Evidence map›Paper›PMID 30872541›Full record

ArticleBMJ open2019

Effectiveness of the Communities Care programme on change in social norms associated with gender-based violence (GBV) with residents in intervention compared with control districts in Mogadishu, Somalia.

Nancy Glass, Nancy Perrin, Mendy Marsh, Amber Clough, Amelie Desgroppes, Francesco Kaburu, Brendan Ross, Sophie Read-Hamilton

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nancy GlassSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Nancy PerrinSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Mendy MarshUNICEF USA, New York City, New York, USA.
Amber CloughSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Amelie DesgroppesComitato Internazionale per lo Sviluppo dei Popoli (CISP) Somalia, Nairobi, Kenya.
Francesco KaburuComitato Internazionale per lo Sviluppo dei Popoli (CISP) Somalia, Nairobi, Kenya.
Brendan RossUNICEF Somalia, Mogadishu, Somalia.
Sophie Read-HamiltonGender-based violence in Emergencies, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDetermine the effectiveness of the Communities Care programme (CCP) on change in harmful social norms associated with gender-based violence (GBV) and confidence in provision of services with residents in intervention compared with control district. We hypothesised that residents in the intervention district would report a decrease in support for harmful social norms and increase in confidence in services in comparison with control district.

settingThe study was conducted in Mogadishu, Somalia.

participantsIn the intervention district, 192 community members (50% women) completed baseline surveys with 163 (84.9%) retained at endline. In the control district, 195 community members (50% women) completed baseline surveys with 167 (85.6%) retained at endline.

interventionCCP uses facilitated dialogues with community members to catalyse GBV prevention actions and provides training to diverse sectors to strengthen response services for GBV survivors.

resultsResidents in the intervention district had significantly greater improvement in change in social norms: (1) response to sexual violence (b=-0.214, p=0.041); (2) protecting family honour (b=-0.558, p<0.001); and (3) husband's right to use violence (b=-0.309, p=0.003) compared with control district participants. The greatest change was seen in the norm of 'protecting family honour' with a Cohen's d effect size (ES) of 0.70, followed by the norm 'husband's right to use violence' (ES=0.38), and then the norm of 'response to sexual violence' (ES=0.28). Residents in intervention district had a significantly greater increase in confidence in provision of GBV services across diverse sectors than the control district (b=0.318, p<0.001) with an associated effect size of 0.67. There were no significant differences between residents in intervention and control districts on change in personal beliefs on the norms.

conclusionThe evaluation showed the promise of CCP in changing harmful social norms associated with GBV and increasing confidence in provision of services in a complex humanitarian setting.

Indexed as

Health Services AccessibilityProgram EvaluationSocial NormsAdolescentAdultDelivery of Health CareFemaleGender-Based ViolenceHumansLongitudinal StudiesMaleMiddle AgedRandom AllocationRegression AnalysisRural PopulationSomaliaevaluationgender-based violencehumanitariansocial norms

Identifiers

PMID30872541
PMCPMC6429733

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.