence will also guide country and global decisionmakers in strengthening community-based services to better meet the care, support, and treatment needs of vulnerable children and their families.

The Aids House: Orphan Care And The Changing Household In Lesotho, Ellen Block

Sociology Faculty Publications

HIV/AIDS has brought the connections between care and relatedness into sharp relief. In the midst of social change driven largely by the AIDS epidemic, the house has emerged as the most stable element connecting kin in Lesotho. Houses provide spaces that frame human actions, transform relationships, and reflect the social order. The house is a key crossroads for human movement. It is also the site where physical connections, emotional bonds, and feelings of love and affection are nurtured. Most significantly, it is the site where physical acts of caring take place. Based on extensive ethnographic research, I demonstrate that the …

Paternity Matters: Premarital Childbearing And Belonging In Nyanga East And Mokhotlong, Nolwazi Mkhwanazi, Ellen Block

Sociology Faculty Publications

In this article we discuss the role that fathers and paternal families play in acknowledging and caring for children born outside of a recognised union in two southern African communities – Nyanga East, South Africa and Mokhotlong, Lesotho. While these communities are geographically and culturally close, there are important differences in the responses to the care of children born outside of a recognised union. In Nyanga East, despite not paying damages, the genitor and the paternal family are increasingly becoming involved in the care of children, even when they are no longer in a relationship with the mother; whereas in …

Fp-16-01 Divorce Timing And Economic Well-Being, Ashley Spangler, Susan L. Brown, I-Fen Lin, Anna Hammersmith, Matthew Wright

National Center for Family and Marriage Research Family Profiles

No abstract provided.

Fp-16-08 Long Term Marriage Among Older Adults, 2014, Huijing Wu, Susan L. Brown

National Center for Family and Marriage Research Family Profiles

No abstract provided.

Fp-16-20 Cohabitation In Middle And Later Life, Paul Hemez, Susan L. Brown

National Center for Family and Marriage Research Family Profiles

No abstract provided.

Fp-16-22 Marriage Rate In The U.S.: Geographic Variation, 2015, Paul Hemez

National Center for Family and Marriage Research Family Profiles

No abstract provided.

Bicultural Competence And The Latino 2.5 Generation: The Acculturative Advantages And Challenges Of Having One Foreign-Born And One U.S.-Born Parent, Jessica M. Dennis, Ana Laura Fonseca, Guadalupe Gutierrez Ramirez, Jillian Shen, Sibella Salazar

Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications

The 2.5 generation refers to individuals who have one parent born in the United States and one born in another country. The presence of both native-born and foreign-born parents has the potential to enhance bicultural adaptation. Across two studies with Latino young adults, we examine the extent to which the 2.5 generation is distinct from members of other generations with regard to cultural orientation, acculturative stress, and parent ethnic socialization. Results suggest that the 2.5-generation individuals report greater native cultural orientation, ethnic identity, and parental socialization compared with third-generation individuals, along with greater American orientation than first-generation individuals. The 2.5 …

Romantic Relationship Experiences From Late Adolescence To Young Adulthood: The Role Of Older Siblings In Mexican-Origin Families, Lorey A. Wheeler, Sarah E. Killoren, Shawn D. Whiteman, Kimberly A. Updegraff, Susan M. Mchale, Adriana J. Umana-Taylor

Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications

Youth's experiences with romantic relationships during adolescence and young adulthood have far reaching implications for future relationships, health, and well-being; yet, although scholars have examined potential peer and parent influences, we know little about the role of siblings in youth's romantic relationships. Accordingly, this study examined the prospective longitudinal links between Mexican-origin older and younger siblings' romantic relationship experiences and variation by sibling structural and relationship characteristics (i.e., sibling age and gender similarity, younger siblings' modeling) and cultural values (i.e., younger siblings' familism values). Data from 246 Mexican-origin families with older (M = 20.65 years; SD = 1.57; 50% …

Family Influences On Mexican American Adolescents’ Romantic Relationships: Moderation By Gender And Culture, Fanita A. Tyrell, Lorey A. Wheeler, Nancy A. Gonzales, Larry Dumka, Roger Millsap

Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications

This study examined prospective associations between the family context and adolescents’ romantic relationships as moderated by adolescents’ gender and culture among Mexican American families (N = 189). Adolescents at Time 1 (early adolescence) were on average 12.29 years of age (SD = .50) and 54% female. Mothers and fathers reported on family structure and dynamics during early adolescence, and youth reported on their romantic relationship involvement and quality during middle and late adolescence. Results from path analyses indicated that family structure and dynamics (supportive parenting, consistent discipline, parent-adolescent, and interparental conflict) were associated with adolescents’ romantic involvement and …

