Developing and Testing the Jenga Dada Intervention in Kenya

NCT06414070 | Completed

• 1 other identifier: 800987
• Study Type: interventional
• Target: 238
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to work with women's economic empowerment groups within the community to address reproductive coercion and intimate partner violence and promote economic self-sufficiency among women (aged 15+ years). Based on the investigators' previous research in the United States, Bangladesh, and Kenya, the ARCHES (Addressing Reproductive Coercion in Health Settings) intervention is a highly effective clinic-based model to improve women's ability to use family planning and cope with abuse. Due to common requests for community-based support, content from the ARCHES intervention along with Girls Invest, an economic empowerment intervention implemented in the US and Nigeria, is being adapted to develop Jenga Dada, which means "Build a Woman Up" in Kiswahili, to be delivered to women's economic empowerment groups. The study will conduct formative research among women's economic empowerment group members, develop the Jenga Dada intervention, and conduct a pilot cluster randomized controlled trial to assess preliminary efficacy of the intervention on proximal outcomes (i.e., self-efficacy) and feasibility and acceptability.

Conditions

Reproductive Coercion; Intimate Partner Violence

Keywords

Reproductive coercion; Intimate partner violence; Contraceptive Use; Economic Abuse

Outcome Measures

Primary Outcomes (4)

• Self-efficacy to cope with economic abuse

  Change in mean self-efficacy score (range: 6-18, higher=higher self-efficacy) between baseline and 4-month follow-up in intervention compared to control group (difference-in differences)

  Baseline and 4-month follow-up

• Self-efficacy to use family planning in the face of reproductive coercion among women of reproductive age (15-49 years)

  Change in mean self-efficacy score (range: 3-9, higher=higher self-efficacy) between baseline and 4-month follow-up in intervention compared to control group (difference-in differences)

  Baseline and 4-month follow-up

• Self-efficacy to seek formal intimate partner violence support services

  Change in mean self-efficacy score (range: 1-3, higher=higher self-efficacy) between baseline and 4-month follow-up in intervention compared to control group (difference-in differences)

  Baseline and 4-month follow-up

• Self-efficacy to seek support from the group/group members if experiencing violence (economic abuse, reproductive coercion among women of reproductive age [15-49 years], intimate partner violence)

  Change in mean self-efficacy score (range: 3-9 among women of reproductive age \[15-49 years\]; range: 2-6 for women above reproductive age \[50+ years\], higher=higher self-efficacy) between baseline and 4-month follow-up in intervention compared to control group (difference-in differences)

  Baseline and 4-month follow-up

Secondary Outcomes (11)

• Attitudes supportive of women's economic self-sufficiency

  Baseline and 4-month follow-up

• Attitudes supportive of family planning use

  Baseline and 4-month follow-up

• Attitudes not accepting of reproductive coercion

  Baseline and 4-month follow-up

• Attitudes not accepting of intimate partner violence

  Baseline and 4-month follow-up

• Awareness of intimate partner violence services

  Baseline and 4-month follow-up

Other Outcomes (4)

• Group norms supportive of women's economic self-sufficiency

  Baseline and 4-month follow-up

• Group norms supportive of family planning use

  Baseline and 4-month follow-up

• Group norms not accepting of reproductive coercion

  Baseline and 4-month follow-up

Study Arms (2)

Jenga Dada

EXPERIMENTAL

Jenga Dada programming in women's economic empowerment group meetings

Behavioral: Jenga Dada

Waitlist Control

NO INTERVENTION

Standard women's economic empowerment group programming

Interventions

Jenga Dada BEHAVIORAL

Jenga Dada aims to empower women participating in community-based economic groups by training them to recognize inequality, challenge it, and work toward positive changes in their lives related to finances, health, and relationships and increase social support on these issues within the groups. Jenga Dada is expected to include eight modules: 1) overview of the intervention, 2) gender roles, 3) economic control and abuse, 4) intimate partner violence (IPV), 5) reproductive coercion (RC), 6) family planning (FP), 7) financial literacy, and 8) life goals. The Jenga Dada intervention is group discussion-based and draws on two effective interventions: ARCHES (a facility-based contraceptive counseling intervention providing support for RC and IPV) and Girls Invest (a mobile health application with integrated modules on gender, IPV, and financial literacy). The intervention will be facilitated by a local NGO in partnership with group leaders.

Jenga Dada

Eligibility Criteria

• Age: 15 Years+
• Gender Eligibility Details: Self-report biologically female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Being a women's economic group member prior to baseline
• Aged 15 years and older
• Able to provide informed consent
• Not planning to move out of the area or leave the women's economic group in the next 4 months

You may not qualify if:

• None

Sponsors & Collaborators

• University of California, San Diego: lead
• Population Council Kenya: collaborator
• Women's Empowerment Link: collaborator
• San Diego State University: collaborator

Study Sites (1)

Community-based Women's Economic Empowerment Groups in Uasin Gishu County

Eldoret, Kenya

Location

Study Officials

• Jay G Silverman, PhD

  University of California, San Diego

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: Cluster-randomized controlled trial; stratified randomization based on urban/rural location

Study Record Dates

• First Submitted: May 10, 2024
• First Posted: May 16, 2024
• Study Start: June 17, 2024
• Primary Completion: December 4, 2024
• Study Completion: December 4, 2024
• Last Updated: February 23, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF, ANALYTIC CODE
• Time Frame: Upon publication of findings
• Access Criteria: Open access

Locations

KE (1)