22 research outputs found
Shortâ and longerâterm impacts of Child Friendly Space Interventions in Rwamwanja Refugee Settlement, Uganda
Alastair Ager - ORCID 0000-0002-9474-3563
https://orcid.org/0000-0002-9474-3563Karin Diaconu - ORCID 0000-0002-5810-9725
https://orcid.org/0000-0002-5810-9725Background
The establishment of Child Friendly Spaces (CFSs) has become a widespread intervention targeting protection and support for displaced children in humanitarian contexts. There is a lack of evidence of impact of these interventions with respect to both shortâterm outcomes and longerâterm developmental trajectories.Methods
We collected data from caregivers of Congolese refugee children residing in Rwamwanja Refugee Settlement at three timepoints. To assess shortâterm impact of CFSs, we compared indicators assessed shortly after refugeesâ arrival (baseline, T1) and endline (T2, three to six months after CFS implementation) amongst 430 CFS attenders and 161 nonattenders. Followâup assessments after the end of CFS programming were conducted 18 months postâbaseline (T3) with caregivers of 249 previous CFS attenders and 77 CFS nonattenders.Results
In the shortâterm, attendance at CFSs was associated with better maintenance of psychosocial wellâbeing (PSWB; β = 2.093, p < .001, Cohen's d = .347) and greater increases in developmental assets (β = 2.517, p < .001, Cohen's d = .231), with significantly stronger impacts for girls. CFS interventions meeting higher programing quality criteria were associated with greater impact on both PSWB and development assets (β = 2.603 vs. β = 1.793 and β = 2.942 vs. β = 2.337 for attenders at higher and lowerâquality CFSs c.f. nonattenders, respectively). Amongst boys, benefits of program attendance were only indicated for those attending higherâquality CFS (β = 2.084, p = .006 for PSWB). At followâup, however, there were no discernable impacts of prior CFS attendance on any measures. Age and school attendance were the only characteristics that predicted an outcome â developmental assets â at followâup.Conclusions
Attendance at CFSs â particularly involving higherâquality programming â supported children's wellâbeing and development. However, sustained impact beyond active CFS programming was not demonstrated. Intervention goals and strategies in humanitarian contexts need to address the challenge of connecting children to other resources to facilitate developmental progress in conditions of protracted displacement.This research was funded by World Vision International and Elrha's Research for Health in Humanitarian Crises (R2HC) Programme (elrha.org/r2hc), which aims to improve health outcomes by strengthening the evidence base for public health interventions in humanitarian crises. At the time of the award supporting this study, the R2HC program was funded equally by the Wellcome Trust and the UK Department for International Development.https://doi.org/10.1111/jcpp.1306960pubpub1
Comment letters to the National Commission on Commission on Fraudulent Financial Reporting, 1987 (Treadway Commission) Vol. 2
https://egrove.olemiss.edu/aicpa_sop/1662/thumbnail.jp