LONG-TERM SAVINGS SCHEME AND WELFARE PROMOTION OF YOUNG PEOPLE LIVING WITH HIV IN RWANDA
A CASE STUDY OF (EJO HEZA)
Abstract
This study assessed the impact of long-term savings schemes on improving the welfare of young people living with HIV in Rwanda, focusing on the Ejo Heza program. It specifically investigates the influence of financial awareness, financial knowledge, attitudes toward saving, and financial behavior on welfare. The research targeted 23,734 individuals from Ejo Heza, utilizing both primary and secondary data. Primary data was collected via structured questionnaires, and the reliability of the instruments was ensured through test-retest methodology and Cronbach's coefficient, with a value of 0.7 confirming their dependability. The study employed descriptive and inferential statistical analyses, with descriptive statistics summarizing data through percentages, frequencies, and counts. Inferential analysis, including multiple regression, was used to explore the relationship between independent and dependent variables. The research employed concurrent triangulation to enhance validity and conducted detailed interviews to assess non-numerical instruments. The results were presented using tables and figures, offering a comprehensive understanding of how financial factors influence the welfare of young people living with HIV in Rwanda. The findings indicate that financial behavior has the most significant positive impact on welfare promotion among young people living with HIV, with a high standardized coefficient (Beta = 1.104) and a very strong significance (t = 27.540, p < .001). Financial awareness also positively influences welfare promotion, albeit to a lesser extent (Beta = .085, t = 2.928, p = .004). Conversely, both financial knowledge (Beta = -.085, t = -2.789, p = .006) and attitude towards saving (Beta = -.367, t = -9.502, p < .001) have negative impacts on welfare promotion. The constant term is also significant (B = 1.835, t = 8.677, p < .001), suggesting other underlying factors influencing welfare promotion. The study concludes that financial behavior significantly enhances the welfare of young people living with HIV in Rwanda, while financial awareness also positively contributes to their well-being. In contrast, financial knowledge and attitudes towards saving negatively impact welfare promotion, indicating a need for tailored financial education programs that address these specific challenges. Policymakers and financial educators should prioritize enhancing financial behavior among young people living with HIV by incorporating practical financial management skills and consistent saving practices into their programs. Additionally, targeted interventions should address the negative impacts of financial knowledge and attitudes towards saving by fostering a more positive and informed mindset regarding financial literacy and the benefits of saving.
References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211.
Ansong, D., Chowa, G. A. N., & Masa, R. D. (2020). Youth savings programs and psychosocial well-being: Evidence from low- and middle-income countries. Journal of Youth Studies, 23(2), 254–271.
Becker, G. S. (1964). Human capital: A theoretical and empirical analysis, with special reference to education. University of Chicago Press.
Binagwaho, A., Nsanzimana, S., & Kanters, S. (2012). HIV prevention and control in Rwanda: A call for renewed efforts to end the epidemic. The Lancet, 380(9845), 1399–1400.
Browning, M., & Lusardi, A. (1996). Household saving: Micro theories and micro facts. Journal of Economic Literature, 34(4), 1797-1855.
Bryman, A., & Bell, E. (2015). Business research methods (4th ed.). Oxford University Press.
Chang, C., & Lim, Y. (2018). Social protection for marginalized populations in Asia. Journal of Social Policy and Society, 17(3), 298–312.
Cochran, W. G. (1977). Sampling techniques (3rd ed.). Wiley.
Cooper, D. R., & Schindler, P. S. (2016). Business research methods (12th ed.). McGraw-Hill.
Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approach (4th ed.). SAGE Publications.
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.
Díaz, A., & Luengo-Prado, M. J. (2020). Policy interventions and youth savings behavior: A review of recent empirical evidence. Economics of Education Review, 40, 130–144.
Díaz, R. & Luengo-Prado, M. J. (2020). Financial literacy and saving for retirement. Journal of Economic Behavior & Organization, 171, 110-127.
Fernandes, D., Lynch, J. G., & Netemeyer, R. G. (2014). Financial literacy, financial education, and downstream financial behaviors. Management Science, 60(8), 1861–1883.
Fernandes, D., Lynch, J. G., & Netemeyer, R. G. (2014). Financial literacy, financial education, and downstream financial behaviors. Management Science, 60(8), 1861-1883.
Huang, J., & Sherraden, M. (2018). The impact of Child Development Accounts on saving and asset building: Evidence from a statewide policy experiment. Journal of Policy Analysis and Management, 37(3), 568–598.
Johnson, K., Chatterjee, P., & Raman, R. (2019). Financial inclusion and economic development: The role of innovation. Journal of Development Studies, 55(4), 570–586.
Jones, L., Presler-Marshall, E., & Tran, J. (2019). The impact of integrated welfare services on youth outcomes: A meta-analysis. Social Science Research, 82, 213–230.
Jones, R. (2020). The shifting economic landscape of Asia and its implications for inclusive development. Global Economic Review, 49(2), 234–252.
Kim, J., & Chatterjee, S. (2018). Financial education interventions: The role of financial literacy in improving financial outcomes. Journal of Financial Counseling and Planning, 29(1), 43–53.
Lee, H., & Kwak, S. (2020). Financial literacy and saving behavior in Asian countries. Journal of Asian Economics, 64(1), 21–38.
Lusardi, A., & Mitchell, O. S. (2014). The economic importance of financial literacy: Theory and evidence. Journal of Economic Literature, 52(1), 5–44.
Lusardi, A., & Mitchell, O. S. (2014). The economic importance of financial literacy: Theory and evidence. Journal of Economic Literature, 52(1), 5-44.
