Using Cultural Ceremonies to Reduce Intimate Partner Violence and HIV Transmission

HIV Clinical Trial

Official title:

Using Cultural Ceremonies to Reduce Intimate Partner Violence and HIV Transmission

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02311699
• Other study ID #: ALJameelPAL
• Status: Completed
• Phase: N/A
• Start date: December 2014
• Est. completion date: April 2018

Study information

• Verified date: January 2019
• Source: Abdul Latif Jameel Poverty Action Lab
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Violence against women (VAW), the most extreme manifestation of the unequal power balance between women and men, is a major global public health concern. One of the most common forms of VAW is that perpetrated by a husband or other intimate partner. In Ethiopia, 70.9% of women reported having experienced physical and/or sexual intimate partner violence (IPV) in their lifetime, demonstrating the pervasiveness of the problem. A growing body of evidence has also linked IPV and HIV risk.

This study is a cluster randomized controlled trial assessing the impact of a community-based intervention focused on Intimate Partner Violence and HIV delivered in the context of the Ethiopian coffee ceremony, a culturally established forum for community discussion and conflict resolution. Villages will be randomly assigned to one of 4 study arms (3 intervention and one control arm): 1) Women only participate in the intervention, 2) Men only participate, 3) Both men and women (couples) participate, 4) Women and men receive the control intervention comprising a short informational session on violence reduction.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 6800
• Est. completion date: April 2018
• Est. primary completion date: April 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 49 Years

Eligibility

Inclusion Criteria:

• currently married or cohabitating with partner

• residing in selected village for at least 6 months

Exclusion Criteria:

• eligible women who do not consent

Related Conditions & MeSH terms

• HIV

Intervention

Behavioral:
• Intervention to reduce IPV and HIV
The Ethiopian traditional coffee ceremony will be used as an entry point for a community based intervention to provide information, change behaviour around IPV and improve gender equity and intra-couple relations. The coffee ceremony is a culturally established forum for community discussion and conflict resolution and an integral part of Ethiopian life. The intervention will involve regular coffee ceremonies, during which approximately 20 members of the community will participate in education and discussions centred on gender issues, sexuality, communication and conflict resolution, HIV/AIDS and its link with violence, as well as HIV/AIDS prevention. Each coffee ceremony will be moderated by a female or male facilitator trained in participatory learning, moderation, HIV/AIDS prevention, counselling, and gender issues. The intervention will involve 14 two-hour session per group of participants.

Locations

Country	Name	City	State
Ethiopia	Ethiopian Public Health Association	Addis Ababa

Sponsors (4)

Lead Sponsor	Collaborator
Abdul Latif Jameel Poverty Action Lab	Addis Ababa University, EngenderHealth, Ethiopian Public Health Association

Country where clinical trial is conducted

Ethiopia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Experience of physical violence by an intimate partner in the previous 12 months (among married or co-habitating women)		12 months
Primary	Experience of sexual violence by an intimate partner in the previous 12 months (among married or co-habitating women)		12 months
Secondary	Perpetration of physical violence towards an intimate partner in previous 12 months (among married or co-habitating men)		12 months
Secondary	Perpetration of sexual violence towards an intimate partner in previous 12 months (among married or co-habitating men)		12 months
Secondary	Proportion with comprehensive HIV/AIDS knowledge (among married or co-habitating men or women)		18 months
Secondary	Proportion using a condom at last high risk sexual intercourse (among married or co-habitating men or women)		18 months