Nonstandard Parental Employment Schedules And Father Involvement, Matthew Weinshenker

Sociology Faculty Publications

This study assesses the impact of nonstandard employment schedules (shift work) on parenting among U.S. fathers of young children in dual-earner couples. The outcomes examined include total caregiving, caregiving without the mother present, and the elements of father involvement proposed by Pleck: positive engagement, warmth, and control. Models with latent variables and with lagged dependent variables are estimated using three waves of nationally-representative data from the Early Child Longitudinal Study – Birth Cohort (ECLS-B). The results indicate that employment scheduling mainly shapes the context in which involvement takes place. Compared to dual-earner couples who are each employed during the day, …

Easing Reentry Of Incarcerated Youth With And Without Disabilities Through Employability And Social Skills Training, Taryn Vanderpyl

CGU Theses & Dissertations

When incarcerated youth – those with and those without disabilities – face the prospect of reentering the community, they have many obstacles to overcome. Employment requirements are often associated with terms of parole or aftercare. Those who fail to obtain and maintain employment often reenter the juvenile justice system instead of successfully reentering society. Research shows employment is critical for successful transition from incarceration back in to the community. Limited information is available about programs that positively impact post-incarceration employment for juveniles, however. Practitioners face the challenge of selecting effective curriculum, interventions, or supports. Unfortunately, the current knowledge base provides …

Understanding Hiv-Related Vulnerabilities And Stigma Among Egyptian Youth, Nahla G. Abdel-Tawab, Doaa Oraby, Sally Saher, Sarah Ismail

Poverty, Gender, and Youth

The overall objective of this study is to provide an evidence-based description and interpretation of the HIV-related risks and vulnerabilities faced by different subgroups of youth in Egypt. The report is part of a six-country study that was conducted by the Population Council in Egypt, Kenya, Nigeria, Senegal, South Africa, and Uganda. The study examines social, economic, cultural, and legal factors that may contribute to youth’s increased vulnerability to HIV and documents the situation of the policy and programmatic responses. The study identified poverty, unemployment, delayed marriage, and gender inequality as examples of factors that increase young people’s risk-taking behavior …

Addressing Intimate Partner Violence And Power In Relationships In Hiv Testing Services: Results Of An Intervention Piloted In Nairobi, Kenya, Nicole Haberland, Charity Ndwiga, Katharine Mccarthy, Margaret Makanyengo, Rose Kosgei, Cecilia Choi, Julie Pulerwitz, Sam Kalibala

HIV and AIDS

The overarching goal of this study was to pilot an approach to HIV testing services (HTS) that addresses intimate partner violence (IPV) and sexual relationship power (SRP) inequalities, and explores the intervention’s potential for improving uptake and retention of antiretroviral therapy and prevention of mother-to-child transmission services. The project was implemented in Kenyatta National Hospital’s (KNH) antenatal care (ANC) clinic, and examined intermediate indicators of effect, as well as operational issues around incorporating attention to IPV in hospital procedures, especially in high-volume, high-need settings like KNH’s. The findings from this study suggest that providing some minimal IPV/SRP counseling to all …

An Integrated Peer Outreach And Clinic-Based Intervention To Improve The Sexual Health Of Young Men Who Have Sex With Men In Myanmar: A Link Up Evaluation, Population Council

HIV and AIDS

This brief describes an evaluation that assessed the impact of a peer-driven intervention for young men who have sex with men (MSM) in Myanmar, designed to improve the sexual health and rights of this marginalized community. The intervention and evaluation activities were conducted as part of Link Up, a global consortium led by the International HIV/AIDS Alliance aimed at improving sexual and reproductive health and rights among young vulnerable communities in Africa and Asia. In collaboration with the Burnet Institute, the Population Council–led evaluation study sought to assess whether the Link Up intervention improved sexual and health-seeking behaviors, and whether …

Impact Of Peer Education And On-Site Clinical Services For Female Sex Workers In Bangladesh Brothels: A Link Up Evaluation Study, Population Council

HIV and AIDS

This brief describes an evaluation of a brothel-based HIV and sexual and reproductive health and rights (SRHR) intervention that combined peer outreach with the provision of on-site clinical services in several Bangladesh brothels. The aim of this evaluation was to assess whether peer educator one-on-one or group sessions and on-site satellite clinics improved SRHR knowledge and behaviors among women who sell sex in three Bangladesh brothels. The study was conducted by the Population Council as part of the Link Up project, a global consortium led by the International HIV/AIDS Alliance aimed at improving the SRHR of young people. The findings …

Reducing Provider-Held Stigma And Improving Young Client Satisfaction In Bangladesh: Findings From A Link Up Evaluation, Population Council

