Clinical trial NCT03236948: RCT of the Effectiveness of the WfWI Intervention in Afghanistan
Official title: Individually Randomised Control Trial Evaluation of the Effectiveness of the Women for Women International (WfWI) Intervention in Afghanistan for Intimate Partner Violence Prevention Among Married Women
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE3
Conditions: Domestic Violence
Depressive Symptoms
Livelihoods
Lead sponsor: Medical Research Council, South Africa
Sponsor class: OTHER
Collaborators: name: Women for Women International (WfWI)
First posted: 2017-08-02
Enrollment: 1461
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Individual level randomised trial, with intervention and control group
Primary purpose: PREVENTION

Brief summary: This is an individually randomised control trial to assess the effectiveness of a livelihoods and social empowerment intervention, delivered by Women for Women International, on married women's experiences of intimate partner violence in Afghanistan. It has a 22 month follow up.


Eligibility criteria: Inclusion Criteria:

* Women should be in the lowest economic level (earning less than US$1.25/day)
* Unemployed
* No in education/school
* Not involved in a similar programme
* Able to provide informed consent

Exclusion Criteria:

* Not mentally incapacitated, so as unable to provide informed consent
* Already been part of the WfWI intervention previously

Primary outcomes:
measure: Any past year physical intimate partner violence experienced amongst currently married women
timeFrame: 22 months post baseline
measure: Past year severe physical intimate partner violence experience amongst currently married women
timeFrame: 22 months post baseline
measure: Depressive symptomology
timeFrame: 22 months post baseline
Secondary outcomes:
measure: Household food insecurity in past four weeks
timeFrame: 22 months post baseline
measure: Financial shock resilience
timeFrame: 22 months post baseline
measure: Monthly earnings
timeFrame: 22 months post baseline
measure: Total savings
timeFrame: 22 months post baseline
measure: Life satisfaction
timeFrame: 22 months post baseline
measure: Suicidal ideation in past 4 weeks
timeFrame: 22 months post baseline
measure: Gender attitudes
timeFrame: 22 months post baseline
measure: Married women's participation in household decision-making
timeFrame: 22 months post baseline
measure: Any emotional abuse in the past year amongst currently married women
timeFrame: 22 months post baseline
measure: Perceptions of husband cruelty amongst currently married women
timeFrame: 22 months post baseline
measure: Mother-in-law or abuse in the past 12 months amongst currently married women
timeFrame: 22 months post baseline
measure: Perceptions of mother-in-law cruelty amongst currently married women
timeFrame: 22 months post baseline
Other outcomes:
Locations:
Study officials:
affiliation: Director Gender and Health Research Unit
name: Rachel Jewkes, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gibbs A, Corboz J, Chirwa E, Mann C, Karim F, Shafiq M, Mecagni A, Maxwell-Jones C, Noble E, Jewkes R. The impacts of combined social and economic empowerment training on intimate partner violence, depression, gender norms and livelihoods among women: an individually randomised controlled trial and qualitative study in Afghanistan. BMJ Glob Health. 2020 Mar 16;5(3):e001946. doi: 10.1136/bmjgh-2019-001946. eCollection 2020.
citation: Gibbs A, Said N, Corboz J, Jewkes R. Factors associated with 'honour killing' in Afghanistan and the occupied Palestinian Territories: Two cross-sectional studies. PLoS One. 2019 Aug 8;14(8):e0219125. doi: 10.1371/journal.pone.0219125. eCollection 2019.
citation: Gibbs A, Corboz J, Jewkes R. Factors associated with recent intimate partner violence experience amongst currently married women in Afghanistan and health impacts of IPV: a cross sectional study. BMC Public Health. 2018 May 3;18(1):593. doi: 10.1186/s12889-018-5507-5.
citation: Gibbs A, Corboz J, Shafiq M, Marofi F, Mecagni A, Mann C, Karim F, Chirwa E, Maxwell-Jones C, Jewkes R. An individually randomized controlled trial to determine the effectiveness of the Women for Women International Programme in reducing intimate partner violence and strengthening livelihoods amongst women in Afghanistan: trial design, methods and baseline findings. BMC Public Health. 2018 Jan 22;18(1):164. doi: 10.1186/s12889-018-5029-1.