Impact Assessment of the Rural Response System to Reduce Violence Against Women in Ghana
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 3,280
- 试验地点
- 1
- 主要终点
- Past year incidence of intimate partner violence
研究概览
简要总结
AIM: To assess the community level impact of the Gender Centre's Rural Response System (RRS) in reducing violence against women (VAW) in Ghana.
METHODS:
Design: An unmatched cluster randomised controlled trial with two arms i) Intervention arm- Receive Gender Centre's RRS /COMBAT package for communities as well as state agencies. Control arm - No intervention. Qualitative component Setting: Rural and urban communities in the Central Region of Ghana. i). Rural and urban communities in four (4) Districts located in the Central Region of Ghana. Two districts are along the Coast (Abura and Komenda) while the other two (Agona and Upper Denkyira) are inland districts.
ii). State Agencies (DOVVSU/Police, CHRAJ, Social Welfare, and Health Services).
Interventions: Carried out in two Districts - Agona district and Komenda district. Workings of the intervention arm will be facilitated by the Gender Studies and Human Rights Documentation Centre in Ghana.
Sample size: A total of 3280 adults (1640 women and 1640 men) from 20 clusters per trial arm (approximately 82 households per cluster) will be recruited at baseline and again at post-intervention survey. Sampling format will be a community survey with independent samples design (i.e. in each community, the people surveyed at baseline may not necessarily be the same people who are surveyed at post intervention. Clusters refer to the selected localities and their participating communities in each district.
Evaluation design: Pre-test all study participants with a standardized instrument then introduce the independent variable (intervention) to the experimental group while withholding it from the control group. After 24 months of intervention, post-test both groups with the same instrument and under the same conditions as the pretest (baseline). Compare the amount of change in dependent variable for both experimental and control groups.
Data analysis: The data will be analysed by intention to treat. The past 12 months prevalence of IPV will be compared between arms in the study.
详细描述
The Rural Response System (RRS) was a strategy developed by the Gender Centre over a decade ago to deal with the major problems related to VAW including poor institutional response to VAW; high degree of tolerance of VAW in the Ghanaian society which is perpetuated by strong perceptions that domestic violence is a private matter; the general confusion about what constitutes violence and ignorance about the causes, consequences and mechanisms that perpetuate VAW [1]. It is generally acknowledged that to enable victims to take advantage of laws and policies for their protection, there is the need to have structures in place that support and enable them assert their rights. The RRS model uses multiple strategies (such as training, sensitization and awareness-raising, support services, networking and coalition building, advocacy) targeting multiple stakeholders including women, men, religious and traditional leaders, policy makers, state agencies etc. to ensure that women are empowered to become their own agents of change, with communities that support and uphold women's rights and a state where gender sensitive laws and policies are implemented.
The Rural Response System uses the strategy of trained community members known as Community-based action team, COMBAT to undertake awareness-raising on gender-based violence as well as providing support to victims of violence to access justice. The RRS is stressed as a community initiative facilitated by GC to ensure community ownership. The selection of the COMBAT, the criteria for their selection and their roles are done by the community members with the GC serving only as a facilitator in this process. Teams usually work as a group when undertaking community sensitization and awareness-raising but could also work individually as they are encouraged to use every opportunity, such as community festivals and meetings, membership meetings of social associations, religious groupings, meetings of family and friends to carry out this role. The sensitization will be an ongoing process and not a one-off activity.
Goal and Objectives: Our project goal is to reduce the prevalence of VAW and promote and protect the rights of women and girls. We will do this by increasing the visibility of VAW as a social issue, improving the public's knowledge and understanding of the negative impact of VAW on the status of women and girls; establish a community based response system for the support and protection of women and provide counselling services as well as work with state agencies to ensure effective response to victims; whilst sharing best practice and key lessons learnt with other stakeholders.
With regard to the RRS model/COMBAT, the specific objectives of the impact assessment will be as follows: To assess the impact of the RRS model/COMBAT in reducing VAW; To determine whether RRS model/COMBAT interventions are effective in enabling women in to reduce their exposure to intimate partner violence (IPV) and men to reduce their perpetration of IPV; To assess if the RRS model changes discriminatory social norms and gender roles which consider VAW acceptable; To assess the extent to which RRS has changed individual attitudes about gender inequality To assess state institutional response to reported cases of VAW ;To assess whether the RRS model facilitated a shift in power relations between men and women in the household/community to become more equitable.
Study Setting: This study will be carried out in 4 Districts located in the Central Region of Ghana. Two districts are along the Coast (Abura and Komenda) while the other two (Agona and Upper Denkyira) are inland districts.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 49 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adult women (ages 18 to 49 years) and adult men (≥ 18 years) in the Central Region of Ghana
- •Usually live (sleep and eat) in the household, have lived in the community for at least a year
排除标准
- •Not able to provide informed consent
研究组 & 干预措施
i) Intervention arm- Receive Gender Centre's RRS package
干预措施: Rural response system (RRS) intervention to reduce violence against women (Behavioral)
No intervention
结局指标
主要结局
Past year incidence of intimate partner violence
时间窗: 1 year
The primary outcome indicator for this impact assessment is past year incidence of IPV (perpetration of physical and/or sexual IPV for men and experience for women).
次要结局
- Institutional assessment of violence against women cases(3 years)
