What Works to Prevent Violence - Malawi Moyo Olemekeza
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-49
SponsorGeorge Washington University
About this trial
Violence against women is complex and must be addressed at multiple levels, with leadership from women themselves on how to bring about positive change to free women and girls from daily experiences of violence and to promote their rights. It is in this context that the Pamodzi Kuthetsa Nkhanza (PKN) consortium will implement a programme to facilitate the prevention of intimate partner violence (IPV) in Malawi as one of the most common forms of VAW experienced in Malawi. The programme takes a whole community approach and uses gender transformative approaches at different levels of society to address the root causes of IPV. It will draw primarily on two existing, evidence-based prevention models, namely SASA! Together (community mobilisation model) and Moyo Olemekeza (MO) (gender norms and behaviour change and economic empowerment approach). The institutional strengthening component of these evaluations is meant to create an enabling environment.
The cRCT described in this protocol will assess the added value of the women's social and economic empowerment programme (MO) when layered on top of SASA! Together for eligible at-risk households.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
The household has a woman aged 18-49 who are in monogamous relationships
The household is food insecure, where food insecurity is scored on a scale of (0-7) and constructed from responses on 3 questions related to the household's food sufficiency (a) How does the household meet its food needs (b) How often does the household has food surplus and (c) How many times do you eat a full meal on a typical day over a year.
The primary decision maker of the household is male
Household is willing to participate in community meetings
Disqualifiers
None
Trial design
Design model
Parallel
Treatments tested in this trial
SASA! Together
BehavioralSASA! Together is an evidence-based community mobilisation approach
MO
BehavioralMO is a family-based, women's economic and social empowerment approach.
Treatment groups
1,700 Participants
are divided into 2 treatment groupsGroup A: SASA! TogetherActive comparator 1 intervention
Group B: SASA! Together + MOExperimental treatment 2 interventions
Trial outcomes
Primary outcomes
1
Indicator for Past year experience of any violence (physical, sexual, or emotional) from a partner (among women who have had an intimate partner in the past year)
Defining past year experience of intimate partner violence using the World Health Organization's "Multi-country study measure for intimate partner violence" module.
Time frame
12 months2
Indicator for Past year experience of economic violence from a partner (among women who have had an intimate partner in the past year)
This indicator equals to one if the respondent reports a partner perpetrated any of the following behaviors in the past 12 months: (i) Prohibits respondent from earning money (ii) Takes earnings from respondent against her will (iii) Refuses to give money for household expenses (iv) Keeps respondent from getting a loan (v) ) Not let respondent participate in deciding how the family finances are spend.
Time frame
12 months3
Indicator for engaged in any income generating activity in the past 3 months (among all women and men separately)
Time frame
From time of implementation to endline assessment is 3 yearsSecondary outcomes
1
Indicator for Past year experience of physical violence from a partner (among women who have had an intimate partner in the past year)
This indicator equals to one if the respondent reports a partner perpetrated any of the following behaviors in the past 12 months: (i) Slapped respondent or thrown something at respondent (ii)Pushed or shoved respondent (iii) Hit respondent with his fist or with something else (iv) Kicked, dragged or beaten respondent (v) Choked or burnt respondent and (vi) Threatened respondent
Time frame
12 months2
Indicator for Past year experience of sexual violence from a partner (among women who have had an intimate partner in the past year)
This indicator equals to one if the respondent reports a partner perpetrated any of the following behaviors in the past 12 months: (i) Physically forced respondent to have sexual intercourse (ii) Physically forced respondent to perform any other sexual acts (iii) Force respondent with threats to perform sexual acts
Time frame
12 months3
Indicator for Past year experience of emotional violence from a partner (among women who have had an intimate partner in the past year)
This indicator equals to one if the respondent reports a partner perpetrated any of the following behaviors in the past 12 months: (i) Insulted respondent or made her feel bad about herself (ii) Destroyed her things (iii) Did things that made respondent feel scared or intimidated (iv) Threatened to harm respondent or someone she cares about (v) Thrown respondent out of the house (vi) Taken away respondent's phone or controlled how she uses it
Time frame
12 months4
Indicator for Past year experience of controlling behaviour from a partner (among women who have had an intimate partner in the past year)
This indicator equals to one if the respondent reports a partner perpetrated any of the following behaviors in the past 12 months: (i) Tries to stop respondent from meeting her friends (ii) Tries to limit contact with her family of birth (iii) Insists on knowing where respondent is at all times (iv) Gets jealous or angry if respondent talks with another man (v) Frequently accuses respondent of being unfaithful (vi) Checks her cellphone/WhatsApp logs/messages to see who she has called or messaged/who has called or messaged her
Time frame
12 monthsSponsors and contacts
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George Washington University
Lead sponsor
University of Cape Town
Collaborator
Source ClinicalTrials.gov