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临床试验/NCT06554418
NCT06554418招募中不适用

What Works to Prevent Violence Against Women and Girls: Evaluation of the Communities Care Program in Somalia

Johns Hopkins University1 个研究点 分布在 1 个国家目标入组 3,500 人开始时间: 2024年8月20日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
入组人数
3,500
试验地点
1
主要终点
Cyber-Sexual Harassment survey score

研究概览

简要总结

The Communities Care (CC) program has demonstrated promise in changing harmful social norms associated with Gender-based violence (GBV) and increasing confidence in services for women and girls. Therefore, the study will adapt the existing CC program based on previous learnings with adults and expand programming to include adolescent boys and girls, creating the CC adult and CC adolescent program. The CC program intervention implementation will be led by Comitato Internazionale per lo Sviluppo dei Popoli (CISP) non-Governmental Organization (NGO) in partnership with Somalia Ministry of Education and local Women led Organizations (WLO), public schools and mapped GBV and child protection (CP) service providers in Banadir and Galmudug regions of Somalia.

Johns Hopkins will collaborate with local research colleagues to evaluate the CC adult and CC adolescent program. The study will use a hybrid type 2 effectiveness-implementation design guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Quantitative methods will be used to measure outcomes at baseline and endline (24 months post baseline) with adults and adolescents (10 and older) participants in the CC programs in intervention compared to control districts in the two regions (Banadir and Galmudug) in South Central Somalia. Quantitative methods will also be used to measure outcomes with adults and adolescents (10 years and older) community members (members that do not participate in the CC program) in intervention and control districts in the 2 regions at baseline, midline (12-months), endline (24-months) and maintenance (36 months). In addition, quantitative and qualitative methods at midline and endline will be used to measure the CC adult and CC adolescent intervention reach, adoption, implementation and maintenance in intervention districts in the two regions.

详细描述

What Works to Prevent Violence Against Women and Children (FCDO funded) has funded a collaboration between Johns Hopkins and Comitato Internazionale per lo Sviluppo dei Popoli (CISP) NGO in partnership with Somalia Ministry of Education and local researchers and Women led Organizations (WLO) to evaluate the Communities Care (CC) violence prevention intervention with both adults and adolescent in community and school-based settings in two regions of Somalia. The study will use a hybrid type 2 effectiveness-implementation design guided by the RE-AIM framework (e.g., reach, effectiveness, adoption, implementation and maintenance). Quantitative methods will be used to measure violence, health and social norms outcomes with adults (18 and older) and adolescents (10 and older) with participants in CC intervention districts and control districts in the two regions (Banadir and Galmudug) in South Central Somalia. Quantitative methods will also be used to measure outcomes with adults and adolescents (10 years and older) community members (members that do not participate in the CC program) in intervention and control districts in the 2 regions at baseline, midline (12-months), endline (24-months) and maintenance (36 months). In addition, quantitative and qualitative methods at midline and endline will be used to measure the CC adult and CC adolescent intervention reach, adoption, implementation and maintenance in intervention districts in the two regions.

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
10 Years 至 100 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age 10 years or older
  • Participant in CC adult or CC adolescent program in collaboration with 9 public schools in districts randomized to intervention or control in two regions of Somalia
  • Living/resident of target districts (including internally displaced persons (IDPs) and does not have plans to move/leave the district or surrounding area in the next 12 months (this is critical for the longitudinal data collection with CC program participants)

排除标准

  • Less than 10 years old
  • Not a participant in CC adult or CC adolescent
  • Not a resident of target districts-

研究组 & 干预措施

Communities Care

Experimental

Districts in two regions of Somalia randomized to Communities Care violence prevention program with adults and adolescents

干预措施: Communities Care (Behavioral)

Control

No Intervention

Districts in two regions of Somalia randomized to control - usual programming related to prevention of violence

结局指标

主要结局

Cyber-Sexual Harassment survey score

时间窗: 9 and 12 months

Adolescent report of experience of peer-to-peer or adult on-line and in-person harassment, Mean scale score ranges from 1 to 5 with higher scores being worse outcome

Harsh punishment in school as assessed by the Parent-Child Conflict Scale adapted for teachers

时间窗: 9 and 12 months

Adolescent report of witness or experience harsh punishment in school using the Parent-Child Conflict Tactics Scale adapted for teachers, Mean scale score 1-5, with higher score being worse outcome

Peer-to-peer physical and sexual violence in school and community survey score

时间窗: 9 and 12 months

Adolescent report of experience of peer to peer violence in schools, Mean scale score ranges from 1 to 5 with higher scores being worse outcome

Non-partner harassment as assessed by the National Somalia Survey

时间窗: 9 and 12 months

Adult report of non-partner harassment, mean scale score ranges from 1 to 5 with higher scores being worse outcome

Harsh Punishment in Household as assessed by the Parent-Child Conflict Scale

时间窗: 9 and 12 months

Adolescent report of witness and experience harsh punishment in household using Parent-Child Conflict Tactics Scale, mean scale score ranges from 1 to 5 with higher scores being worse outcome

IPV victimization and/or perpetration as assessed by Somalia National Survey

时间窗: 9 and 12 months

Adult report of experience and/or perpetration of IPV, mean scale score ranges from 1 to 5 with higher scores being worse outcome

Use of Harsh Punishment in Household as assessed by the Parent-Child Conflict Tactics Scale

时间窗: 9 and 12 months

Adult report of use of harsh punishment, mean scale score ranges from 1 to 5 with higher scores being worse outcome

Witnessing intimate partner violence (IPV) survey score

时间窗: 9 and 12 months

Adolescent report of witnessing IPV in the household, mean scale score ranges from 1 to 5 with higher scores being worse outcome

Non-partner physical and/or sexual violence victimization as assessed by the National Somalia Survey

时间窗: 9 and 12 months

Adult report of physical and/or sexual violence victimization by non-partner, mean scale score ranges from 1 to 5 with higher scores being worse outcome

次要结局

  • Sexual and reproductive health knowledge and empowerment score(9 and 12 months)
  • Personal Beliefs and Social Norms about Gender Based Violence as assessed by the Social Norms and Beliefs about Gender Based Violence Scale(9 and 12 months)
  • Confidence in service providers (adolescents and adults) score(9 and 12 months)
  • Gender equality survey score(9 and 12 months)
  • IPV acceptability survey score(9 and 12 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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