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Using Cultural Ceremonies to Reduce Intimate Partner Violence and HIV Transmission

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ClinicalTrials.gov Identifier: NCT02311699
Recruitment Status : Completed
First Posted : December 8, 2014
Last Update Posted : January 15, 2019
Sponsor:
Collaborators:
Ethiopian Public Health Association
Addis Ababa University
EngenderHealth
Information provided by (Responsible Party):
Abdul Latif Jameel Poverty Action Lab

Brief Summary:

Violence against women (VAW), the most extreme manifestation of the unequal power balance between women and men, is a major global public health concern. One of the most common forms of VAW is that perpetrated by a husband or other intimate partner. In Ethiopia, 70.9% of women reported having experienced physical and/or sexual intimate partner violence (IPV) in their lifetime, demonstrating the pervasiveness of the problem. A growing body of evidence has also linked IPV and HIV risk.

This study is a cluster randomized controlled trial assessing the impact of a community-based intervention focused on Intimate Partner Violence and HIV delivered in the context of the Ethiopian coffee ceremony, a culturally established forum for community discussion and conflict resolution. Villages will be randomly assigned to one of 4 study arms (3 intervention and one control arm): 1) Women only participate in the intervention, 2) Men only participate, 3) Both men and women (couples) participate, 4) Women and men receive the control intervention comprising a short informational session on violence reduction.


Condition or disease Intervention/treatment Phase
HIV Behavioral: Intervention to reduce IPV and HIV Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 6800 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Using Cultural Ceremonies to Reduce Intimate Partner Violence and HIV Transmission
Study Start Date : December 2014
Actual Primary Completion Date : April 2018
Actual Study Completion Date : April 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS

Arm Intervention/treatment
Experimental: Women Only
Groups of women will receive the behavioral intervention to reduce IPV and HIV. Sessions will be led by female facilitators.
Behavioral: Intervention to reduce IPV and HIV
The Ethiopian traditional coffee ceremony will be used as an entry point for a community based intervention to provide information, change behaviour around IPV and improve gender equity and intra-couple relations. The coffee ceremony is a culturally established forum for community discussion and conflict resolution and an integral part of Ethiopian life. The intervention will involve regular coffee ceremonies, during which approximately 20 members of the community will participate in education and discussions centred on gender issues, sexuality, communication and conflict resolution, HIV/AIDS and its link with violence, as well as HIV/AIDS prevention. Each coffee ceremony will be moderated by a female or male facilitator trained in participatory learning, moderation, HIV/AIDS prevention, counselling, and gender issues. The intervention will involve 14 two‐hour session per group of participants.

Experimental: Men Only
Groups of men will receive the behavioral intervention to reduce IPV and HIV. Sessions will be led by male facilitators.
Behavioral: Intervention to reduce IPV and HIV
The Ethiopian traditional coffee ceremony will be used as an entry point for a community based intervention to provide information, change behaviour around IPV and improve gender equity and intra-couple relations. The coffee ceremony is a culturally established forum for community discussion and conflict resolution and an integral part of Ethiopian life. The intervention will involve regular coffee ceremonies, during which approximately 20 members of the community will participate in education and discussions centred on gender issues, sexuality, communication and conflict resolution, HIV/AIDS and its link with violence, as well as HIV/AIDS prevention. Each coffee ceremony will be moderated by a female or male facilitator trained in participatory learning, moderation, HIV/AIDS prevention, counselling, and gender issues. The intervention will involve 14 two‐hour session per group of participants.

Experimental: Couples
Couples will receive the behavioural intervention to reduce IPV and HIV. Sessions will be led by a male and a female facilitator.
Behavioral: Intervention to reduce IPV and HIV
The Ethiopian traditional coffee ceremony will be used as an entry point for a community based intervention to provide information, change behaviour around IPV and improve gender equity and intra-couple relations. The coffee ceremony is a culturally established forum for community discussion and conflict resolution and an integral part of Ethiopian life. The intervention will involve regular coffee ceremonies, during which approximately 20 members of the community will participate in education and discussions centred on gender issues, sexuality, communication and conflict resolution, HIV/AIDS and its link with violence, as well as HIV/AIDS prevention. Each coffee ceremony will be moderated by a female or male facilitator trained in participatory learning, moderation, HIV/AIDS prevention, counselling, and gender issues. The intervention will involve 14 two‐hour session per group of participants.

No Intervention: Control Group
Community members in the control villages will receive a short informational session on violence reduction.



Primary Outcome Measures :
  1. Experience of physical violence by an intimate partner in the previous 12 months (among married or co-habitating women) [ Time Frame: 12 months ]
  2. Experience of sexual violence by an intimate partner in the previous 12 months (among married or co-habitating women) [ Time Frame: 12 months ]

Secondary Outcome Measures :
  1. Perpetration of physical violence towards an intimate partner in previous 12 months (among married or co-habitating men) [ Time Frame: 12 months ]
  2. Perpetration of sexual violence towards an intimate partner in previous 12 months (among married or co-habitating men) [ Time Frame: 12 months ]
  3. Proportion with comprehensive HIV/AIDS knowledge (among married or co-habitating men or women) [ Time Frame: 18 months ]
  4. Proportion using a condom at last high risk sexual intercourse (among married or co-habitating men or women) [ Time Frame: 18 months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 49 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • currently married or cohabitating with partner
  • residing in selected village for at least 6 months

Exclusion Criteria:

  • eligible women who do not consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02311699


Locations
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Ethiopia
Ethiopian Public Health Association
Addis Ababa, Ethiopia
Sponsors and Collaborators
Abdul Latif Jameel Poverty Action Lab
Ethiopian Public Health Association
Addis Ababa University
EngenderHealth
Investigators
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Principal Investigator: Vandana Sharma, MD, MPH Massachusetts Institute of Technology
Principal Investigator: Jessica Leight, PhD Williams College
Principal Investigator: Negussie Deyessa, PhD Addis Ababa University
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Responsible Party: Abdul Latif Jameel Poverty Action Lab
ClinicalTrials.gov Identifier: NCT02311699    
Other Study ID Numbers: ALJameelPAL
First Posted: December 8, 2014    Key Record Dates
Last Update Posted: January 15, 2019
Last Verified: January 2019
Keywords provided by Abdul Latif Jameel Poverty Action Lab:
Gender
Physical Violence
Sexual Violence
HIV
AIDS
Prevention
Community Intervention
Ethiopia
Intimate Partner Violence