Objectives

We evaluate the three-year community-based FXBVillage poverty-alleviation model, which provides extremely poor families with sustained social support and graduated material support for education, healthcare, housing, nutrition, and income-generation.

Methods

We combine a pre/post analysis of participant households in Rwanda (n = 912) and Uganda (n = 628) with construction and assessment of a combined multivariable household wealth index comparing FXBVillage data with national Demographic Health Surveys.

Results

Many FXBVillage households shifted to higher household wealth quintiles. This shift was particularly strong in Rwanda. Increases among relevant household characteristics included (in Rwanda/Uganda): ≥3 meals/day (5–88%)/(44–86%), school attendance 5–17 years (79–97%)/(64–89%), adequate school supplies (7–97%)/(4–71%), and communal financial support if needed (27–98%)/(29–87%). Universal bednet ownership and water treatment was nearly attained; vaccine coverage was not, especially in Uganda.

Conclusions

The model likely supports poverty-alleviation among participants. The variability of improvements, across indicators and countries, highlights the need for better understanding of interactions within programs and between programs and implementation settings, as well as how these interactions matter to poverty-reduction strategies.