HIV and AIDS

To address HIV stigma in Bangladesh, a training program was designed and evaluated among service providers as part of Link Up, a global project led by the International HIV/AIDS Alliance designed to improve the sexual and reproductive health and rights (SRHR) of young people. These trainings aimed at sensitizing healthcare providers to the needs and rights of young people at high risk of stigmatization—such as sex workers, sexual minorities, or young people who engage in premarital sex. The Population Council collaborated with Marie Stopes International Bangladesh (MSIB) to evaluate whether stigma-reduction trainings improved provider attitudes toward these young marginalized populations, …

Sexual And Reproductive Health And Rights Needs Of Young Men Who Live In The Streets In Dhaka City: A Link Up Exploratory Study, Population Council

HIV and AIDS

Under the Link Up project—a global consortium led by the International HIV/AIDS Alliance and supported by the Dutch Ministry of Foreign Affairs—the Population Council conducted an exploratory study of the HIV and sexual and reproductive health and rights (SRHR) needs of young men who live in the streets of Dhaka City, Bangladesh. The study investigated their knowledge, behaviors, needs, and service utilization related to HIV and SRHR. The findings elucidate the substantial vulnerabilities and risks faced by young men who live in the streets of Dhaka City, most notably in terms of sexual risk and physical violence. Participants reported very …

Using Peers To Improve Sexual And Reproductive Health And Rights Of Young People Living With Hiv In Uganda: Findings From A Link Up Evaluation, Population Council

HIV and AIDS

Link Up, a global consortium led by the International HIV/AIDS Alliance, sought to meet the immediate HIV care needs and also the broader sexual and reproductive health and rights (SRHR) for Ugandan young people living with HIV (YPLHIV), by creating linkages between comprehensive community- and facility-based HIV and SRHR services. In addition, Link Up delivered health education, counseling, and peer support tailored to the needs of YPLHIV in order to educate and empower them to recognize their rights, and feel confident in seeking health services. This brief presents findings from the Population Council’s evaluation of Link Up activities among YPLHIV …

Building Evidence To Guide Prep Introduction For Adolescent Girls And Young Women, Nanlesta Pilgrim, Sanyukta Mathur, Ann Gottert, Naomi Rutenberg, Julie Pulerwitz

HIV and AIDS

This document was developed by the Population Council, with support from the Bill & Melinda Gates Foundation, to provide DREAMS country teams with practical guidance on building evidence to guide pre-exposure prophylaxis (PrEP) introduction for adolescent girls and young women (AGYW). The primary audiences for this document are health policymakers and program planners who will be making decisions about how PrEP is introduced and the researchers who will assess AGYW’s specific needs and experiences. Our aim is to complement emerging global guidance on PrEP and ongoing work regarding delivery platforms, marketing, and policy and regulatory frameworks for PrEP introduction more …

How To Reduce Hiv Risk Among Adolescent Girls And Young Women In Sub-Saharan Africa? Implementation Science Around The Dreams Initiative, Population Council

HIV and AIDS

The Population Council, with funding from the Bill & Melinda Gates Foundation and the US Agency for International Development through Project SOAR, is leading the implementation science portfolio of the timely and innovative DREAMS partnership in 10 sub-Saharan countries, producing evidence to strengthen DREAMS activities and other community-based programming. The Council’s research focuses on how best to reach the most vulnerable adolescent girls and young women (AGYW) and their male partners and engage them in activities and services, and how to roll out pre-exposure prophylaxis (PrEP) for HIV prevention among AGYW. By examining these critical HIV prevention issues, the Council’s …

Impact Of A Community-Based, Hiv Intervention On Antiretroviral Treatment Retention And Adherence In Tanzania, Project Soar

HIV and AIDS

Project SOAR is contributing to the evidence base on community-based care models by conducting implementation research in Tanzania, a country where 1.5 million people are in need of HIV care services, and where clients eligible for antiretroviral therapy (ART) often drop out or are lost to follow up. While the country has a cadre of community-based HIV service (CBHS) providers, they remain largely informal. Project SOAR and its partners are evaluating a coordinated, integrated model in which CBHS providers deliver an enhanced service package to HIV-positive clients. The evaluation will advance understanding of the value of CBHS providers in improving …

Project Soar's Voluntary Medical Male Circumcision Portfolio, Project Soar

HIV and AIDS

Project SOAR has developed an extensive voluntary medical male circumcision (VMMC) portfolio to support multiple countries with data to make informed policy and programmatic decisions about VMMC that address their specific needs and environments. A critical component of this portfolio is research utilization. At the country level, Project SOAR seeks to generate data to support planning, implementing, and monitoring VMMC programs and increase access to and use of this data through user-friendly interfaces and dissemination strategies. Simultaneously, SOAR aims to advance VMMC as a vital prevention strategy by filling important data gaps in the global discourse around VMMC. This brief …

