Intimate Partner Violence Clinical Trial
Official title:
A Mixed Methods Study to Test the Preliminary Effect of Together to End Violence Against Women (TEVAW): a Program to Address Intimate Partner Violence in Northern Tanzania
Women in Tanzania suffer alarming rates of intimate partner violence (IPV) that has detrimental effects on mental and physical health including an increased risk of HIV infection. The investigators will use a cluster randomized control study design to conduct a preliminary evaluation study of TEVAW, an intervention that aims to improve gender equitable attitudes and to decrease tolerance of IPV among men and women in rural Tanzania. Nine villages will be randomly assigned into one of three study arms, each comprised of 150 partnered women and their co-resident male partners. Women in the comparison arm are currently exposed to World Education's savings and lending group intervention (known as LIMCA), in which they receive training on business skills, literacy, child nutrition and health, child protection, intimate partner violence (IPV) and HIV prevention. Women in Intervention Arm 1 will be exposed to LIMCA, while their male partners will participate in male peer group workshops that explore gender norms, IPV and HIV prevention issues. In Intervention Arm 2, men and women will receive the same treatment as Intervention Arm 1 and participate in community dialogues with community leaders to explore similar topics as the male peer groups. Our hypothesis is that study participants in Arm 2 will report improved gender equitable attitudes and lower intolerance of intimate partner violence than participants in Arm 1 and participants in the control group. Data will be collected at baseline and endline using a structured questionnaire with questions from three validated instruments that measure gender equitable attitudes and attitudes about IPV.
Women in Tanzania suffer alarming rates of intimate partner violence (IPV) that has
detrimental effects on mental and physical health including an increased risk of HIV
infection. The investigators will use a cluster randomized control study design to conduct a
preliminary evaluation study of TEVAW, an intervention that aims to improve gender equitable
attitudes and to decrease tolerance of IPV among men and women in rural Tanzania. Nine
villages will be randomly assigned into one of three study arms, each comprised of 150
partnered women and their co-resident male partners. A total of 450 women and their partners
will be recruited for the study. Women in the comparison arm are currently exposed to World
Education's savings and lending group intervention (known as LIMCA), in which they receive
training on business skills, literacy, child nutrition and health, child protection,
intimate partner violence (IPV) and HIV prevention. Women in Intervention Arm 1 will be
exposed to LIMCA, while their male partners will participate in male peer group workshops
that explore gender norms, IPV and HIV prevention issues. In Intervention Arm 2, men and
women will receive the same treatment as Intervention Arm 1 and participate in community
dialogues with community leaders to explore similar topics as the male peer groups. Our
hypothesis is that study participants in Arm 2 will report improved gender equitable
attitudes and lower intolerance of intimate partner violence than participants in Arm 1 and
participants in the control group. Data will be collected at baseline and endline using a
structured questionnaire with questions from three validated instruments that measure gender
equitable attitudes and attitudes about IPV. The following are the specific aims of the
study:
1. To test the feasibility, acceptability and proof of concept of two interventions
(women's savings groups combined with male peer groups vs. women's savings groups
combined with male peer groups and community dialogues) compared to a control group
participating only in women's savings groups in Karatu District, Northern Tanzania.
2. To contribute to a better understanding of the attitudes, behaviors and social factors
related to intimate partner violence through the exploration of cultural gender norms
in Karatu District, Northern Tanzania.
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