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Years of socioeconomic, political, and HIV/AIDS-related challenges have affected Ugandan grandmothers’ financial security, social conditions, and health and overall well-being. A Community Advisory Board (N=10) co-developed a culturally responsive BAJJAJJA approach using qualitative methods to ensure alignment with national community engagement priorities and to promote acceptability and sustainability. The BAJJAJJA manual defines three core components: income-generating activities, social support groups, and health coaching for chronic disease prevention and self-care, tailored to low-literacy populations.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/development-of-the-bajjajja-intervention-designed-to-meet-grandmother-caregivers-needs-in-uganda/424940/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/development-of-the-bajjajja-intervention-designed-to-meet-grandmother-caregivers-needs-in-uganda/424940.png","ImageObject",300,407,{"name":92,"@type":93},"anakgang17","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why was the BAJJAJJA intervention developed for grandmother-caregivers in Uganda?","Question",{"text":112,"@type":113},"Ugandan grandmothers caring for grandchildren have faced long-standing socioeconomic, political, and HIV/AIDS-related challenges that affect financial security, social conditions, health, and overall well-being. The intervention targets these multidimensional needs.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How did the study involve the community during intervention development?",{"text":117,"@type":113},"The team used a community-engaged qualitative approach with a Community Advisory Board (N=10) that included grandmother-caregivers, local council leaders, income-generating activity experts, and health providers. This participatory process supported cultural responsiveness, acceptability, and sustainability.",{"name":119,"@type":110,"acceptedAnswer":120},"What are the three core components of the BAJJAJJA intervention?",{"text":121,"@type":113},"The manual outlines (1) Income-Generating Activities with training in small business skills and cooperative saving, (2) Social Support Groups with peer-led emotional and problem-solving gatherings, and (3) Health Coaching covering chronic disease prevention, mental well-being, and self-care using culturally relevant materials for low-literacy populations.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},424940,1791040126,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},962090883568,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","1032 Innovation in Aging, 2025, Vol. 9, No. S2  \nthe effectiveness of a community-engaged approach in designing interventions that address the multidimensional needs of aging grandmother-caregivers. Findings from this study will inform future research that will refine, adapt and test the efficacy of similar interventions in both low-resource and other global settings such as rural areas in the US.  \nAbstract citation ID: igaf122.3477  \nDEVELOPMENT OF THE BAJJAJJA INTERVENTION  \nDESIGNED TO MEET GRANDMOTHER-CAREGIVERS’  \nNEEDS IN UGANDA  \nSchola Matovu1, Jacqueline Eaton2, Lee Ellington2, and Heather Young3, 1. University of Utah College of Nursing, Salt Lake City, Utah, United States, 2. University of Utah,  \nSalt Lake City, Utah, United States, 3. Betty Irene Moore School Of Nursing at UC Davis, Sacramento, California, United States  \nThe financial, social, health and overall well-being of Ugandan grandmothers who care for their grandchildren has been significantly affected by years of ongoing socioeconomic, political, and historical HIV/AIDS-related challenges. We engaged a Community Advisory Board (CAB) of key community partners to co-develop a culturally responsive Building A Joint Action for JaJJAs (BAJJAJJA) intervention to address the most salient financial, social, and health challenges. Using a community-engaged and qualitative research approach, we worked with a CAB (N = 10) that consisted of grandmother-caregivers, local council leaders, income generating activity experts, and health providers from local health centers in a peri-urban setting of central Uganda. This participatory approach ensured that intervention development aligned with the Uganda National Council for Science and Technology’s priorities for community engagement while also promoting acceptability and sustainability. The developed BAJJAJJA manual details three core intervention components: (1) Income-Generating Activities (IGA)—training in small business skills and cooperative saving practices to enhance financial security; (2) Social Support Groups—peer-led gatherings to strengthen emotional resilience and shared problem-solving; and (3) Health Coaching—education on chronic disease prevention, mental well-being, and self-care strategies with culturally relevant materials tailored for low-literacy populations. This study highlights","cbCaimHvqsl8PLO2","https://ap.wps.com/l/cbCaimHvqsl8PLO2","pdf",47482,"English","# Development of the BAJJAJJA Intervention\n## Community advisory board and co-development approach\n## Three intervention components\n## Cultural responsiveness and tailoring to low-literacy populations","[{\"question\":\"Why was the BAJJAJJA intervention developed for grandmother-caregivers in Uganda?\",\"answer\":\"Ugandan grandmothers caring for grandchildren have faced long-standing socioeconomic, political, and HIV/AIDS-related challenges that affect financial security, social conditions, health, and overall well-being. The intervention targets these multidimensional needs.\"},{\"question\":\"How did the study involve the community during intervention development?\",\"answer\":\"The team used a community-engaged qualitative approach with a Community Advisory Board (N=10) that included grandmother-caregivers, local council leaders, income-generating activity experts, and health providers. This participatory process supported cultural responsiveness, acceptability, and sustainability.\"},{\"question\":\"What are the three core components of the BAJJAJJA intervention?\",\"answer\":\"The manual outlines (1) Income-Generating Activities with training in small business skills and cooperative saving, (2) Social Support Groups with peer-led emotional and problem-solving gatherings, and (3) Health Coaching covering chronic disease prevention, mental well-being, and self-care using culturally relevant materials for low-literacy populations.\"}]","DEVELOPMENT OF THE BAJJAJJA INTERVENTION - DESIGNED TO MEET GRANDMOTHER-CAREGIVERS’ NEEDS IN UGANDA | PDF",1790635767]