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Completed

NCT Number: NCT05598697

Economic Evaluation of the MEWE Intervention

Cash transfers have shown promise in preventing intimate partner violence, and in reducing recipients' stress levels. Cash transfers with behavioral or psychological interventions have shown limited effectiveness at reducing stress in some African countries. Little is known of the cost-effectiveness of interventions delivered alongside cash transfer programs. The MEWE economic evaluation sub-study (MEWE-EE) runs alongside MEWE, a three-arm cluster-randomized controlled trial in Sindh, Pakistan. MEWE-EE will assess the costs and cost-effectiveness of delivering a cash-transfer program (BISP-CT) combined with a life-skills building curriculum (LSB curriculum), compared to the BISP-CT alone. The LSB curriculum is offered to either women who receive BISP-CT, or to women who receive BISP-CT and their husbands.

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Key information

Conditions

Depression Aberrant Motor Behavior in Dementia Aggression Battered Women Behavior Behavioral Symptoms Coitus Domestic Violence Gender-Based Violence Intimate Partner Violence Mental Health Issue Rape Sexual Assault Sexual Behavior Social Behavior

Age range

15 year–49 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Mirpur Sakro

Thatta, Sindh, Pakistan

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • In receipt of Benazir Income Support Program (BISP) cash transfers (CTs)
  • Parity: have at least one child, at least 18 months old

Exclusion criteria

  • Plan for the family to migrate out of the village within the next 2 years

Treatment and study plan

Life Skills Building (LSB) curriculum for males

Behavioral

The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions.

All male study participants attending LSB curriculum classes are married to BISP-CT clients.

For men, the MEWE intervention provides access to the LSB curriculum only.

Other names: MEWE males

Life Skills Building (LSB) curriculum for females

Behavioral

The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions.

All female study participants attending LSB curriculum classes are BISP-CT clients.

For females, the MEWE intervention comprises access to LSB curriculum + BISP CTs.

Other names: MEWE females

Cash transfer to adult females

Other

The BISP intervention offers access to quarterly unconditional cash transfers to adult females.

Other names: BISP-CT

Primary outcomes

  1. Incremental cost incurred per disability adjusted life year (DALY) averted: provider perspective

    Time frame: 12 months post randomisation

    Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a provider perspective at 12 months from baseline. DALYs and costs will also be modelled up to a ten-year horizon using a Markov model.

  2. Incremental cost incurred per disability adjusted life year (DALY) averted: societal perspective

    Time frame: 12 months post randomisation

    Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a societal perspective at 12 months from baseline. DALYs and costs will also be modelled up to a ten-year horizon using a Markov model.

Secondary outcomes

  1. Mean cost of intervention delivery

    Time frame: 12 months post randomisation

    Cost of intervention delivery for different intervention models per patient, by category, annuitised

  2. Mean cost of LSB session

    Time frame: 12 months post randomisation

    Average cost of LSB session delivery for different intervention models, annuitised

  3. Total incremental cost of the intervention in a research setting

    Time frame: 12 months post randomisation

    Total additional cost of the intervention compared to the BISP-CT only for the study population and by intervention type during the research period.

  4. Total incremental cost of the intervention in the modelling cohort

    Time frame: 12 months post randomisation

    Total additional cost of the intervention for the modelling cohort by intervention type over a ten-year period.

  5. Incremental cost incurred per disability adjusted life year (DALY) averted at scale: provider perspective

    Time frame: 12 months post randomisation

    Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a provider perspective at scale.

  6. Incremental cost incurred per disability adjusted life year (DALY) averted at scale: societal perspective

    Time frame: 12 months post randomisation

    Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a societal perspective at scale.

Sponsors and collaborators

Lead sponsor

London School of Economics and Political Science

Other

Collaborators

  • Aga Khan University
  • Bill and Melinda Gates Foundation

Registry information

Official study title

Economic Evaluation of the Men Engagement in Women Empowerment (MEWE) Intervention (MEWE-EE)

Acronym: MEWE-EE

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Oct 28, 2022
Registry last updated
Dec 7, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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