Battered Women, Depression, Domestic Violence, Gender-based Violence, Intimate Partner Violence, Mental Health Issue, Rape Sexual Assault
Conditions
Keywords
violence, abuse, coercion, assault, aggression, gender, women, girl, wife, partner, spouse, sexual, physical, psychological, economic
Brief summary
Cash transfers have shown promise in preventing intimate partner violence, and in reducing recipients' stress levels. Cash transfers with behavioral or psychological interventions have shown limited effectiveness at reducing stress in some African countries. Little is known of the cost-effectiveness of interventions delivered alongside cash transfer programs. The MEWE economic evaluation sub-study (MEWE-EE) runs alongside MEWE, a three-arm cluster-randomized controlled trial in Sindh, Pakistan. MEWE-EE will assess the costs and cost-effectiveness of delivering a cash-transfer program (BISP-CT) combined with a life-skills building curriculum (LSB curriculum), compared to the BISP-CT alone. The LSB curriculum is offered to either women who receive BISP-CT, or to women who receive BISP-CT and their husbands.
Interventions
BEHAVIORALLife Skills Building (LSB) curriculum for males
The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions. All male study participants attending LSB curriculum classes are married to BISP-CT clients. For men, the MEWE intervention provides access to the LSB curriculum only.
BEHAVIORALLife Skills Building (LSB) curriculum for females
The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions. All female study participants attending LSB curriculum classes are BISP-CT clients. For females, the MEWE intervention comprises access to LSB curriculum + BISP CTs.
OTHERCash transfer to adult females
The BISP intervention offers access to quarterly unconditional cash transfers to adult females.
Sponsors
Aga Khan University
Bill and Melinda Gates Foundation
London School of Economics and Political Science
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to 49 Years
Healthy volunteers
Yes
Inclusion criteria
* In receipt of Benazir Income Support Program (BISP) cash transfers (CTs) * Parity: have at least one child, at least 18 months old
Exclusion criteria
* Plan for the family to migrate out of the village within the next 2 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incremental cost incurred per disability adjusted life year (DALY) averted: provider perspective | 12 months post randomisation | Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a provider perspective at 12 months from baseline. DALYs and costs will also be modelled up to a ten-year horizon using a Markov model. |
| Incremental cost incurred per disability adjusted life year (DALY) averted: societal perspective | 12 months post randomisation | Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a societal perspective at 12 months from baseline. DALYs and costs will also be modelled up to a ten-year horizon using a Markov model. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total incremental cost of the intervention in a research setting | 12 months post randomisation | Total additional cost of the intervention compared to the BISP-CT only for the study population and by intervention type during the research period. |
| Total incremental cost of the intervention in the modelling cohort | 12 months post randomisation | Total additional cost of the intervention for the modelling cohort by intervention type over a ten-year period. |
| Mean cost of intervention delivery | 12 months post randomisation | Cost of intervention delivery for different intervention models per patient, by category, annuitised |
| Incremental cost incurred per disability adjusted life year (DALY) averted at scale: societal perspective | 12 months post randomisation | Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a societal perspective at scale. |
| Incremental cost incurred per disability adjusted life year (DALY) averted at scale: provider perspective | 12 months post randomisation | Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a provider perspective at scale. |
| Mean cost of LSB session | 12 months post randomisation | Average cost of LSB session delivery for different intervention models, annuitised |
Countries
Pakistan
Outcome results
None listed