Impact Assessment of the Rural Response System to Reduce Violence Against Women in Ghana

NCT03237585 | Unknown

• 1 other identifier: EC031-9/2015
• Study Type: interventional
• Target: 3,280
• Locations: 1 country
• Sites: 1

Brief Summary

AIM: To assess the community level impact of the Gender Centre's Rural Response System (RRS) in reducing violence against women (VAW) in Ghana. METHODS: Design: An unmatched cluster randomised controlled trial with two arms i) Intervention arm- Receive Gender Centre's RRS /COMBAT package for communities as well as state agencies. Control arm - No intervention. Qualitative component Setting: Rural and urban communities in the Central Region of Ghana. i). Rural and urban communities in four (4) Districts located in the Central Region of Ghana. Two districts are along the Coast (Abura and Komenda) while the other two (Agona and Upper Denkyira) are inland districts. ii). State Agencies (DOVVSU/Police, CHRAJ, Social Welfare, and Health Services). Interventions: Carried out in two Districts - Agona district and Komenda district. Workings of the intervention arm will be facilitated by the Gender Studies and Human Rights Documentation Centre in Ghana. Sample size: A total of 3280 adults (1640 women and 1640 men) from 20 clusters per trial arm (approximately 82 households per cluster) will be recruited at baseline and again at post-intervention survey. Sampling format will be a community survey with independent samples design (i.e. in each community, the people surveyed at baseline may not necessarily be the same people who are surveyed at post intervention. Clusters refer to the selected localities and their participating communities in each district. Evaluation design: Pre-test all study participants with a standardized instrument then introduce the independent variable (intervention) to the experimental group while withholding it from the control group. After 24 months of intervention, post-test both groups with the same instrument and under the same conditions as the pretest (baseline). Compare the amount of change in dependent variable for both experimental and control groups. Data analysis: The data will be analysed by intention to treat. The past 12 months prevalence of IPV will be compared between arms in the study.

Conditions

Domestic Violence; Physical Violence; Sexual Violence

Keywords

gender based violence; violence against women; intimate partner violence; impact assessment; rural response system; cluster randomised controlled trial

Outcome Measures

Primary Outcomes (1)

• Past year incidence of intimate partner violence

  The primary outcome indicator for this impact assessment is past year incidence of IPV (perpetration of physical and/or sexual IPV for men and experience for women).

  1 year

Secondary Outcomes (1)

• Institutional assessment of violence against women cases

  3 years

Study Arms (2)

i) Intervention arm- Receive Gender Centre's RRS package

EXPERIMENTAL

Behavioral: Rural response system (RRS) intervention to reduce violence against women

No intervention

NO INTERVENTION

Interventions

Rural response system (RRS) intervention to reduce violence against women BEHAVIORAL

The Rural Response System which uses the strategy of trained community members known as Community-based action team, COMBAT to undertake awareness-raising on gender-based violence as well as providing support to victims of violence to access justice and other relevant services.

i) Intervention arm- Receive Gender Centre's RRS package

Eligibility Criteria

• Age: 18 Years - 49 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Adult women (ages 18 to 49 years) and adult men (≥ 18 years) in the Central Region of Ghana
• Usually live (sleep and eat) in the household, have lived in the community for at least a year

You may not qualify if:

• Minor
• Not able to provide informed consent

Sponsors & Collaborators

• Medical Research Council, South Africa: lead
• University of Ghana: collaborator

Study Sites (1)

Rural and Urban Communities

Abura, Komenda, Agona, Upper Denkyira, Central Region, Ghana

RECRUITING

Related Publications (6)

• 1. Gender Studies and Human Rights Documentation Centre, Breaking the Silence and Challenging the Mythos of Violence against Women and Children in Ghana. Report of a national study on Violence. Edited by Dorcas Coker-Appiah and Kathy Cusack. Gender and Human Rights Documentation Centre, 1998.

  BACKGROUND

• 2. Ghana Statistical Service (GSS). 2013. 2010. Population and Housing Census, Regional Analytical Report; Central Region, Ghana: Ghana Statistical Service, Accra.

  BACKGROUND

• Hayes RJ, Bennett S. Simple sample size calculation for cluster-randomized trials. Int J Epidemiol. 1999 Apr;28(2):319-26. doi: 10.1093/ije/28.2.319.

  PMID: 10342698 BACKGROUND

• 4. Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF Macro. 2009. Ghana Demographic and Health Survey 2008. Accra, Ghana: GSS, GHS, and ICF Macro.

  BACKGROUND

• World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013 Nov 27;310(20):2191-4. doi: 10.1001/jama.2013.281053. No abstract available.

  PMID: 24141714 BACKGROUND

• Department of Health, Education, and Welfare; National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The Belmont Report. Ethical principles and guidelines for the protection of human subjects of research. J Am Coll Dent. 2014 Summer;81(3):4-13.

  PMID: 25951677 BACKGROUND

Study Officials

• Richard Adanu, PhD

  University of Ghana

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Richard Adanu, PhD

CONTACT

+233 (0) 244238556; rmadanu@ug.edu.gh; rmadanu@yahoo.com

Adolphina Addo-Lartey, PhD

CONTACT

aaddo.lartey@gmail.com

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: July 1, 2017
• First Posted: August 2, 2017
• Study Start: October 1, 2015
• Primary Completion: June 1, 2018
• Study Completion: June 30, 2018
• Last Updated: August 2, 2017

Record last verified: 2017-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: 2017
• Access Criteria: Published in Open Access Journal

Locations

GH (1)