Preparing Future Child Welfare Professionals To Strengthen Couple Relations, Ted G. Futris, David G. Schramm, Jeneé Duncan

Human Development and Family Studies Faculty Publications

This study evaluates the potential value of integrating a family science-focused course on strengthening couple and coparenting relationships into the training of social work students and future child welfare professionals. The 15-week graduate course offered 30 MSW students an opportunity to learn and practice relationship and marriage education (RME) skills in order to teach relevant concepts to clients and to support future integration of these skills in their careers. Evaluation data showed that students demonstrated improvements in multiple domains of knowledge and self-efficacy and applied the concepts learned with clients within six months of completing the course. Implications for future …

Parent Participation In Child Therapeutic Settings, Robert Doss

All Graduate Theses, Dissertations, and Other Capstone Projects

Researchers agree that more caregiver participation and higher levels of engagement in child therapeutic settings lead to better outcomes. However, challenges arise in families of low socioeconomic status (SES) where resources are already spread thin. The current study evaluates the efficacy of implementing a single caregiver participation session during an eight-week physical activity and play group for kids aged 6 to 9 years old. Results indicate that the group as a whole is useful in improving some emotional and behavioral issues in children, but the participation session did not seem to have an impact on improvement. A discussion of results, …

Organizing For Women And Children: Advocating For The ‘Reach Every Mother And Child’ Campaign, Laura E. Leslie

Capstone Collection

Every day families are left without mothers and children. Not only does this affect the family but it can have ramifications on the community. There is a link between the wellbeing of moms and that of their children, yet we lose thousands of women to maternal complications each year. Moreover, each day, thousands of children die before reaching their fifth birthday. The most tragic part is that most of these deaths are preventable. While these deaths have been halved in the last 15 years, there is still a lot of work to be done. There have been several initiatives which …

Effects Of Timing Of Parental Divorce On Children’S Romantic Relationships In Adulthood: A Review, Adrian Weldon

Lewis Honors College Capstone Collection

A literature review was conducted to determine what age children are most vulnerable to the impact of parental divorce on their romantic relationships in adulthood. Fourteen articles were included in this review. Results of the review showed different outcomes based on stage of life. Parental divorce in infancy, early childhood, late childhood, and adolescence resulted in the most negative long-term effects on the children’s intimate relationships later in life. Children in middle childhood and young adulthood at the time of their parents’ marital dissolution appeared to be most resilient to its impact on their romantic relationships in adulthood. Literature on …

Understanding The Effectiveness Of Incarceration On Juvenile Offending Through A Systematic Review And Meta-Analysis: Do The "Get Tough" Policies Work?, Jacqueline Anita Black

School of Criminal Justice Theses and Dissertations

The juvenile system is no longer perceived as a social welfare model, but has become more punitive approximating a crime control model. Juveniles are not responsible for the majority of crime in the United States and are not the most serious and violent demographic; however, they are incarcerated at a higher rate than adults. Incarceration is an element of deterrence currently used by the juvenile justice system without a clear conclusion of whether or not it works to reduce juvenile crime.

The goal of this research was to first conduct a systematic review of prior studies on the effectiveness of …

Barriers To Fistula Repair In Nigeria: A Formative Study, Population Council

Reproductive Health

A formative research study was conducted in Nigeria to better understand the barriers and enabling factors for fistula repair care delivery and access. This brief presents results from a literature review conducted to identify and understand the delays in accessing and receiving treatment and corresponding barriers, to document interventions that help to overcome barriers, and to specify gaps in the literature that require further research. The report concludes that women’s concern over healing and reintegration reflects their expectation that the holistic approach of hospitals will bring them back to normal life incorporating physical, sexual, psychosocial, and economic rehabilitation. Awareness, financial, …

Strengthening Factory Health Systems Under Levi Strauss & Co.'S Worker Well-Being Initiative In Egypt, Population Council, The Evidence Project

Reproductive Health

The pilot intervention described in this brief took place at an apparel manufacturing company, Lotus, located in Port Said, Egypt as part of the Worker Well-being Initiative. Worker Well-being is an initiative of Levi Strauss & Co. and the Levi Strauss Foundation that seeks to move beyond a “do no harm” compliance model of labor rights in its global supply chain. The interventions in Egypt have contributed to the overall development of a health system–strengthening approach to private workplaces, which is a new concept for management. The work in Egypt contributed to a collaboration between the Evidence Project/RAISE Health and …