Evidence map›Paper›PMID 33782020›Full record

Trial reportBMJ open2021

Cost-effectiveness analysis of an intimate partner violence prevention intervention targeting men, women and couples in rural Ethiopia: evidence from the Unite for a Better Life randomised controlled trial.

Jessica Leight, Negussie Deyessa, Vandana Sharma

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

Trial report in BMJ open, 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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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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

3 authors at 3 institutions in 2 countries.

Jessica LeightPoverty, Health and Nutrition Division, International Food Policy Research Institute, Washington, DC, USA j.leight@cgiar.org.ORCID http://orcid.org/0000-0002-1691-9682
Negussie DeyessaAddis Ababa University School of Public Health, Addis Ababa, Ethiopia.
Vandana SharmaDepartment of Global Health and Population, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0002-4156-0229
Addis Ababa University · ETHarvard University · USInternational Food Policy Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesExperience of intimate partner violence (IPV) is associated with adverse health and psychosocial outcomes for women. However, rigorous economic evaluations of interventions targeting IPV prevention are rare. This paper analyses the cost-effectiveness of Unite for a Better Life (UBL), a gender-transformative intervention designed to prevent IPV and HIV risk behaviours among men, women and couples.

designWe use an economic evaluation nested within a large-scale cluster randomised controlled trial, analysing financial and economic costs tracked contemporaneously.

settingUBL was implemented in rural southern Ethiopia between 2013 and 2015.

participantsThe randomised controlled trial included 6770 households in 64 villages.

interventionsUBL is an intervention delivered within the context of the Ethiopian coffee ceremony, a culturally established forum for community discussion, and designed to assist participants to build skills for healthy, non-violent, equitable relationships. PRIMARY AND SECONDARY OUTCOME MEASURES: This paper reports on the unit cost and cost-effectiveness of the interventions implemented. Cost-effectiveness is measured as the cost per case of past-year physical and/or sexual IPV averted.

resultsThe estimated annualised cost of developing and implementing UBL was 2015 US$296 772, or approximately 2015 US$74 per individual directly participating in the intervention and 2015 US$5 per person annually for each community-level beneficiary (woman of reproductive age in intervention communities). The estimated cost per case of past-year physical and/or sexual IPV averted was 2015 US$2726 for the sample of direct beneficiaries, and 2015 US$194 for the sample of all community-level beneficiaries.

conclusionsUBL is an effective and cost-effective intervention for the prevention of IPV in a low and middle-income country setting. Further research should explore strategies to quantify the positive effects of the intervention across other domains. TRIAL REGISTRATION NUMBER: NCT02311699 (ClinicalTrials.gov); AEARCTR-0000211 (AEA Registry).

Indexed as

Intimate Partner ViolenceCost-Benefit AnalysisEthiopiaFamily CharacteristicsFemaleHumansMaleRural Populationeconomicsinternational health servicespublic health

Identifiers

PMID33782020
PMCPMC8009224
OpenAlexW3151604480

What OpenQuestion holds

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LicenceCC BY-NC
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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.