Bandebereho Father Groups Randomized Control Trial in Rwanda

NCT02694627 | Completed

• 1 other identifier: 137D
• Study Type: interventional
• Target: 2,400
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study seeks to assess the impact of the MenCare+/Bandebereho fathers'/couples' group education intervention on men's attitudes towards, and participation in, sexual and reproductive health, maternal, newborn and child health, and equitable and non-violent relationships with their children and partners.

Conditions

Gender Relations; Prenatal Care; Partner Communication; Contraception; Violence

Keywords

gender, caregiving, MNCH, violence, sexual and reproductive health, parenting

Outcome Measures

Primary Outcomes (4)

• Gender division of caregiving/domestic tasks (from questionnaire: a) composite capturing frequency of the respondent doing household or caregiving tasks; b) composite capturing how tasks are shared between partners).

  4 months post intervention

• Men's participation in family planning and maternal, newborn and child health (from questionnaire: a) men's presence at antenatal care visits; b) women's reports of receiving partner support during pregnancy; c) use of family planning).

  4 months post intervention

• Gender-related attitudes (from questionnaire: a continuous scale variable, adapted from the validated Gender Equitable Men (GEM) scale).

  4 months post intervention

• Women's experiences of intimate partner violence (from: questionnaire: a composite capturing exposure to a standard set of violent acts by a partner).

  4 months post intervention

Secondary Outcomes (3)

• Use of violence/harsh punishment against children (from questionnaire: a composite capturing respondents' use of various harsh discipline acts in the past month, adapted from the UNICEF MICS study).

  4 months post intervention

• Relationship quality measured (from questionnaire: a) frequency of quarreling and b) quality scale adapted from the Decision Making in Low-Income Couples).

  4 months post intervention

• Couple communication (from questionnaire: a composite capturing frequency of communication across multiple topics).

  4 months post intervention

Study Arms (2)

Intervention

EXPERIMENTAL

See intervention description

Behavioral: MenCare+/Bandebereho fathers'/couples' group education

Control

NO INTERVENTION

Participants randomized into the control arm are surveyed at the same time points as intervention participants, but do not receive any intervention.

Interventions

MenCare+/Bandebereho fathers'/couples' group education BEHAVIORAL

MenCare+/Bandebereho is a 3 year project to engage men in maternal, newborn and child health (MNCH) and in sexual and reproductive health in Rwanda. A core component of the project is fathers'/couples' group education. The target participants are first-time parents or parents of young children living in 16 rural and semi-urban sectors selected by the implementing partner in collaboration with local authorities. The MenCare+/Bandebereho fathers'/couples' group education engages men in 15 weekly sessions of group discussion, critical reflection and interactive activities led by a trained facilitator using a curriculum developed by RWAMREC and Promundo and approved by the Rwandan Ministry of Health, adapted from the Program P Manual. Men's partners participate in 6-8 sessions. The sessions focus on men's role in MNCH, family planning, sharing household responsibilities, intimate partner violence, conflict resolution, family budgeting, and gender equality.

Also known as: Program P

Intervention

Eligibility Criteria

• Age: 21 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Men aged 21-35 years
• Living with a partner
• Expectant (or soon to be) father or father of young children under-5
• Living in an area with a group facilitator

You may not qualify if:

• \- Participated in previous cycles of the same intervention

Sponsors & Collaborators

• Promundo, United States: lead
• Rwanda Men's Resource Center (Rwamrec): collaborator

Related Publications (2)

• Levtov RG, Doyle K, Bingenheimer JB, Lahiri S, Kazimbaya S, Karamage E, Sayinzoga F, Mutoni M, Rubayita CH, Barker G. Improved Relationship Quality, Equitable Gender Attitudes, and Reduced Alcohol Abuse as Key Mechanisms to Reduce Intimate Partner Violence in the Bandebereho Couples' Randomized Trial in Rwanda. Prev Sci. 2022 Nov;23(8):1495-1506. doi: 10.1007/s11121-022-01445-6. Epub 2022 Oct 11.

  PMID: 36219325 DERIVED

• Doyle K, Levtov RG, Barker G, Bastian GG, Bingenheimer JB, Kazimbaya S, Nzabonimpa A, Pulerwitz J, Sayinzoga F, Sharma V, Shattuck D. Gender-transformative Bandebereho couples' intervention to promote male engagement in reproductive and maternal health and violence prevention in Rwanda: Findings from a randomized controlled trial. PLoS One. 2018 Apr 4;13(4):e0192756. doi: 10.1371/journal.pone.0192756. eCollection 2018.

  PMID: 29617375 DERIVED

MeSH Terms

Conditions

Coitus

Condition Hierarchy (Ancestors)

Sexual Behavior; Behavior

Study Officials

• Kate E Doyle, MA

  Promundo-US

  PRINCIPAL INVESTIGATOR

• Ruti G Levtov, PhD

  Promundo-US

  PRINCIPAL INVESTIGATOR

• Gary Barker, PhD

  Promundo-US

  PRINCIPAL INVESTIGATOR

• Shamsi Kazimbaya, MA

  formerly at Rwanda Men's Resource Center, now at Jhpiego

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 19, 2016
• First Posted: February 29, 2016
• Study Start: February 1, 2015
• Primary Completion: January 1, 2017
• Study Completion: January 1, 2017
• Last Updated: April 4, 2017

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will not share