What Works to Prevent Violence Against Women and Girls in Somalia

NCT06554418 | Recruiting

• 1 other identifier: IRB00418976
• Study Type: interventional
• Target: 3,500
• Locations: 1 country
• Sites: 1

Brief Summary

The Communities Care (CC) program has demonstrated promise in changing harmful social norms associated with Gender-based violence (GBV) and increasing confidence in services for women and girls. Therefore, the study will adapt the existing CC program based on previous learnings with adults and expand programming to include adolescent boys and girls, creating the CC adult and CC adolescent program. The CC program intervention implementation will be led by Comitato Internazionale per lo Sviluppo dei Popoli (CISP) non-Governmental Organization (NGO) in partnership with Somalia Ministry of Education and local Women led Organizations (WLO), public schools and mapped GBV and child protection (CP) service providers in Banadir and Galmudug regions of Somalia. Johns Hopkins will collaborate with local research colleagues to evaluate the CC adult and CC adolescent program. The study will use a hybrid type 2 effectiveness-implementation design guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Quantitative methods will be used to measure outcomes at baseline and endline (24 months post baseline) with adults and adolescents (10 and older) participants in the CC programs in intervention compared to control districts in the two regions (Banadir and Galmudug) in South Central Somalia. Quantitative methods will also be used to measure outcomes with adults and adolescents (10 years and older) community members (members that do not participate in the CC program) in intervention and control districts in the 2 regions at baseline, midline (12-months), endline (24-months) and maintenance (36 months). In addition, quantitative and qualitative methods at midline and endline will be used to measure the CC adult and CC adolescent intervention reach, adoption, implementation and maintenance in intervention districts in the two regions.

Conditions

Violence Prevention

Outcome Measures

Primary Outcomes (9)

• Cyber-Sexual Harassment survey score

  Adolescent report of experience of peer-to-peer or adult on-line and in-person harassment, Mean scale score ranges from 1 to 5 with higher scores being worse outcome

  9 and 12 months

• Peer-to-peer physical and sexual violence in school and community survey score

  Adolescent report of experience of peer to peer violence in schools, Mean scale score ranges from 1 to 5 with higher scores being worse outcome

  9 and 12 months

• Harsh punishment in school as assessed by the Parent-Child Conflict Scale adapted for teachers

  Adolescent report of witness or experience harsh punishment in school using the Parent-Child Conflict Tactics Scale adapted for teachers, Mean scale score 1-5, with higher score being worse outcome

  9 and 12 months

• Witnessing intimate partner violence (IPV) survey score

  Adolescent report of witnessing IPV in the household, mean scale score ranges from 1 to 5 with higher scores being worse outcome

  9 and 12 months

• Harsh Punishment in Household as assessed by the Parent-Child Conflict Scale

  Adolescent report of witness and experience harsh punishment in household using Parent-Child Conflict Tactics Scale, mean scale score ranges from 1 to 5 with higher scores being worse outcome

  9 and 12 months

• IPV victimization and/or perpetration as assessed by Somalia National Survey

  Adult report of experience and/or perpetration of IPV, mean scale score ranges from 1 to 5 with higher scores being worse outcome

  9 and 12 months

• Use of Harsh Punishment in Household as assessed by the Parent-Child Conflict Tactics Scale

  Adult report of use of harsh punishment, mean scale score ranges from 1 to 5 with higher scores being worse outcome

  9 and 12 months

• Non-partner harassment as assessed by the National Somalia Survey

  Adult report of non-partner harassment, mean scale score ranges from 1 to 5 with higher scores being worse outcome

  9 and 12 months

• Non-partner physical and/or sexual violence victimization as assessed by the National Somalia Survey

  Adult report of physical and/or sexual violence victimization by non-partner, mean scale score ranges from 1 to 5 with higher scores being worse outcome

  9 and 12 months

Secondary Outcomes (5)

• Personal Beliefs and Social Norms about Gender Based Violence as assessed by the Social Norms and Beliefs about Gender Based Violence Scale

  9 and 12 months

• Gender equality survey score

  9 and 12 months

• IPV acceptability survey score

  9 and 12 months

• Sexual and reproductive health knowledge and empowerment score

  9 and 12 months

• Confidence in service providers (adolescents and adults) score

  9 and 12 months

Study Arms (2)

Communities Care

EXPERIMENTAL

Districts in two regions of Somalia randomized to Communities Care violence prevention program with adults and adolescents

Behavioral: Communities Care

Control

NO INTERVENTION

Districts in two regions of Somalia randomized to control - usual programming related to prevention of violence

Interventions

Communities Care BEHAVIORAL

Communities Care is a violence prevention program targeting social norms and behavioral change

Communities Care

Eligibility Criteria

• Age: 10 Years - 100 Years
• Gender Eligibility Details: self-identified as male and female adolescents and adults
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 10 years or older
• Participant in CC adult or CC adolescent program in collaboration with 9 public schools in districts randomized to intervention or control in two regions of Somalia
• Living/resident of target districts (including internally displaced persons (IDPs) and does not have plans to move/leave the district or surrounding area in the next 12 months (this is critical for the longitudinal data collection with CC program participants)

You may not qualify if:

• Less than 10 years old
• Not a participant in CC adult or CC adolescent
• Not a resident of target districts-

Sponsors & Collaborators

• Johns Hopkins University: lead
• Comitato Internazionale per los Sviluppo dei Popoli (CISP): collaborator

Study Sites (1)

CISP Somalia

Mogadishu, Wadajir District, Somalia

RECRUITING

Study Officials

• Nancy Glass, PhD

  Johns Hopkins University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Nancy Glass, PhD

CONTACT

4432579947; nglass1@jhu.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized at the districts level in two regions of Somalia

Study Record Dates

• First Submitted: August 12, 2024
• First Posted: August 15, 2024
• Study Start: August 20, 2024
• Primary Completion (Estimated): October 31, 2028
• Study Completion (Estimated): November 1, 2029
• Last Updated: February 13, 2026

Record last verified: 2026-02

Locations

SO (1)