Evidence map›Paper›PMID 34301673›Full record

Trial reportBMJ global health2021

A cluster randomised controlled trial to evaluate the impact of a gender transformative intervention on intimate partner violence against women in newly formed neighbourhood groups in Tanzania.

Sheila Harvey, Tanya Abramsky, Gerry Mshana, Christian Holm Hansen, Grace J Mtolela, Flora Madaha, Ramadhan Hashim, Imma Kapinga, Charlotte Watts, Shelley Lees and 1 more

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 NCT02592252 (Cluster Randomised Controlled Trial to Assess the Impact of Combined Microfinance and Gender Training for Women and Gender Training for Women and Their Male Partners in Reducing Intimate Partner Violence), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 16% 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.

NCT02592252 naunknown statusnot on this map

Cluster Randomised Controlled Trial to Assess the Impact of Combined Microfinance and Gender Training for Women and Gender Training for Women and Their Male Partners in Reducing Intimate Partner Violence

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2014 to 2019Enrolled2,640ConditionsMaltreatment by Spouse or PartnerArmsParticipatory gender training, Microfinance
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 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

11 authors at 3 institutions in 2 countries.

Sheila HarveyGlobal Health and Development, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK sheila.harvey@lshtm.ac.uk.
Tanya AbramskyGlobal Health and Development, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-0271-8492
Gerry MshanaSexual and Reproductive Health, National Institute for Medical Research Mwanza Research Centre, Mwanza, Mwanza, Tanzania.
Christian Holm HansenInfectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Grace J MtolelaMwanza Intervention Trials Unit, National Institute for Medical Research Mwanza Research Centre, Mwanza, Tanzania.
Flora MadahaMwanza Intervention Trials Unit, National Institute for Medical Research Mwanza Research Centre, Mwanza, Tanzania.
Ramadhan HashimMwanza Intervention Trials Unit, National Institute for Medical Research Mwanza Research Centre, Mwanza, Tanzania.
Imma KapingaMwanza Intervention Trials Unit, National Institute for Medical Research Mwanza Research Centre, Mwanza, Tanzania.
Charlotte WattsGlobal Health and Development, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Shelley LeesGlobal Health and Development, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0003-0062-7930
Saidi KapigaMwanza Intervention Trials Unit, National Institute for Medical Research Mwanza Research Centre, Mwanza, Tanzania.
London School of Hygiene & Tropical Medicine · GBMwanza Intervention Trials Unit · TZNational Institute for Medical Research · TZ

Funding

Medical Research Council MR/R010161/1
6 · The paper itself

Abstract

introductionViolence against women is a global public health concern; around a quarter of women will experience intimate partner physical or sexual violence during their lifetime. We assessed the impact of a gender transformative intervention for women designed to prevent intimate partner violence (IPV).

methodsWe conducted a cluster randomised controlled trial in Mwanza city, Tanzania, among women in newly formed neighbourhood groups to evaluate a 10-session participatory intervention that aims to empower women, prevent IPV and promote healthy relationships. Following a baseline interview, groups were randomly assigned (1:1 ratio) to the intervention or control arm. An intention-to-treat analysis was conducted to assess the impact of the intervention on the main outcomes, assessed 24 months postintervention. These included past-year physical IPV and sexual IPV (primary); past-year emotional abuse; and acceptability and tolerance of IPV.

resultsBetween September 2015 and February 2017, 1265 women were recruited in 66 neighbourhoods and randomly allocated to intervention (n=627 women in 33 neighbourhoods) or control (n=638 women in 33 neighbourhoods). Assessment of outcomes was completed for 551 (88%) intervention and 575 (90%) control women. Among intervention women, 113 (21%) reported physical IPV compared with 117 (20%) control women (adjusted OR (aOR) 0.98, 95% CI 0.72 to 1.33, p=0.892), and 109 (20%) intervention women reported sexual IPV compared with 121 (21%) control women (aOR 0.98, 95% CI 0.72 to 1.32, p=0.881). Intervention women reported less emotional abuse (aOR 0.74, 95% CI 0.56 to 0.98, p=0.035), and were less likely to express attitudes accepting of IPV (aOR 0.49, 95% CI 0.36 to 0.66, p<0.001), and beliefs that IPV is a private matter (aOR 0.54, 95% CI 0.38 to 0.78, p=0.001), or should be tolerated (aOR 0.48, 95% CI 0.34 to 0.66, p<0.001).

conclusionThese results indicate that the intervention was effective in reducing emotional abuse and positively impacting attitudes and beliefs condoning IPV, but was not sufficient to reduce physical or sexual IPV. TRIAL REGISTRATION NUMBER: NCT02592252.

Indexed as

Intimate Partner ViolenceFemaleHumansSexual PartnersTanzaniacluster randomized trialprevention strategiespublic health

Identifiers

PMID34301673
PMCPMC8311325
OpenAlexW3183536780

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.