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Updated: Feb 28, 2026

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Does poverty alleviation decrease depression symptoms in post-conflict settings? A cluster-randomized trial of

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  • 1Duke Global Health Institute, Box 90519, Durham, North Carolina 27708, USA.

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Summary

A poverty alleviation program in Uganda significantly boosted income and savings for women. However, the program did not reduce symptoms of depression, indicating economic improvements do not automatically translate to mental health benefits.

Keywords:
AfricaPovertycash transfersdepressionfield experiment

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Area of Science:

  • Global Health
  • Development Economics
  • Mental Health Research

Background:

  • Northern Uganda faced widespread poverty and displacement due to two decades of conflict.
  • The majority of the population, particularly young women, experienced significant economic hardship.

Purpose of the Study:

  • To evaluate the impact of a poverty alleviation program on economic security and depression symptoms.
  • To test the hypothesis that improved economic conditions would indirectly reduce mental health burdens.

Main Methods:

  • A cluster-randomized design involving 120 villages in Northern Uganda.
  • 1800 vulnerable individuals, primarily young women, were enrolled and randomized into treatment or control groups.
  • The intervention included training, start-up capital, and follow-up support for the treatment group.

Main Results:

  • Monthly cash earnings doubled, non-household/non-farm businesses doubled, and cash savings quadrupled among participants in the treatment group.
  • The intervention led to significant economic improvements 16 months post-program.
  • No measurable effect was observed on locally derived measures of depression symptoms.

Conclusions:

  • The poverty alleviation program was effective in enhancing economic security, evidenced by increased income and savings.
  • Despite economic gains, the program did not demonstrate an indirect effect on reducing depression symptoms.
  • Further research may be needed to explore the complex relationship between economic stability and mental health in post-conflict settings.