Cost-Effectiveness of an Economic Empowerment and Family Intervention on Mental Health Among School-Going Adolescent Girls in Uganda, 2017‒2022.
Objectives. To assess the cost-effectiveness of an economic empowerment and family intervention on mental health outcomes among school-going adolescent girls in Uganda from 2017 to 2022. Methods. We randomized adolescent girls aged 14 to 17 years into 3 arms: (1) health and sex education (usual care...
| Publicado en: | American Journal of Public Health Vol. 115; no. 9; pp. 1408 - 1417 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Sep2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=187167932&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 187167932 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Sep2025 vid: 115 iid: 9 pid: 44 pub: American Public Health Association artinfo: ui: 187167932 10.2105/AJPH.2025.308135 ppf: 1408 ppct: 9 formats: tig: atl: Cost-Effectiveness of an Economic Empowerment and Family Intervention on Mental Health Among School-Going Adolescent Girls in Uganda, 2017‒2022. aug: au: Ssewamala, Fred M. Tozan, Yesim Brathwaite, Rachel Kiyingi, Joshua Namatovu, Phionah Bahar, Ozge Sensoy Nabunya, Proscovia Nartey, Portia B. Neilands, Torsten B. affil: Brown School, Washington University in St. Louis, MO. New York University School of Global Public Health, New York, NY. Division of Prevention Science, University of California, San Francisco. International Center for Child Health and Development, Masaka, Uganda. su: Uganda Self-efficacy Adolescent health Mental illness Positive psychology Family roles Cost benefit analysis School mental health services Despair Women's health Mental depression Self-perception Adolescence Secondary analysis Statistical sampling Combined modality therapy sug: subj: Self-efficacy Adolescent health Mental illness Positive psychology Family roles Cost benefit analysis School mental health services Despair Women's health Mental depression Self-perception Adolescence Uganda Marketing Research and Public Opinion Polling Secondary analysis Statistical sampling Combined modality therapy ab: Objectives. To assess the cost-effectiveness of an economic empowerment and family intervention on mental health outcomes among school-going adolescent girls in Uganda from 2017 to 2022. Methods. We randomized adolescent girls aged 14 to 17 years into 3 arms: (1) health and sex education (usual care; n = 408), (2) youth development accounts (YDAs; n = 471), and (3) a combination intervention (YDA plus multiple family group [MFG]; n = 381). We fitted mixed-effects models and estimated intervention costs prospectively using the microcosting approach. Results. The combination intervention had a statistically significant impact on mental health outcomes (depressive symptoms, hopelessness, self-concept) at 12 and 24 months, except self-esteem at 24 months, relative to usual care, with incremental cost‒effectiveness ratios ranging from $51 to $100 per 0.2-SD change at 12 months, and $53 to $157 at 24 months per 0.2-SD change. Conclusions. The combination intervention positively and significantly impacted a higher number of mental health outcomes among school-going adolescent girls compared with YDA alone. The benefits were sustained in the short and long term, with the incremental cost-per-unit effect remaining comparable. Findings support the integration of combination interventions in school settings to promote adolescent girls' positive mental health functioning. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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