Process evaluation of a community mobilization intervention for preventing men’s partner violence use in peri-urban South Africa

Hatcher, Abigail M.; McBride, Ruari‐Santiago; Rebombo, Dumisani; Munshi, Shehnaz; Khumalo, Mzwakhe; Christofides, Nicola

doi:10.1016/j.evalprogplan.2019.101727

Cited by 17 publications

(18 citation statements)

References 37 publications

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“…Based on rapid household counts in each cluster, we estimated that the proportion of men in each of the nine intervention neighbourhoods reached at least once through an intervention activity was in the range of 30%-70%. The proportion reached by the more intensive 2-day workshops was lower, in the range of 6%-33% [21]. Table 1 shows the participants' characteristics at baseline.…”

Section: Resultsmentioning

confidence: 99%

“…Although many of the community outreach activities took place as planned, there were shortcomings, particularly in mobilising the community as was observed through the limited number of CATs active in any month (n = 18) and the very limited roll out of the advocacy campaign [34]. Our monitoring and evaluation data show that the target of reaching 60% of eligible men in each of the intervention clusters was achieved in some clusters but it is unclear whether the 40% target of reaching the same men more than once was met.…”

Section: Discussionmentioning

confidence: 99%

“…A smaller proportion of men were reached through the more intensive 2-day workshops which used participatory learning approaches to explore and reflect upon gender-inequitable attitudes. There were a series of six workshops addressing different topics and few men attended multiple 2-day workshops, progressing through the full 72 h CHANGE workshop curriculum [34]. Many contextual factors contributed to the limited attendance of the full workshops series and also prevented men from attending for the full 2 days, such as seeking employment.…”

Section: Discussionmentioning

confidence: 99%

“…A process evaluation employing ethnographic methods was carried out alongside the trial over the period of the implementation of the Sonke CHANGE intervention between 2016 and 2018 [21]. The methods included participant observation and in-depth interviews with managers, intervention staff, CATs and participants.…”

Section: Trial Designmentioning

confidence: 99%

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Effectiveness of a multi-level intervention to reduce men’s perpetration of intimate partner violence: a cluster randomised controlled trial

Christofides

Hatcher

Rebombo

et al. 2020

Trials

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Background: Men's perpetration of intimate partner violence (IPV) limits gains in health and wellbeing for populations globally. Largely informal, rapidly expanding peri-urban settlements, with limited basic services such as electricity, have high prevalence rates of IPV. Evidence on how to reduce men's perpetration, change social norms and patriarchal attitudes within these settings is limited. Our cluster randomised controlled trial aimed to determine the effectiveness of the Sonke CHANGE intervention in reducing use of sexual and/or physical IPV and severity of perpetration by men aged 18-40 years over 2 years. Methodology: The theory-based intervention delivered activities to bolster community action, including door-to-door discussions, workshops, drawing on the CHANGE curriculum, and deploying community action teams over 18 months. In 2016 and 2018, we collected data from a cohort of men, recruited from 18 clusters; nine were randomised to receive the intervention, while the nine control clusters received no intervention. A self-administered questionnaire, using audio-computer assisted software, asked about sociodemographics, gender attitudes, mental health, and the use and severity of IPV. We conducted an intention-to-treat analysis at the cluster level comparing the expected risk to observed risk of using IPV while controlling for baseline characteristics. A secondary analysis used latent classes (LCA) of men to see whether there were differential effects of the intervention for subgroups of men.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Trial Designmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of a multi-level intervention to reduce men’s perpetration of intimate partner violence: a cluster randomised controlled trial

Christofides

Hatcher

Rebombo

et al. 2020

Trials

Self Cite

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“…This highlights a tension inherent in implementing school-based violence-prevention interventions: because of the ongoing violence that can permeate schools, it may not be possible to implement school-based interventions in truly violence-free spaces. This raises questions about how interventions seeking to prevent IPV or other forms of violence can reduce the potential for harm and help avert normalized forms of interpersonal violence—a concern also noted in a study of an IPV prevention programme in South Africa ( Hatcher et al , 2020 ). As good practice, training in classroom management and conflict resolution should equip facilitators to address bullying, aggressive behaviour and other forms of harmful group dynamics.…”

Section: Discussionmentioning

confidence: 99%

Applying a complex adaptive systems approach to the evaluation of a school-based intervention for intimate partner violence prevention in Mexico

Makleff

Billowitz²,

Garduño

et al. 2020

Health Policy and Planning

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Despite calls for evaluation practice to take a complex systems approach, there are few examples of how to incorporate complexity into real-life evaluations. This article presents the case for using a complex systems approach to evaluate a school-based intimate partner violence-prevention intervention. We conducted a post hoc analysis of qualitative evaluation data to examine the intervention as a potential system disruptor. We analysed data in relation to complexity concepts particularly relevant to schools: ‘diverse and dynamic agents’, ‘interaction’, ‘unpredictability’, ‘emergence’ and ‘context dependency’. The data—two focus groups with facilitators and 33 repeat interviews with 14–17-year-old students—came from an evaluation of a comprehensive sexuality education intervention in Mexico City, which serves as a case study for this analysis. The findings demonstrate an application of complex adaptive systems concepts to qualitative evaluation data. We provide examples of how this approach can shed light on the ways in which interpersonal interactions, group dynamics, the core messages of the course and context influenced the implementation and outcomes of this intervention. This gender-transformative intervention appeared to disrupt pervasive gender norms and reshape beliefs about how to engage in relationships. An intervention comprises multiple dynamic and interacting elements, all of which are unlikely to be consistent across implementation settings. Applying complexity concepts to our analysis added value by helping reframe implementation-related data to focus on how the ‘social’ aspects of complexity influenced the intervention. Without examining both individual and group processes, evaluations may miss key insights about how the intervention generates change, for whom, and how it interacts with its context. A social complex adaptive systems approach is well-suited to the evaluation of gender-transformative interventions and can help identify how such interventions disrupt the complex social systems in which they are implemented to address intractable societal problems.

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Domestic Abuse and Intimate Partner Violence: A Review of Police-Led and Multi-agency Interventions

McGuire

Evans

Kane

2021

Evidence-Based Policing and Community Crime Prevention

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Process evaluation of a community mobilization intervention for preventing men’s partner violence use in peri-urban South Africa

Cited by 17 publications

References 37 publications

Effectiveness of a multi-level intervention to reduce men’s perpetration of intimate partner violence: a cluster randomised controlled trial

Effectiveness of a multi-level intervention to reduce men’s perpetration of intimate partner violence: a cluster randomised controlled trial

Applying a complex adaptive systems approach to the evaluation of a school-based intervention for intimate partner violence prevention in Mexico

Domestic Abuse and Intimate Partner Violence: A Review of Police-Led and Multi-agency Interventions

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