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A cluster randomised controlled trial to determine the effect of community mobilisation and advocacy on men’s use of violence in periurban South Africa: study protocol
- Source :
- BMJ Open
- Publication Year :
- 2018
- Publisher :
- BMJ Publishing Group, 2018.
-
Abstract
- ObjectiveThis paper describes the design and methods of a cluster randomised controlled trial (C-RCT) to determine the effectiveness of a community mobilisation intervention that is designed to reduce the perpetration of violence against women (VAW).Methods and analysisA C-RCT of nine intervention and nine control clusters is being carried out in a periurban, semiformal settlement near Johannesburg, South Africa, between 2016 and 2018. A community mobilisation and advocacy intervention, called Sonke CHANGE is being implemented over 18 months. It comprises local advocacy and group activities to engage community members to challenge harmful gender norms and reduce VAW. The intervention is hypothesised to improve equitable masculinities, reduce alcohol use and ultimately, to reduce VAW. Intervention effectiveness will be determined through an audio computer-assisted self-interview questionnaire with behavioural measures among 2600 men aged between 18 and 40 years at baseline, 12 months and 24 months. The primary trial outcome is men’s use of physical and/or sexual VAW. Secondary outcomes include harmful alcohol use, gender attitudes, controlling behaviours, transactional sex and social cohesion. The main analysis will be intention-to-treat based on the randomisation of clusters. A qualitative process evaluation is being conducted alongside the C-RCT. Implementers and men participating in the intervention will be interviewed longitudinally over the period of intervention implementation and observations of the workshops and other intervention activities are being carried out.Ethics and disseminationEthical approval was obtained from the University of the Witwatersrand Human Research Ethics Committee and procedures comply with ethical recommendations of the United Nations Multi-Country Study on Men and Violence. Dissemination of research findings will take place with local stakeholders and through peer-reviewed publications, with data available on request or after 5 years of trial completion.Trial registration numberNCT02823288; Pre-result.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Alcohol Drinking
cluster randomized controlled trial
Transactional sex
Gender-Based Violence
Global Health
03 medical and health sciences
perpetration of violence against women
South Africa
Young Adult
0302 clinical medicine
behavioural intervention
Intervention (counseling)
Surveys and Questionnaires
medicine
Protocol
Cluster Analysis
Humans
030212 general & internal medicine
Cluster randomised controlled trial
Community Health Services
Baseline (configuration management)
Protocol (science)
030505 public health
business.industry
Ethics committee
General Medicine
working with men and boys
Research Design
Family medicine
Multivariate Analysis
Regression Analysis
Process evaluation
0305 other medical science
Settlement (litigation)
business
Subjects
Details
- Language :
- English
- ISSN :
- 20446055
- Volume :
- 8
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- BMJ Open
- Accession number :
- edsair.doi.dedup.....ed7d62520198b9a7b7da14cb0c319750