Impacts of Clean Cookstoves/Efficient Fuels Uptake and Empowerment Trainings on Women's Health and Well Being in Humanitarian Settings in Rwanda
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,555
- 试验地点
- 2
- 主要终点
- Number of participants reporting increased economic and social empowerment
研究概览
简要总结
The main objective of this study is to understand the links and outcomes of adoption of a cleaner cookstove/fuel and exposure to a personal empowerment training on women's health outcomes in a Congolese refugee camp in Rwanda, with a focus on gender-based violence (GBV).
详细描述
This randomized controlled trial examines the impacts of a phased-in integrated technology -behavior change intervention on women's health with a focus on gender-based violence. In a population of approximately 1500 Congolese households in Kigeme refugee camp in Rwanda, two interventions are randomly deployed in the camp. The first intervention is the Inyenyeri cookstove/pellet fuel system, a Tier 4 clean cookstove system; the second intervention is a behavior change intervention (referred to as I-ACT, Individual-Agency-Centered Training) designed to foster personal agency and empowerment, given to women and, if applicable, their male partner. Analyses will be done with interviews on 1500 women (ages 18-45) from these households that may have received one, both or none of the interventions, either as the full sample or the sub-sample of partnered-only women.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Study participants are between the ages of 18 years - 45 years of age
- •Reported as currently living in a refugee camp with no intention to relocate
- •Has lived in any refugee camp for at least 1 year and can be interviewed in private
- •Has the ability to give informed consent
排除标准
- •Inability to provide informed consent
- •Individuals having evidence of significant illness and/or are not able to engage fully in the surveys
- •Women younger than 18 or over 45 years of age
- •Those who have not lived continuously in a refugee camp setting for the past 12 months
- •If two or more women live in a household, only one of these will be included in the study. The one responsible for fuel purchase/collection will be selected. If more than one woman is responsible for fuel collection, we will randomly choose one woman to participate in the study.
结局指标
主要结局
Number of participants reporting increased economic and social empowerment
时间窗: 6 months
Change in rates of reported uptake of economic activities (such as small businesses or savings) as well as participation in social groups and local training programs
Number of participants reporting increased self-efficacy
时间窗: 6 months
Changes in self-efficacy (as assessed by the New General Self-Efficacy Scale) as a result of the empowerment intervention.
Number of participants reporting anxiety and depression
时间窗: 6 months
Changes in the number of participants reporting anxiety and depression as determined by the Hopkins Symptom Checklist (HSCL) as a result of the empowerment intervention.
Number of participants reporting reduced food insecurity
时间窗: 6 months
Change in reported incidence and severity of food insecurity as determined through a culturally adapted modification of the food insecurity experience scale (FIES) associated with food-related distress during the past month
Rates of gender-based violence
时间窗: 6 months
Change in gender-based violence (GBV) over time as assessed through an adapted ASIST-GBV screening tool to identify physical violence, sexual violence, harassment, emotional violence and reproductive coercion between non-partners and intimate partners in humanitarian settings.
Number of participants reporting increased social agency
时间窗: 6 months
Changes in social agency (as assessed by Ryff's psychological well-being scales) as a result of the empowerment intervention.
Number of households reporting uptake and consistent use of clean cooking system and fuel
时间窗: 6 months
Change in uptake and use of the clean cooking system as measured through pellet purchase and reported pellet use behavior
Number of participants reporting minor psychiatric disorders
时间窗: 6 months
Changes in the number of participants reporting minor psychiatric disorders as determined by the General Health Questionnaire (GHQ-12) as a result of the empowerment intervention.
Number of participants reporting emotional symptoms of trauma
时间窗: 6 months
Changes in the number of participants reporting emotional symptoms of trauma as determined by the Harvard Trauma Questionnaire (HTQ) as a result of the empowerment intervention.
Number of participants reporting increased grit
时间窗: 6 months
Changes in grit (Grit scale (Duckworth, et al)) as a result of the empowerment intervention.
次要结局
- Number of participants reporting increased quality and quantity of social networks(6 months)