scholarly journals Evaluating a multicomponent social behaviour change communication strategy to reduce intimate partner violence among married couples: study protocol for a cluster randomized trial in Nepal

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Cari Jo Clark ◽  
Rachael A. Spencer ◽  
Binita Shrestha ◽  
Gemma Ferguson ◽  
J. Michael Oakes ◽  
...  
2019 ◽  
Author(s):  
Cari Jo Clark ◽  
Susi McGhee ◽  
Gemma Ferguson ◽  
Binita Shrestha ◽  
Prabin Shrestha ◽  
...  

Husband-perpetrated intimate partner violence (IPV) against wives is highly prevalent in rural Nepal. Social inequities experienced by women and girls, compounded by norms characterized by male dominance increase risk of IPV. To address this problem, the Change Starts at Home Project employs a social behavior change communication strategy (SBCC) to shift behavior and norms related to IPV in 36 Village Development Committees in three districts (Chitwan, Kapilvastu, Nawalparasi) in Nepal. The project is being evaluated with a cluster randomized trial (NCT02942433). Data for the manuscript come from baseline surveys of reproductive-aged women randomly selected from the intervention and control communities (N=1440) and female intervention enrollees (N=360). Descriptive statistics were used to identify differences across and within intervention arms and among intervention enrollees and randomly selected participants from the same communities. A total of 1982 individuals were assessed for eligibility resulting in a response rate of 72.65%. The cooperation rate was 84.16%. Results indicate broad sociodemographic similarities on most variables, although a higher percentage of intervention participants were unemployed and a lower percentage had love marriages compared to both study conditions. A smaller percentage of women in the intervention communities reported physical and / or sexual IPV in the prior 12 months (23.89%) than control communities (31.81%) or intervention participants (15.00%). Participants reported favorably to questions inquiring about whether their rights as participants were upheld, however, a minority felt they could discontinue at any time suggesting the need for greater consideration of this aspect of participation in subsequent data collection.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252982
Author(s):  
M. Claire Greene ◽  
Samuel Likindikoki ◽  
Susan Rees ◽  
Annie Bonz ◽  
Debra Kaysen ◽  
...  

Introduction The complex relationship between intimate partner violence and psychological distress warrants an integrated intervention approach. In this study we examined the relevance, acceptability, and feasibility of evaluating a multi-sectoral integrated violence- and mental health-focused intervention (Nguvu). Methods We enrolled 311 Congolese refugee women from Nyarugusu refugee camp in Tanzania with past-year intimate partner violence and elevated psychological distress in a feasibility cluster randomized trial. Women were recruited from local women’s groups that were randomized to the Nguvu intervention or usual care. Participants from women’s groups randomized to Nguvu received 8 weekly sessions delivered by lay refugee incentive workers. Psychological distress, intimate partner violence, other wellbeing, and process indicators were assessed at baseline and 9-weeks post-enrollment to evaluate relevance, acceptability, and feasibility of implementing and evaluating Nguvu in refugee contexts. Results We found that Nguvu was relevant to the needs of refugee women affected by intimate partner violence. We found reductions in some indicators of psychological distress, but did not identify sizeable changes in partner violence over time. Overall, we found that Nguvu was acceptable and feasible. However, challenges to the research protocol included baseline imbalances between study conditions, differential intervention completion related to intimate partner violence histories, differences between Nguvu groups and facilitators, and some indication that Nguvu may be less beneficial for participants with more severe intimate partner violence profiles. Conclusions We found evidence supporting the relevance of Nguvu to refugee women affected by partner violence and psychological distress and moderate evidence supporting the acceptability and feasibility of evaluating and implementing this intervention in a complex refugee setting. A definitive cluster randomized trial requires further adaptations for recruitment and eligibility screening, randomization, and retention. Trial registration ISRCTN65771265, June 27, 2016.


Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 381 ◽  
Author(s):  
Anindita Dasgupta ◽  
Niranjan Saggurti ◽  
Mohan Ghule ◽  
Elizabeth Reed ◽  
Balaiah Donta ◽  
...  

Background The existing literature on the intersection between women’s reports of spousal intimate partner violence (IPV) and contraceptive use in South Asia is conflicted. Results vary based on method of contraception use and form of violence (physical or sexual), and few examine the relationship between IPV and various methods of modern spacing contraceptive (MSC) use. This study examines associations between IPV and MSC use among a sample of married, not-currently pregnant couples in rural Maharashtra, India (n = 861). Methods: Multinomial logistic regression models assessed wives’ physical and sexual IPV victimisation (for the past 6-months) in relation to the wives’ past 3-month MSC use (categorised as condom use, other MSCs [oral pills, Intrauterine device (IUD)] and no MSCs). Results: In terms of violence, 9% (n = 78) and 4% (n = 34) of wives reported recent physical and sexual IPV victimisation, respectively. The majority (72%; n = 621) did not use any MSC method in the past 3 months; 14% (n = 119) reported recent condom use, and the same proportion reported other MSC use. Recent physical IPV was associated with increased likelihood of recent condom use (AOR: 2.46, 95% CI: 1.20, 5.04), and recent sexual IPV was associated with increased likelihood of recent use of other MSC (AOR: 3.27, 95% CI: 1.24, 8.56). Conclusions: These findings reinforce the need for integration of counselling around IPV prevention and intervention programming into existing family planning services targeting married couples in rural Maharashtra, India.


2019 ◽  
Vol 101 (5) ◽  
pp. 865-877 ◽  
Author(s):  
Shalini Roy ◽  
Melissa Hidrobo ◽  
John Hoddinott ◽  
Akhter Ahmed

Transfer programs have been shown to reduce intimate partner violence (IPV), but little evidence exists on how activities linked to transfers affect IPV or what happens when programs end. We assess postprogram impacts on IPV of randomly assigning women in Bangladesh to receive cash or food, with or without nutrition behavior change communication (BCC). Six to ten months postprogram, IPV did not differ between women receiving transfers and a control group; however, women receiving transfers with BCC experienced 26% less physical violence. Evidence on mechanisms suggests sustained effects of BCC on women's “threat points,” men's social costs of violence, and household well-being.


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