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A cluster randomized controlled trial to assess the impact on intimate partner violence of a 10-session participatory gender training curriculum delivered to women taking part in a group-based microfinance loan scheme in Tanzania (MAISHA CRT01): study protocol.

作者信息

Harvey Sheila, Lees Shelley, Mshana Gerry, Pilger Daniel, Hansen Christian, Kapiga Saidi, Watts Charlotte

机构信息

Department of Global Health and Development, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.

Mwanza Intervention Trials Unit, PO Box 11936, Mwanza, Tanzania.

出版信息

BMC Womens Health. 2018 Apr 2;18(1):55. doi: 10.1186/s12905-018-0546-8.


DOI:10.1186/s12905-018-0546-8
PMID:29609568
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5879641/
Abstract

BACKGROUND: Worldwide, almost one third (30%) of women who have been in a relationship have experienced physical and/or sexual violence from an intimate partner. Given the considerable negative impacts of intimate partner violence (IPV) on women's physical health and well-being, there is an urgent need for rigorous evidence on violence prevention interventions. METHODS: The study, comprising a cluster randomized controlled trial (RCT) and in-depth qualitative study, will assess the impact on women's past year experience of physical and/or sexual IPV of a participatory gender training curriculum (MAISHA curriculum) delivered to women participating in group-based microfinance in Tanzania. More broadly, the study aims to learn more about the factors that contribute to women's vulnerability to violence and understand how the intervention impacts on the lives of women and their families. Sixty-six eligible microfinance loan groups are enrolled and randomly allocated to: the 10-session MAISHA curriculum, delivered over 20 weeks (n = 33); or, to no intervention (n = 33). Study participants are interviewed at baseline and at 24 months post-intervention about their: household; partner; income; health; attitudes and social norms; relationship (including experiences of different forms of violence); childhood; and community. For the qualitative study and process evaluation, focus group discussions are being conducted with study participants and MAISHA curriculum facilitators. In-depth interviews are being conducted with a purposive sample of 18 participants. The primary outcome, assessed at 24 months post-intervention, is a composite of women's reported experience of physical and/or sexual IPV during the past 12 months. Secondary outcomes include: reported experience of physical, sexual and emotional/psychological IPV during the past 12 months, attitudes towards IPV and reported disclosure of IPV to others. DISCUSSION: The study forms part of a wider programme of research (MAISHA) that includes: a complementary cluster RCT evaluating the impact of delivering the MAISHA curriculum to women not receiving formal group-based microfinance; an economic evaluation; and a cross-sectional survey of men to explore male risk factors associated with IPV. MAISHA will generate rigorous evidence on violence prevention interventions, as well as further insights into the different forms and consequences of violence and drivers of violence perpetration. TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT02592252 , registered retrospectively on 13 August 2015.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac5/5879641/e11e92c1ef58/12905_2018_546_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac5/5879641/d780714705d8/12905_2018_546_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac5/5879641/e11e92c1ef58/12905_2018_546_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac5/5879641/d780714705d8/12905_2018_546_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac5/5879641/e11e92c1ef58/12905_2018_546_Fig2_HTML.jpg

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[1]
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本文引用的文献

[1]
Prevalence of intimate partner violence and abuse and associated factors among women enrolled into a cluster randomised trial in northwestern Tanzania.

BMC Public Health. 2017-2-14

[2]
Prevention of violence against women and girls: what does the evidence say?

Lancet. 2014-11-21

[3]
Children's exposure to intimate partner violence: Impacts and interventions.

Paediatr Child Health. 2013-10

[4]
SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials.

BMJ. 2013-1-8

[5]
Assessing the incremental effects of combining economic and health interventions: the IMAGE study in South Africa.

Bull World Health Organ. 2009-11

[6]
Use of qualitative methods alongside randomised controlled trials of complex healthcare interventions: methodological study.

BMJ. 2009-9-10

[7]
Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: a cluster randomised trial.

Lancet. 2006-12-2

[8]
Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence.

Lancet. 2006-10-7

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