Evidence map›Paper›PMID 33509840›Full record

Trial reportBMJ global health2021

Community-level spillover effects of an intervention to prevent intimate partner violence and HIV transmission in rural Ethiopia.

Jessica Leight, Negussie Deyessa, Fabio Verani, Samuel Tewolde, Vandana Sharma

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02311699 (Using Cultural Ceremonies to Reduce Intimate Partner Violence and HIV Transmission), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% of its field
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.

NCT02311699 nacompletednot on this map

Using Cultural Ceremonies to Reduce Intimate Partner Violence and HIV Transmission

TypeinterventionalSponsorAbdul Latif Jameel Poverty Action LabRan2014 to 2018Enrolled6,800ConditionsHIVArmsIntervention to reduce IPV and HIV
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
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

5 authors at 4 institutions in 2 countries.

Jessica LeightPoverty, Health and Nutrition Division, International Food Policy Research Institute, Washington, District of Columbia, USA j.leight@cgiar.org.ORCID 0000-0002-1691-9682
Negussie DeyessaAddis Ababa University School of Public Health, Addis Ababa, Ethiopia.ORCID 0000-0002-8843-7287
Fabio VeraniCARE, New York, New York, USA.
Samuel TewoldeEngenderHealth, Addis Ababa, Ethiopia.
Vandana SharmaDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-4156-0229
Addis Ababa University · ETCARE USA · USHarvard Global Health Institute · USInternational Food Policy Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntimate partner violence (IPV) is associated with adverse health and psychosocial outcomes. We analysed the spillover effects of Unite for a Better Life (UBL), an intervention evaluated in a cluster randomised controlled trial using a double-randomised design; previous evidence suggests UBL reduced IPV in rural Ethiopia among direct beneficiaries.

methodsVillages (n=64) were randomly allocated to control, or to receive UBL delivered to men, women or couples. Each cluster comprised 106 surveyed households, including 21 randomly selected indirect beneficiary households who were not included in the intervention. Primary and secondary IPV outcomes included women's experience and men's perpetration of past-year physical or sexual IPV 24 months postintervention. An intention-to-treat analysis was conducted comparing indirect beneficiaries to sampled households in control communities. The analysis includes 2516 households surveyed at baseline in 2014-2015 (1680 households in the control arm, 258 indirect beneficiary households in the couples' arm, 287 indirect beneficiary households in the women's arm and 291 indirect beneficiary households in the men's arm). Follow-up data were available from 88% of baseline respondents and 86% of baseline spouses surveyed in 2017-2018, a total of 4379 individuals.

resultsAmong indirect beneficiaries, there was no statistically significant intervention effect on women's past-year experience of physical or sexual IPV, while men's UBL significantly reduced reported perpetration of past-year sexual IPV (Adjusted Odds Ratio: 0.55; 95% CI 0.38 to 0.80, p=0.002). The intervention effects among indirect beneficiaries were statistically similar to those reported for the direct beneficiaries. In general, the hypothesis of equal effects cannot be rejected.

conclusionA gender-transformative intervention delivered to men was effective in reducing reported IPV even among indirect beneficiaries, suggesting that the programme had positive spillover effects in diffusing information and changing behaviours within the broader community. TRIAL REGISTRATION NUMBERS: NCT02311699 and American Economic Association Registry (AEARCTR-0000211).

Indexed as

HIV InfectionsIntimate Partner ViolenceEthiopiaFamily CharacteristicsFemaleHumansMaleRural PopulationdiseasedisorderHIVor injuryother infectionpublic healthrandomised control trial

Identifiers

PMID33509840
PMCPMC7845680
OpenAlexW3125357087

What OpenQuestion holds

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Registered trials

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.