Promoting Female Empowerment at the Household Level Among Couples in Ibadan, Nigeria
1 other identifier
interventional
2,472
1 country
1
Brief Summary
Sub-Saharan African women continue to face socio-economic challenges and limited reproductive freedoms, which diminishes their ability to exercise agency and choice in their lives and their environment. The goal of this study is to generate rigorous scientific evidence on empowering women individually and in households through a cluster randomized control trial. The trial will test the efficacy of a multi-sectoral program targeting three critical domains of female empowerment through gender socialization education, counseling and improved access to family planning, financial literacy among couples in Ibadan, Nigeria. The innovation in this approach is the focus on creating a supportive intra-familial environment to accelerate progress towards female empowerment, not just with the multi-sectoral intervention, but also by targeting both partners of couples, individually and together. It is hoped that there will be a shift of broader community norms by building the capacity of study couples to transfer their newly acquired knowledge and skills to other couples in their community, thereby creating a ripple of change.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2017
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 15, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 10, 2018
CompletedFirst Submitted
Initial submission to the registry
March 6, 2019
CompletedFirst Posted
Study publicly available on registry
March 25, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
May 28, 2019
CompletedMarch 31, 2020
March 1, 2020
10 months
March 6, 2019
March 27, 2020
Conditions
Outcome Measures
Primary Outcomes (8)
Change in proportion of couples that agree on spousal right to refuse sex
A difference between the proportion of couples at endline and baseline that agree on spousal right to refuse sex
6 months post-intervention
Change in proportion of couples that agree on time spouse spends on managing or performing child-care and other household chores
A difference between the proportion of couples at endline and baseline that agree on their report of time spouse spends on managing or performing child-care and other household chores
6 months post-intervention
Reduced risk of intimate partner violence
A reduction in report of risk of intimate partner violence between baseline and endline
6 months post-intervention
Change in proportion of women reporting involvement in financial decision-making
Difference in proportion of women reporting involvement in financial decision-making between baseline and endline
6 months post-intervention
Change in proportion of men with positive attitudes toward their wife/partner's involvement in financial decision-making
Difference in proportion of men reporting positive attitudes toward their wife/partner's involvement in financial decision-making between baseline and endline
6 months post-intervention
Change in the proportion of couples who agree on responses to questions on financial decision-making, ownership and investments
A difference in the proportion of couples that agree on involvement in financial decision-making, ownership of property and individual or joint investments between baseline and endline
6 months post-intervention
Change in proportion of couples that agree on modern family planning method use & type of method used
A difference in the agreement of couples on reported modern family planning method use \& type of method used between baseline and endline
6 months post-intervention
Improved quality of family planning use (consistent method use, commitment to method choice)
Report of consistent family planning method use and commitment to use, comparing baseline and endline
6 months post-intervention
Study Arms (4)
Gender socialization (GS)
EXPERIMENTALGender socialization workshops raised awareness on gender, its social construction and inequality, notions of masculinity and femininity, division of labor, access and control over resources. The workshop also included skill-building sessions on effective communication and negotiation and relationship building.
GS + Financial literacy (FL)
EXPERIMENTALFinancial literacy workshops promoted knowledge and skills in budgeting, financial planning and accessing and using financial services and income generating activities.
GS + FL + Family planning
EXPERIMENTALFamily planning counseling was provided to couples by family planning providers from nearby facilities. Couples were encouraged to seek services in facilities of their choice. A voucher system provided financial support for the poorest couples.
Control
NO INTERVENTIONCouples were interviewed at baseline, and will be interviewed at endline.
Interventions
Hands-on training workshops including lectures, group activities, role play and group discussions focused on gender socialization.
Hands-on training workshops including lectures, group activities, role play and group discussions focused on financial literacy.
Family planning counseling sessions and linkage to services.
Eligibility Criteria
You may qualify if:
- Women ages 18-35 years who live with their husbands or partners within the pre-selected study clusters
- Consent from husband/partner as well as eligible woman
- Women in polygynous unions, if the wife co-resides with her husband
You may not qualify if:
- Either woman or partner does not give consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Ibadanlead
- Bill and Melinda Gates Foundationcollaborator
- International Center for Research on Womencollaborator
Study Sites (1)
48 Communities in Ibadan North, Ibadan Southwest, Oluyole & Akinyele LGA
Ibadan, Oyo State, Nigeria
Related Publications (3)
Campbell MJ, Walters SJ. How to Design, Analyse and Report Cluster Randomised Trials in Medicine and Health Related Research (Statistics in Practice). Wiley Publishers, 253 pp. ISBN-13: 978-1119992028
BACKGROUNDChoi SY, Ting KF. Wife beating in South Africa: an imbalance theory of resources and power. J Interpers Violence. 2008 Jun;23(6):834-52. doi: 10.1177/0886260507313951. Epub 2008 Feb 21.
PMID: 18292404RESULTJohn NA, Adebayo A, Boychuk NA, OlaOlorun F. Intimate partner violence (IPV) prevention using a cross-sectoral couple-based intervention: results from a cluster randomised control trial in Ibadan, Nigeria. BMJ Glob Health. 2022 Feb;7(2):e007192. doi: 10.1136/bmjgh-2021-007192.
PMID: 35140139DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Funmilola OlaOlorun, PhD
College of Medicine University of Ibadan
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Masking Details
- The intervention involved attendance at training workshops, so once randomization was completed by the biostatistician, random assignments had to be revealed.
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Lecturer
Study Record Dates
First Submitted
March 6, 2019
First Posted
March 25, 2019
Study Start
September 15, 2017
Primary Completion
July 10, 2018
Study Completion
May 28, 2019
Last Updated
March 31, 2020
Record last verified: 2020-03
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, ICF
- Time Frame
- Data will become available six months following completion of analysis of baseline data. Duration of availability will depend on the host server from the funders. The current funding stream does not elaborate on this.
- Access Criteria
- Completion of a form indicating demographic data and affiliation of the person making the request, as well as the intended use of the data, and variables of interest.
The funders require that data be made publicly available, and we will do this. However, we are yet to discuss detailed preparations for public release with the funders.