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The problem
Intervention: Suubi + Adherence: a family-based economic empowerment intervention combining savings support, financial education, and economic strengthening with adherence support
Who it was tested with: Adolescents living with HIV (mean age 12 years at enrolment, 56% female) receiving ART at 39 health centres in southern Uganda (n=358 intervention, n=344 comparison).
Children or communities are compared with a group that did not receive the intervention, or followed over years. This is the design that best separates what the intervention did from everything else that changed.
"A difference-in-differences analysis was employed to assess the change in the proportion of virally suppressed adolescents (HIV RNA viral load <40 copies/mL) over 24 months. The cost-effectiveness analysis examined how much the intervention cost to virally suppress one additional adolescent relative to BSOC from the healthcare provider perspective." This design with randomisation to intervention and control groups, repeated measurement over 24 months, and comparison between arms represents a rigorous experimental approach.
The study does not report sustained outcomes beyond 24 months. The confidence interval for incremental cost is very wide, indicating considerable uncertainty. Longer-term adherence and cost-effectiveness data would strengthen conclusions about programme sustainability.
Across countries and designs
6 studies · 1 country