Browsing by Author "Kuper, Hannah"

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    Evaluation of a disability-inclusive ultra-poor graduation programme in Uganda: study protocol for a cluster-randomised controlled trial with process evaluation
    (BioMed Central, 2024-03) Kipchumba, Elijah; Davey, Calum; Marks, Sarah; Mugeere, Anthony; Chen, Shanquan; Banks, Lena Morgon; Islam, Kazi Eliza; Shakespeare, Tom; Kuper, Hannah; Sulaiman, Munshi
    Abstract There is little evidence on how to support ultra-poor people with disabilities to adopt sustainable livelihoods. The Disability-Inclusive Graduation (DIG) programme targets ultra-poor people with disabilities and/or women living in rural Uganda. The programme is an adaptation of an ultra-poor graduation model that has been shown to be effective in many contexts but not evaluated for people with disabilities. The DIG programme works with project participants over a period of 18 months. Participants receive unconditional cash transfers for 6 months, training, access to savings-and-loans groups, and a capital asset that forms the basis of their new livelihood. The programme is also adapted to address specific barriers that people with disabilities face. Eligible households are clustered by geographical proximity in order to deliver the intervention. Eligibility is based on household screening to identify the 'ultra-poor' based on proxy means testing-both households with and without people with disabilities are included in the programme. Clusters are randomly selected prior to implementation, resulting in 96 intervention and 89 control clusters. The primary outcome of the trial is per-capita household consumption. Before the start of the intervention, a baseline household survey is conducted (November 2020) among project participants and those not offered the programme, a similar endline survey is conducted with participants with disabilities at the end of programme implementation in July 2022, and a second endline survey for all participants in October 2023. These activities are complemented by a process evaluation to understand DIG programme implementation, mechanisms, and context using complementary qualitative and quantitative methods. Ethical approval for the research has been received from Mildmay Uganda Research Ethics Committee and London School of Hygiene and Tropical Medicine. DIG is a promising intervention to evaluate for people with disabilities, adapted to be disability inclusive across programme components through extensive consultations and collaboration, and has proven efficacy at reducing poverty in other marginalised groups. However, evaluating a well-evidenced intervention among a new target group poses ethical considerations. Registry for International Development Impact Evaluations, RIDIE-STUDY-ID-626008898983a (20/04/22). ISRCTN registry, ISRCTN78592382 . Retrospectively registered on 17/08/2023.
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    Global Burden of Childhood Epilepsy, Intellectual Disability, and Sensory Impairments
    (Pediatrics,, 2020) Olusanya, Bolajoko O.; Wright, Scott M.; Kuper, Hannah; Abubakar, Amina A.; Kakooza-Mwesige, Angelina; Kassebaum, Nicholas J.
    Estimates of children and adolescents with disabilities worldwide are needed to inform global intervention under the disability-inclusive provisions of the Sustainable Development Goals. We sought to update the most widely reported estimate of 93 million children <15 years with disabilities from the Global Burden of Disease Study 2004.
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    The impact of anaemia on functioning in older people in a rural population in South West Uganda.
    (British Journal of Haematology, 2014) Mugisha, Joseph O.; Baisely, Kathy; Seeley, Janet; Kuper, Hannah
    Information on the impact of anaemia on functioning among older people in Africa is important in terms of identifying targets for intervention and evaluating the impact of treatment programmes for anaemia among the older people. Anaemia has been associated with a number of negative consequences in older people (Guralnik et al, 2004; Thein et al, 2009). These negative effects can occur because of the adverse effects of anaemia itself or from an underlying disease that caused the anaemia. In Africa, these underlying conditions include human immunodeficiency virus (HIV), malaria and hookworm infection and other prevalent infectious diseases (Balarajan et al, 2011).