Community Based Intervention to Prevent Domestic Violence Against Women in Ethiopia; a Protocol for Quasi-Experimental Implementation Research

NCT03265626 | Unknown DMC

• 1 other identifier: HaramayaU
• Study Type: interventional
• Target: 1,217
• Locations: 1 country
• Sites: 1

Brief Summary

Violence against women is a well understood devastating global pandemic, and human right violation. One in three women experienced intimate partner violence worldwide. In Ethiopia, the level of domestic violence against women is one of the highest in the world. However, Ethiopia is signatory for various conventions and incorporate into the constitution and other legal frameworks. Nevertheless, effective implementation of the existing policy documents, and engaging different stakeholders is very limited. There is paucity of evidence on piloting the feasibility of implementing community based preventive intervention programs. Therefore, the main aim of this study is to pilot feasibility and implement existing research evidence and policy documents at community level to prevent domestic violence against women in Awi zone, northwestern Ethiopia This study will be conducted in three districts of the Awi zone, Amhara regional state, Northwestern Ethiopia. General Objective:The overall aim of this study is to assess the outcome of community based interventions implementation to prevent domestic violence against women, enhance community response and determinants among women (15-49 years) in Awi Zone, Northwestern Ethiopia from November, 2017 to November, 2018. Specific Objectives

• How can prevent domestic violence against women through community based intervention?
• What are the bottlenecks of prevention intervention implementation at community level?
• How can implementers engage stakeholders to mobilize community and resource to implement existing evidence based interventions to transform gender norm? Research Hypothesis
• Null hypothesis (Ho): this community based prevention intervention will not have effect (difference) on the level of domestic violence against women as compared with control (standard program).
• Alternative Hypothesis (HA): community based prevention intervention will have a better effect to make an improvement on the level of domestic violence against women than control (standard services).

Conditions

Domestic Violence Against Women; Community-based Prevention; Interevntion Implementation

Outcome Measures

Primary Outcomes (1)

• Change of the level of domesic violence against women from baseline to endline assessent

  The primary outcome is a change on domestic violence agaianst women. The main measure is the change in the prevalnce of domestic violence, engament of stakeholders, integration of the prevention intervention with existing community health program and the level of awarenss of the community about gender equality.

  12 month period from baseline assessment to endline interevntion evalaution

Study Arms (3)

Comprehensive (Intervention 1)

EXPERIMENTAL

A total of 586 study particpnats will be invloved on this comprehensive (main) experiment group.This arm will receive a comprehensive intervention package that include advocacy to local governors, community mobilization, awareness creation, training of community representatives and engagement partners. community mobilization through engaging husband as change agent to avert domestic violence in collaboration with community Health Extension Workers. The intervention will target married or cohabited women, partner, and community representatives (religious leaders, and elders). The intervention will be focused on physical, psychological and sexual violence, decision making, negotiation, communication on household matters, gender equality and equity norms, and their relationship with women's health. In addition, massive public information dissemination will be done in the intervention community.

Behavioral: Intervention 1: Comprehensive preventive intervention

Intervention 2

ACTIVE COMPARATOR

A total of 586 study particpnats will be invloved on this active comprator group. The intervention package such as advocacy to local governors, community mobilization, awareness creation and training of community representatives will be carried out for 12 months period.The main diffrence from the arm-1,here is no husband involvment in the interevntion targets. This intervention will be targeted married and cohabited women and community representatives (religious leaders, health care provider, police, politicians and associations). This group of participant will be selected from one urban and one rural Kebele in Banja District. Same tool and approach will be used to track the intervention progress.

Behavioral: Intervention 2: Awareness creation and community mobilization

Control/Comparator

OTHER

A total of 586 study partipants will be assigned to the control group that will receive the existing standard services from both urban and rural kebeles of the Guagussa Shikudad district. As comparator purpose, baseline and endline evaluation data will be taken. -No intervention package but standard service will be maintained

Other: available standard care

Interventions

Intervention 1: Comprehensive preventive intervention BEHAVIORAL

aims to implement the existing evidence and policy documents Advocacy workshop to politicians, Community mobilization, Awareness creation on women,training community representative, Husband participation

Comprehensive (Intervention 1)

Intervention 2: Awareness creation and community mobilization BEHAVIORAL

Advocacy politicians, Community mobilization, Awareness creation to women, Training community representative

Intervention 2

available standard care OTHER

The standard care will be maintained but no other additional intevvenion designed by this study

Control/Comparator

Eligibility Criteria

• Age: 15 Years - 49 Years
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Both the intervention and control participants will be selected from the general population
• All married and or cohabited women (15-49 year)
• Got married and stayed with partner at least 12 months
• Registered or recognized as permanent (at least 6 months)

You may not qualify if:

• \- participants who are unable to respond due to severe physical or mental illness

Sponsors & Collaborators

• Haramaya Unversity: lead
• World Health Organization: collaborator
• University of Ghana: collaborator

Study Sites (1)

Awi zone administaration

Injibara, Amhara Regional State, Ethiopia

Location

Related Publications (1)

• Semahegn A, Torpey K, Manu A, Assefa N, Ankomah A. Community based intervention to prevent domestic violence against women in the reproductive age in Northwestern Ethiopia: a protocol for quasi-experimental study. Reprod Health. 2017 Nov 21;14(1):155. doi: 10.1186/s12978-017-0414-2.

  PMID: 29162117 DERIVED

Study Officials

• Augustine Ankomah, PhD

  University of Ghana

  STUDY CHAIR

• Kwasi Torpey, MD, PhD

  University of Ghana

  STUDY CHAIR

• Abubakar Manu, PhD

  University of Ghana

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Candidate

Model Details: Community based three arm quasi-experimental design will be employed using mixed methods (quantitative and qualitative). Study participants will be allocated to the intervention and control groups to piloting the feasibility and effectiveness of community based intervention to avert domestic violence against women (15-49 years). Married or cohabited women, husbands/partner, community representatives (such as leaders/local politicians, religious leaders and elders), health care providers, police, women association and women affair office representatives will be involved in this implementation research.

Study Record Dates

• First Submitted: August 26, 2017
• First Posted: August 29, 2017
• Study Start: November 28, 2017
• Primary Completion: December 31, 2017
• Study Completion: December 31, 2018
• Last Updated: March 9, 2018

Record last verified: 2018-03

Locations

ET (1)