Strengthening Women's Agency in Pregnancy (SWAP): Empowerment Counselling Intervention [ECI] for Pregnant Women and Girls Affected by Intimate Partner Violence in a Refugee Camp in Tanzania
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Intimate Partner Violence
- Sponsor
- International Rescue Committee
- Enrollment
- 150
- Primary Endpoint
- General Self-Efficacy Scale
- Last Updated
- 3 years ago
Overview
Brief Summary
This research aims to address the feasibility and acceptability of a brief empowerment counselling intervention (ECI) among pregnant women and girls receiving antenatal care (ANC) who have experienced intimate partner violence (IPV), in humanitarian healthcare settings.
Detailed Description
This research aims to address the feasibility and acceptability of a brief empowerment counseling intervention (ECI) among pregnant women and girls receiving antenatal care (ANC) who have experienced intimate partner violence (IPV), in humanitarian healthcare settings. This 3- year study will take place in two IRC-managed health posts in a refugee camp in Kigoma, Tanzania. The objectives of the study are to: 1) Adapt, as needed, for use in the context of ANC in a humanitarian setting, a brief ECI to address women's and girls' exposure to sexual and/or physical IPV during pregnancy, by improving their mental health, self-efficacy, safety, and coping strategies; 2) Test the ECI through a pilot randomized controlled trial, determining whether the intervention is feasible/acceptable and whether it improves women's self-efficacy, reduces mental distress and increases uptake of longer-term IPV services; 3) Test the feasibility of integrating such an intervention into pre-existing ANC service delivery in humanitarian settings and make recommendations for future intervention research and development, including effectively linking routine enquiry of IPV in ANC settings with support service use.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Women or girl aged 15 years or older:
- •Pregnant (any trimester);
- •Attending their 2nd or later ANC visit;
- •Have experienced physical and/or sexual and/or severe psychological IPV in the past 12 months;
- •Consent to participate.
Exclusion Criteria
- •At their first ANC visit or accompanied by their partner (or anyone else) at the ANC visit;
- •Under age 15;
- •Unable to provide informed consent/assent;
- •Suicidal or at risk of severe violence or of being murdered; and/or
- •In a high-risk situation or medically high risk.
Outcomes
Primary Outcomes
General Self-Efficacy Scale
Time Frame: 3 months endline survey, present recall period
Adapted measure of the GSE Scale. Possible score 10-40; higher indicating more self-efficacy.
Patient Health Questionnaire - 9
Time Frame: 3 months endline survey, past two week recall period
Depressive symptoms will be assessed via the PHQ-9 questionnaire. The range of scores is 0-27. A higher score indicates more symptoms.
Secondary Outcomes
- Intimate Partner violence-(Through study completion, average length three months;)
- Checklist of Safety Behaviors(Through study completion, average length three months;)
- Uptake of case management services(Through study completion, average length three months;)