RCT of the Effectiveness of the WfWI Intervention in Afghanistan

Conditions

Depressive Symptoms, Domestic Violence, Livelihoods

Brief summary

This is an individually randomised control trial to assess the effectiveness of a livelihoods and social empowerment intervention, delivered by Women for Women International, on married women's experiences of intimate partner violence in Afghanistan. It has a 22 month follow up.

Andrew Gibbs, Julienne Corboz, Esnat Chirwa, Carron Mann, Fazal Karim et al. (10 authors)

BMJ Global Health2020-03-0171 citations

10.1136/bmjgh-2019-001946

Factors associated with ‘honour killing’ in Afghanistan and the occupied Palestinian Territories: Two cross-sectional studies

Andrew Gibbs, Nader Said, Julienne Corboz, Rachel Jewkes

PLoS ONE2019-08-0827 citations

10.1371/journal.pone.0219125

Factors associated with recent intimate partner violence experience amongst currently married women in Afghanistan and health impacts of IPV: a cross sectional study.

Gibbs A, Corboz J, Jewkes R.

2018-05-0344 citations

10.1186/s12889-018-5507-5

An individually randomized controlled trial to determine the effectiveness of the Women for Women International Programme in reducing intimate partner violence and strengthening livelihoods amongst women in Afghanistan: trial design, methods and baseline findings.

Gibbs A, Corboz J, Shafiq M, Marofi F, Mecagni A, Mann C, Karim F, Chirwa E, Maxwell-Jones C, Jewkes R.

2018-01-2221 citations

10.1186/s12889-018-5029-1

Interventions

BEHAVIORALWomen for Women International Intervention

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

NONE

Intervention model description

Individual level randomised trial, with intervention and control group

Eligibility

Sex/Gender

FEMALE

Age

18 Years to 45 Years

Healthy volunteers

Yes

Inclusion criteria

* Women should be in the lowest economic level (earning less than US$1.25/day) * Unemployed * No in education/school * Not involved in a similar programme * Able to provide informed consent

Exclusion criteria

* Not mentally incapacitated, so as unable to provide informed consent * Already been part of the WfWI intervention previously

Design outcomes

Primary

Measure	Time frame	Description
Depressive symptomology	22 months post baseline	Past week depressive symptomology is assessed by the Centre for Epidemiological Studies Depression (CESD) scale, with the full twenty items. A mean score will be calculated.
Any past year physical intimate partner violence experienced amongst currently married women	22 months post baseline	Physical intimate partner violence is assessed using five items based on the WHO VAW scale. A positive response to any item leads to a person being classified as experiencing in the past year.
Past year severe physical intimate partner violence experience amongst currently married women	22 months post baseline	Severe physical intimate partner violence experience is assessed using 5 items. Past year severe physical IPV is assessed as positive if a person responds to two (or more) items as once, or one item as few (or more), essentially creating a more than once categorization.

Secondary

Measure	Time frame	Description
Total savings	22 months post baseline	A single item assesses women's total savings
Life satisfaction	22 months post baseline	Life satisfaction is assessed using four-items derived from the Satisfaction With Life Scale. A mean score is produced.
Suicidal ideation in past 4 weeks	22 months post baseline	A single item assesses thoughts about suicide in past week.
Gender attitudes	22 months post baseline	11 questions assess women's gender attitudes. A mean score is created.
Household food insecurity in past four weeks	22 months post baseline	Three items ask about household level food insecurity in the past 4 weeks. A mean score is calculated.
Any emotional abuse in the past year amongst currently married women	22 months post baseline	Seven items assess emotional abuse in the past year. A mean score is calculated.
Perceptions of husband cruelty amongst currently married women	22 months post baseline	Five items ask about married women's perceptions of her husband and his attitudes and relationship towards her. A mean score is created
Mother-in-law or abuse in the past 12 months amongst currently married women	22 months post baseline	A single item assesses whether mother-in-laws have hit the woman in the past 12 months and another item assesses whether siblings have hit the woman in the past 12 months, an affirmative response to either item would indicate abuse.
Perceptions of mother-in-law cruelty amongst currently married women	22 months post baseline	For married women, six items ask about their relationship and the mother-in-laws attitudes towards her
Married women's participation in household decision-making	22 months post baseline	Five items are asked about women's ability to participate in household decisions. A mean score is created.
Financial shock resilience	22 months post baseline	One item assesses ability to mobilise cash in an emergency.
Monthly earnings	22 months post baseline	A single item assesses women's past month earnings

Outcome results

None listed