RCT of the Effectiveness of the WfWI Intervention in Afghanistan

NCT03236948 | Unknown Phase 3

• 1 other identifier: EC034-11-2015
• Study Type: interventional
• Target: 1,461
• Locations: 0 countries
• Sites: N/A

Brief Summary

This is an individually randomised control trial to assess the effectiveness of a livelihoods and social empowerment intervention, delivered by Women for Women International, on married women's experiences of intimate partner violence in Afghanistan. It has a 22 month follow up.

Conditions

Domestic Violence; Depressive Symptoms; Livelihoods

Outcome Measures

Primary Outcomes (3)

• Any past year physical intimate partner violence experienced amongst currently married women

  Physical intimate partner violence is assessed using five items based on the WHO VAW scale. A positive response to any item leads to a person being classified as experiencing in the past year.

  22 months post baseline

• Past year severe physical intimate partner violence experience amongst currently married women

  Severe physical intimate partner violence experience is assessed using 5 items. Past year severe physical IPV is assessed as positive if a person responds to two (or more) items as once, or one item as few (or more), essentially creating a more than once categorization.

  22 months post baseline

• Depressive symptomology

  Past week depressive symptomology is assessed by the Centre for Epidemiological Studies Depression (CESD) scale, with the full twenty items. A mean score will be calculated.

  22 months post baseline

Secondary Outcomes (12)

• Household food insecurity in past four weeks

  22 months post baseline

• Financial shock resilience

  22 months post baseline

• Monthly earnings

  22 months post baseline

• Total savings

  22 months post baseline

• Life satisfaction

  22 months post baseline

Study Arms (2)

WfWI Intervention

EXPERIMENTAL

Women receive the WfWI intervention. This comprises of three main components. First, a social empowerment and health intervention. Second a livelihood strengthening intervention, including numeracy training, and vocational training. Third, a cash transfer conditional on attendance at the intervention to cover costs of attendance and provide start-up capital. The intervention is delivered over 12 months.

Behavioral: Women for Women International Intervention

Control

NO INTERVENTION

Interventions

Women for Women International Intervention BEHAVIORAL

WfWI Intervention

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Women should be in the lowest economic level (earning less than US$1.25/day)
• Unemployed
• No in education/school
• Not involved in a similar programme
• Able to provide informed consent

You may not qualify if:

• Not mentally incapacitated, so as unable to provide informed consent
• Already been part of the WfWI intervention previously

Sponsors & Collaborators

• Medical Research Council, South Africa: lead
• Women for Women International (WfWI): collaborator

Related Publications (4)

• Gibbs A, Corboz J, Chirwa E, Mann C, Karim F, Shafiq M, Mecagni A, Maxwell-Jones C, Noble E, Jewkes R. The impacts of combined social and economic empowerment training on intimate partner violence, depression, gender norms and livelihoods among women: an individually randomised controlled trial and qualitative study in Afghanistan. BMJ Glob Health. 2020 Mar 16;5(3):e001946. doi: 10.1136/bmjgh-2019-001946. eCollection 2020.

  PMID: 32201622 DERIVED

• Gibbs A, Said N, Corboz J, Jewkes R. Factors associated with 'honour killing' in Afghanistan and the occupied Palestinian Territories: Two cross-sectional studies. PLoS One. 2019 Aug 8;14(8):e0219125. doi: 10.1371/journal.pone.0219125. eCollection 2019.

  PMID: 31393873 DERIVED

• Gibbs A, Corboz J, Jewkes R. Factors associated with recent intimate partner violence experience amongst currently married women in Afghanistan and health impacts of IPV: a cross sectional study. BMC Public Health. 2018 May 3;18(1):593. doi: 10.1186/s12889-018-5507-5.

  PMID: 29724222 DERIVED

• Gibbs A, Corboz J, Shafiq M, Marofi F, Mecagni A, Mann C, Karim F, Chirwa E, Maxwell-Jones C, Jewkes R. An individually randomized controlled trial to determine the effectiveness of the Women for Women International Programme in reducing intimate partner violence and strengthening livelihoods amongst women in Afghanistan: trial design, methods and baseline findings. BMC Public Health. 2018 Jan 22;18(1):164. doi: 10.1186/s12889-018-5029-1.

  PMID: 29357843 DERIVED

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Rachel Jewkes, PhD

  Director Gender and Health Research Unit

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director Gender and Health Research Unit

Model Details: Individual level randomised trial, with intervention and control group

Study Record Dates

• First Submitted: July 28, 2017
• First Posted: August 2, 2017
• Study Start: October 1, 2016
• Primary Completion: November 1, 2018
• Study Completion: November 1, 2018
• Last Updated: August 2, 2017

Record last verified: 2017-07

Data Sharing

• IPD Sharing: Will not share