Lynn, M. R. (2016). Determination and quantification of content validity. Nursing Research, 35(6), 382-385.
Masten, A. S. (2011). Resilience in children threatened by extreme adversity: Frameworks for research, practice, and translational synergy. Development and Psychopathology, 23(2), 493–506.
Masten, A. S. (2021). Resilience in development: Progress and transformation in the study of adversity and resilience. Cambridge University Press.
Mavhu, W., Berwick, J., Chirawu, P., Makamba, M., Copas, A., Dirawo, J., ... & Cowan, F. M. (2020). Enhancing resilience and socio-economic empowerment among adolescents living with HIV in sub-Saharan Africa: A randomized trial. Journal of Adolescent Health, 67(6), 885–893.
Mburu, G., Ram, M., Skovdal, M., Bitira, D., Hodgson, I., & Mwai, G. W. (2016). Social protection and HIV: Impacts, evidence, and implementation challenges. AIDS Care, 28(1), 29–39.
Mugenda, O. M., & Mugenda, A. G. (2012). Research methods dictionary. Acts Press.
Mugenda, O. M., & Mugenda, A. G. (2013). Research methods: Quantitative and qualitative approaches. Acts Press.
National AIDS Control Council (NACC). (2020). Kenya AIDS Response Progress Report 2020. Government of Kenya.
Ngabo, F., Mukeshimana, D., & Uwamahoro, M. (2019). Ejo Heza: A case study of financial empowerment among HIV-positive individuals in Rwanda. Journal of Financial Inclusion in Africa, 7(1), 45–62.
Ngechu, M. (2014). Understanding the research process and methods: An introduction to research methods. Acts Press.
Nkosi, B., Seeley, J., & Ndinda, C. (2018). Exploring HIV healthcare provision in Rwanda: Opportunities and challenges in the scaling-up of HIV services. BMC Health Services Research, 18, 734.
Nsanzimana, S., Mbituyumuremyi, A., & Remera, E. (2021). Community-based HIV interventions: Lessons from Rwanda. African Health Journal, 30(3), 456–463. https://doi.org/10.2989/2078-6752.2021.1946733
Ntibagirirwa, A., Mukeshimana, J., & Mutegemuka, P. (2019). Financial inclusion initiatives among HIV/AIDS patients: The Ejo Heza scheme in Rwanda. Rwandan Journal of Social Protection, 2(1), 74–85.
Nunnally, J. C., & Bernstein, I. H. (2014). Psychometric theory (3rd ed.). McGraw-Hill.
Orodho, J. A. (2014). Techniques of writing research proposals and reports in education and social sciences (3rd ed.). Kanezja HP Enterprises.
Orodho, J. A. (2015). Elements of educational and social science research methods (4th ed.). Kanezja Publishers.
Petersen, I., Bhana, A., & Baillie, K. (2019). Understanding the mental health and psychosocial needs of young people living with HIV in South Africa: Implications for policy and service delivery. Journal of Child & Adolescent Mental Health, 31(1), 23–35.
Polit, D. F., & Beck, C. T. (2016). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Wolters Kluwer Health.
Putnam, R. D. (2000). Bowling alone: The collapse and revival of American community. Simon & Schuster.
Republic of South Africa. (2011). National Development Plan 2030: Our future – make it work. National Planning Commission.
Rwanda Biomedical Center (RBC). (2020). Annual Report 2020: HIV/AIDS in Rwanda. Government of Rwanda.
Saunders, M., Lewis, P., & Thornhill, A. (2015). Research methods for business students (7th ed.). Pearson Education.
Sekaran, U., & Bougie, R. (2013). Research methods for business: A skill-building approach (6th ed.). Wiley.
Sen, A. (1999). Development as freedom. Oxford University Press.
Sherraden, M., Schreiner, M., & Beverly, S. (2015). Long-term effects of matched savings programs: Evidence from Child Development Accounts in the United States. Journal of Policy Analysis and Management, 34(2), 282–304. https://doi.org/10.1002/pam.21800
Tavakol, M., & Dennick, R. (2021). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53-55.
Tavakol, M., & Sandars, J. (2014). Quantitative and qualitative methods in medical education research: AMEE guide no 90: Part I. Medical Teacher, 36(6), 459-464.
Thaler, R. H., & Sunstein, C. R. (2018). Nudge: Improving decisions about health, wealth, and happiness (2nd ed.). Penguin Books.
UNAIDS. (2020). The impact of COVID-19 on HIV treatment and prevention in low-income countries. UNAIDS Global Report. https://www.unaids.org
UNAIDS. (2021). Global HIV & AIDS statistics – Fact sheet. Joint United Nations Programme on HIV/AIDS. https://www.unaids.org/en/resources/fact-sheet
United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development. United Nations.
Uwamahoro, F., & Nkundabagenzi, F. (2020). Financial inclusion and economic well-being of people living with HIV in Rwanda: The role of savings schemes. Rwanda Journal of Social Sciences, 12(1), 76–89.
Uwizihiwe, J. P., Rwema, J., & Habumugisha, P. (2020). The impact of Ejo Heza long-term savings scheme on HIV care: A longitudinal study in Rwanda. International Journal of Health Policy and Management, 9(2), 90–98.
World Bank. (2020). Addressing the HIV epidemic in sub-Saharan Africa: A World Bank analysis. World Bank Group.
Yehia, B. R., Stephens-Shields, A. J., Fleishman, J. A., Berry, S. A., Agwu, A. L., Metlay, J. P., & Gebo, K. A. (2015). The impact of age on retention in care and viral suppression among HIV-infected adults. AIDS, 29(18), 293–301.
