Bandebereho 6 Year Follow up RCT in Rwanda
- Conditions
- ContraceptionPartner CommunicationViolenceChild DevelopmentGender RelationsPrenatal Care
- Interventions
- Behavioral: MenCare+/Bandebereho fathers'/couples' group education
- Registration Number
- NCT04861870
- Lead Sponsor
- Promundo, United States
- Brief Summary
This study seeks to conduct a six-year follow-up of the Bandebereho randomized control trial (RCT) to assess the longer-term impact of the gender-transformative Bandebereho couples intervention on participating men, women, and their children. The Bandebereho program was implemented by the Rwanda Men's Resource Centre (RWAMREC) and Promundo-US, in collaboration with the Rwanda Ministry of Health and local authorities between 2013 and 2015. A two-arm RCT collected three rounds of data from 1,199 couples (575 treatment; 624 control) starting in 2015-16: baseline (pre-intervention), 9 month follow-up, and 21-month follow-up. The findings at 21-months demonstrated significant impacts of the intervention on multiple gender and health-related outcomes. This study will conduct surveys with men enrolled in the RCT and their female partners 6 years after the intervention, to assess its long-term impact on reproductive and maternal health, gender attitudes and household dynamics, intimate partner violence, mental health and wellbeing, parenting, and child development. In addition, child assessments will be conducted with a sub-sample of 800 children aged 4 to 7 years to directly assess early childhood development outcomes.
- Detailed Description
This study seeks to conduct a six-year follow-up of the Bandebereho randomized controlled trial (RCT) to assess the longer-term impact of the gender-transformative Bandebereho couples intervention on participating men, women, and their children. The Bandebereho program being assessed was first implemented by the Rwanda Men's Resource Center (RWAMREC) and Promundo-US, in collaboration with the Rwanda Ministry of Health and local authorities in Karongi, Musanze, Nyaruguru and Nyaruguru districts between 2013 and 2015. A two-arm RCT was conducted with 1,199 couples (575 treatment; 624 control) in 2015-16. Three rounds of data were collected: baseline (pre-intervention), 9 month follow-up (4 months post-intervention), and 21-month follow-up (16 months post-intervention). The findings at 21-months demonstrated significant impacts of the intervention on multiple gender and health-related outcomes. The proposed study will conduct surveys with men enrolled in the RCT and their female partners, to assess the longer-term impact of the intervention on reproductive and maternal health, gender attitudes and household dynamics, intimate partner violence, mental health and wellbeing, parenting, and child development. In addition, child assessments will be conducted with a sub-sample of 800 children aged 4 to 7 years to directly assess early childhood development outcomes.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 2818
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention MenCare+/Bandebereho fathers'/couples' group education See intervention description
- Primary Outcome Measures
Name Time Method Women's experiences of intimate partner violence (physical & sexual) Experience of violence in past 12 months, measured 6 years post intervention A composite capturing self-reported exposure to a standard set of violent acts by a partner in past 12 months, adapted from World Health Organisation's multi-country study on violence against women.
Use of violence/harsh punishment against children 6 years post intervention A composite capturing respondents' self reported use of various harsh discipline acts in the past month, adapted from the UNICEF Multiple Indicator Cluster Surveys (MICS) study.
Child behavior assessment 6 years post intervention Parent-reported scores on Strengths and Difficulties Questionnaire (SDQ)
Observation-based child development measure 6 years post intervention Observation-based scores on the International Development and Early Learning Assessment (IDELA) for children ages 4-7
- Secondary Outcome Measures
Name Time Method Family planning 6 years post intervention Self reported responses on current use of family planning methods, using Demographic and Health Survey (DHS) measure.
Parenting behaviors with children 6 years post intervention Composite variable capturing behaviors with children in the past week (e.g. reading stories, playing, etc.) adapted from IDELA HOME and select items related to parenting behaviors adapted from the Parenting and Family Adjustment Scales (PAFAS).
Antenatal care (ANC) accompaniment 6 years post intervention Self reported responses on men's frequency of accompaniment to ANC visits during most recent pregnancy, adapted from International Men and Gender Equality Survey.
Time spent/gender division of caregiving/domestic tasks and paid work 6 years post intervention a) A composite measure of self-reported time spent on specific tasks in the past week; and b) self-reported distribution of tasks between partners.
Parenting behaviors and adjustment 6 years post intervention Select items related to parenting behaviors and feelings adapted from the Parenting and Family Adjustment Scales (PAFAS).
Antenatal care (ANC) service utilization 6 years post intervention Self reported responses on women's frequency of ANC visits during most recent pregnancy, using DHS measure (women only).
Trial Locations
- Locations (1)
Rwanda Men's Resource Centre
🇷🇼Kigali, Rwanda