OVC Wellbeing Tool

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OVC Wellbeing Tool

• Shannon Senefeld
• Susan Strasser
• James Campbell

International AIDS Conference, Mexico 2008
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OVC Wellbeing Tool (OWT)

• Background
• Methodology
• Results
• Next Steps

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Background

• HIV Global Technical Team Meeting November 2006
• Recognized the need for a comprehensive measure
  of OVC wellbeing
• Goal create an instrument which can be used
  internationally to represent holistic OVC
  programming that is valid, reliable and practical
  to administer.

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Methodology

• Literature Review
• Expert Statements
• Judging
• Draft tool created

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The Tool

• Originally 48 Questions
• Self-Report Measure
• Likert Scale
• Used for Children Aged 13-18
• 10 Domains of Wellbeing
• Nutrition and food security
• Shelter and environment
• Protection
• Family
• Health

• Spirituality
• Mental health
• Education
• Economic
• Community cohesion

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Piloting the OWT

• 5 country evaluation
• Rwanda
• Kenya
• Zambia
• Haiti
• Tanzania

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Analysis Plan

• Data from 890 OVC from the 5 countries
• Compare the OWT data to larger evaluation data
• Validate OWT against
• Hope Scale
• Statistical Analysis
• Cronbachs Alpha
• Confirmatory Factor
• Analysis

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Results

• Cronbachs Alpha
• Confirmatory Factor Analysis ?
• Reduced number of items in the scale
• 48 to 36

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Larger Survey

• Based on domains of traditional OVC intervention
• Similar across all five countries, corresponding
  to OVC sectoral foci
• Generally strong correlation between larger
  survey and OWT scores

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The Childrens Hope Scale1

• Stable tool shown to have internal consistency,
  convergent, discriminant and incremental validity
• Childrens hope conceptualized as positive
  expectations agency and pathways
• Consistent with various definitions of resilience
• 6 point Likert scale
• Premise
• Children are goal directed
• Higher hope ? Increasing levels of agency and
  pathways thinking
• Validated against Childrens Hope Scale, the OWT
  showed a Spearmans Rho of plt.01 for both the
  original long version and the shortened version.
• 1Snyder et al (1997). The Development and
  Validation of the Childrens Hope Scale. Journal
  of Pediatric Psychiatry 22(3), 399-421.

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Challenges

• Hope Scale Validation
• Translation
• Data scoring in the field
• Health domain revisited
• Future challenge managing the immense amount of
  data

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Conclusions

• OWT now finalized
• Reduced number of items in the tool, now 36 items
• Requires approximately 20 minutes to complete
• End Result A valid, practical tool to measure
  OVC wellbeing now exists.

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Next Steps

• Finish the Users Guide
• Roll out in other countries (underway)
• Continue data analysis to determine predictive
  value of OWT
• Ideally, develop a similar tool for younger age
  groups

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Thank you!
Download the tool and supporting
documents www.crs.org/publications/ovc-wellbeing-
tool