An interventional study of Livestock Microfinance and Delayed Control Group in Mental Disorders and Multiple Trauma, sponsored by Johns Hopkins University. Completed at 1 site in Congo. Open to participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-03-03.
Sponsored by Johns Hopkins University · Not applicable, Interventional, and Other
The objective is to test the effectiveness of a village-led microfinance program, Pigs for Peace, on health, household economic stability, and reintegration of trauma survivors to family and community.
The five-year experimental trial will use mixed-methods to address the following aims:
Mobutu Sese Seko's government of "Kleptocracy" collapsed in 1997 after 30 years of oppression. The new nation that emerged, the Democratic Republic of Congo (DRC), remains an all-to-potent reminder of how human rights violations, and their related health and economic impacts, can devastate individuals, families and communities. The genocide in neighboring Rwanda, coupled with the collapse of the Mobutu government, has spawned two wars and over a decade of warfare throughout the region, resulting in millions of deaths in what is the deadliest conflict since World War II 1. The last decade has seen the use of rape as a weapon of war in the DRC, where rebels and soldiers subject women, men and children to brutalizing attacks, rape, torture, and mutilation. Survivors of the assault are often further traumatized by infections, disease, poverty, stigma and social isolation.
The US plays a significant role in global health. It is both the largest funder of innovation in global health and the largest donor to care and support programs in sub-Saharan Africa-notably through The US President's Emergency Plan for AIDS Relief (PEPFAR) and responses to humanitarian crisis, such as USAID funded programs in DRC. The effectiveness and sustainability of these efforts are limited by gaps in knowledge of the role of social determinants, such as poverty, social isolation, chronic stress and trauma, and limited access to health care services has on the health of women and families. To begin to address these gaps, our overall goal is to build the science base for large-scale implementation of economic programs to improve the health of survivors of trauma living in man-made and natural disaster settings.
1,740 studies on the registry are indexed under Mental Disorders; 348 are open to participants now.
This study's enrollment of 878 is above the median of 100 across 1,301 interventional studies indexed under Mental Disorders.
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Of its 208 completed or terminated interventional studies of FDA-regulated products, 144 (69%) have results posted.
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household in participating 10 villages with at least one member:
Exclusion Criteria:
Participants randomized to the microfinance intervention receive a female pig loan with ongoing support to manage health and care of the pig by trained agents.
Behavioral: Livestock Microfinance
Participants randomized to delayed control group receives pig loan 12 months after the intervention group
Other: Delayed Control Group
Participants randomized to the microfinance group receive the pig loan.
Participants enrolled in delayed control receive their pig loan 12 months after the intervention group.
Change from baseline Mental health distress at 18 months
10 villages in rural South Kivu province of DRC will be selected for participation. Sixty-100 households in each village will then be randomized to intervention (receive 1st loan pig) and delayed control (receive offspring from loan pig) groups. * Outcome will be measured in both intervention and control villages. * Measurement of outcome will use self-report by participating household member. * An eligible participant is an adult head of household at least 16 years or older.
Time frame: Baseline and 18 months post baseline
This study is completed, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.
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