How Effective Is Help on the Doorstep? A Longitudinal Evaluation of Community-Based Organisation Support.
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 c...
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Public Library of Science (PLoS)
2016-01-01
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| author | Lorraine Sherr Alexa R Yakubovich Sarah Skeen Lucie D Cluver Imca S Hensels Ana Macedo Mark Tomlinson |
| author_facet | Lorraine Sherr Alexa R Yakubovich Sarah Skeen Lucie D Cluver Imca S Hensels Ana Macedo Mark Tomlinson |
| author_sort | Lorraine Sherr |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-11c0cf076d7a4bfe98523dc802c05dcb |
| institution | DOAJ |
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| language | English |
| publishDate | 2016-01-01 |
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| spelling | doaj-art-11c0cf076d7a4bfe98523dc802c05dcb2025-08-20T03:10:59ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01113e015130510.1371/journal.pone.0151305How Effective Is Help on the Doorstep? A Longitudinal Evaluation of Community-Based Organisation Support.Lorraine SherrAlexa R YakubovichSarah SkeenLucie D CluverImca S HenselsAna MacedoMark TomlinsonCommunity-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.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0151305&type=printable |
| spellingShingle | Lorraine Sherr Alexa R Yakubovich Sarah Skeen Lucie D Cluver Imca S Hensels Ana Macedo Mark Tomlinson How Effective Is Help on the Doorstep? A Longitudinal Evaluation of Community-Based Organisation Support. PLoS ONE |
| title | How Effective Is Help on the Doorstep? A Longitudinal Evaluation of Community-Based Organisation Support. |
| title_full | How Effective Is Help on the Doorstep? A Longitudinal Evaluation of Community-Based Organisation Support. |
| title_fullStr | How Effective Is Help on the Doorstep? A Longitudinal Evaluation of Community-Based Organisation Support. |
| title_full_unstemmed | How Effective Is Help on the Doorstep? A Longitudinal Evaluation of Community-Based Organisation Support. |
| title_short | How Effective Is Help on the Doorstep? A Longitudinal Evaluation of Community-Based Organisation Support. |
| title_sort | how effective is help on the doorstep a longitudinal evaluation of community based organisation support |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0151305&type=printable |
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