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Completed

NCT Number: NCT02311699

Using Cultural Ceremonies to Reduce Intimate Partner Violence and HIV Transmission

Violence against women (VAW), the most extreme manifestation of the unequal power balance between women and men, is a major global public health concern. One of the most common forms of VAW is that perpetrated by a husband or other intimate partner. In Ethiopia, 70.9% of women reported having experienced physical and/or sexual intimate partner violence (IPV) in their lifetime, demonstrating the pervasiveness of the problem. A growing body of evidence has also linked IPV and HIV risk.

This study is a cluster randomized controlled trial assessing the impact of a community-based intervention focused on Intimate Partner Violence and HIV delivered in the context of the Ethiopian coffee ceremony, a culturally established forum for community discussion and conflict resolution. Villages will be randomly assigned to one of 4 study arms (3 intervention and one control arm): 1) Women only participate in the intervention, 2) Men only participate, 3) Both men and women (couples) participate, 4) Women and men receive the control intervention comprising a short informational session on violence reduction.

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Key information

Conditions

HIV Acquired Immunodeficiency Syndrome Behavior Blood-Borne Infections Coitus Communicable Diseases Genital Diseases HIV Infections Immune System Diseases Immunologic Deficiency Syndromes Infections Lentivirus Infections RNA Virus Infections Retroviridae Infections Sexual Behavior Sexually Transmitted Diseases Sexually Transmitted Diseases, Viral Slow Virus Diseases Urogenital Diseases Virus Diseases

Age range

18 year–49 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ethiopian Public Health Association

Addis Ababa, Ethiopia

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • currently married or cohabitating with partner
  • residing in selected village for at least 6 months

Exclusion criteria

  • eligible women who do not consent

Treatment and study plan

Intervention to reduce IPV and HIV

Behavioral

The Ethiopian traditional coffee ceremony will be used as an entry point for a community based intervention to provide information, change behaviour around IPV and improve gender equity and intra-couple relations. The coffee ceremony is a culturally established forum for community discussion and conflict resolution and an integral part of Ethiopian life. The intervention will involve regular coffee ceremonies, during which approximately 20 members of the community will participate in education and discussions centred on gender issues, sexuality, communication and conflict resolution, HIV/AIDS and its link with violence, as well as HIV/AIDS prevention. Each coffee ceremony will be moderated by a female or male facilitator trained in participatory learning, moderation, HIV/AIDS prevention, counselling, and gender issues. The intervention will involve 14 two-hour session per group of participants.

Primary outcomes

  1. Experience of physical violence by an intimate partner in the previous 12 months (among married or co-habitating women)

    Time frame: 12 months

  2. Experience of sexual violence by an intimate partner in the previous 12 months (among married or co-habitating women)

    Time frame: 12 months

Secondary outcomes

  1. Perpetration of physical violence towards an intimate partner in previous 12 months (among married or co-habitating men)

    Time frame: 12 months

  2. Perpetration of sexual violence towards an intimate partner in previous 12 months (among married or co-habitating men)

    Time frame: 12 months

  3. Proportion with comprehensive HIV/AIDS knowledge (among married or co-habitating men or women)

    Time frame: 18 months

  4. Proportion using a condom at last high risk sexual intercourse (among married or co-habitating men or women)

    Time frame: 18 months

Sponsors and collaborators

Lead sponsor

Abdul Latif Jameel Poverty Action Lab

Other

Collaborators

  • Addis Ababa University
  • EngenderHealth
  • Ethiopian Public Health Association

Registry information

Important dates

Study start
2014
Primary completion
2018
Study completion
2018
First posted
Dec 8, 2014
Registry last updated
Jan 15, 2019

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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