ArticleChildren (Basel, Switzerland)2025
Effectiveness of an Integrated Community-Based Livelihood and Rehabilitation Intervention on the Social Capital of Caregivers of Children with Cerebral Palsy: Secondary Analysis of an Existing Cluster Randomized Controlled Trial in Rural Bangladesh.
Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND/
objectivesSocial capital is a multifaceted concept that comprises structural and cognitive portions, and from the perspective of caregivers, it enables access to assistance and participation, improving well-being in resource-constrained settings. In low- and middle-income countries (LMICs) like Bangladesh, mothers are often the sole carers of children with cerebral palsy (CP), which may affect their social capital and livelihood; however, evidence in this regard is limited. This study assessed the effectiveness of integrated microfinance and community-based rehabilitation (IMCBR) on caregivers' social capital in rural Bangladesh.
methodsThis study was part of a randomized controlled trial (RCT) conducted in Shahjadpur, Sirajganj, with three study arms. Children aged ≤5 years with CP and their primary caregivers were enrolled. Twenty-four clusters (10-14 child-caregiver pairs per cluster) were randomly assigned to Arm-A: IMCBR, Arm-B: community-based rehabilitation (CBR) only, and Arm-C: standard care. Data were collected at the baseline, midline (6 months), and endline (12 months) using a structured questionnaire. Social capital was measured using the Short Adapted Social Capital Assessment Tool (SASCAT), which assesses structural and cognitive dimensions; higher scores indicated greater social capital. The SASCAT was culturally adapted and validated for use in Bangladesh. Descriptive, bivariate, and multivariate analyses were performed.
resultsThere were 251 dyads enrolled into the trial. At baseline, Arm-A had the lowest social capital scores but showed the greatest improvement by endline (60.0%), followed by Arm-B (54.1%) and Arm-C (6.0%). Structural social capital increased significantly in Arm-A compared with Arm-C (mean difference 2.88; 95% CI: 2.45-3.31;
conclusionsIMCBR significantly improved caregivers' social capital, particularly its structural components, in rural Bangladesh.
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