Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: a cluster randomised trial

  title={Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: a cluster randomised trial},
  author={Paul M Pronyk and James R. Hargreaves and Julia C. Kim and Linda A. Morison and Godfrey Phetla and Charlotte Watts and Joanna Busza and John DH Porter},
  journal={The Lancet},

Integrated Gender-Based Violence and HIV Risk Reduction Intervention for South African Men: Results of a Quasi-Experimental Field Trial

Results indicated that the GBV/HIV intervention reduced negative attitudes toward women in the short term and reduced violence againstWomen in the longer term.

Effective prevention of intimate partner violence through couples training: a randomised controlled trial of Indashyikirwa in Rwanda

The Indashyikirwa couples’ training curriculum was highly effective in reducing IPV among male/female couples in rural Rwanda and scale-up and adaptation to similar settings should be considered.

A cluster randomised controlled trial to evaluate the impact of a gender transformative intervention on intimate partner violence against women in newly formed neighbourhood groups in Tanzania

It is indicated that the intervention was effective in reducing emotional abuse and positively impacting attitudes and beliefs condoning IPV, but was not sufficient to reduce physical or sexual IPV.

Kampala, Uganda

The SASA! study assessed the community-level impact of SASA!, a community mobilization intervention to prevent violence and reduce HIV-risk behaviors in Kampala, Uganda, and found that women experiencing violence in intervention communities were more likely to receive supportive community responses.

Community-level spillover effects of an intervention to prevent intimate partner violence and HIV transmission in rural Ethiopia

A gender-transformative intervention delivered to men was effective in reducing reported IPV even among indirect beneficiaries, suggesting that the programme had positive spillover effects in diffusing information and changing behaviours within the broader community.

The Stepping Stones and Creating Futures intervention to prevent intimate partner violence and HIV-risk behaviours in Durban, South Africa: study protocol for a cluster randomized control trial, and baseline characteristics

This is one of the first large trials to prevent IPV and HIV-vulnerability amongst young women and men in urban informal settlements and has the ability to develop a stronger understanding of what works to prevent violence against women and the processes of change in interventions.

The Impact of an Intervention to Prevent Intimate Partner Violence Against Women in Tanzania: Findings from the Maisha Cluster Randomised Controlled Trial

Over a two-year period, physical IPV was reduced by nearly a third, indicating that IPV is preventable in high-risk settings such as Tanzania.

Together to end violence against women in Tanzania: Results of a pilot cluster randomized controlled trial to evaluate preliminary effectiveness of interpersonal and community level interventions to address intimate partner violence

Findings suggest a fully powered RCT may detect significant reductions in men’s justification and use of IPV, paving the way for evidence-based violence prevention programming.



Structural barriers and facilitators in HIV prevention: a review of international research

An overview of a growing body of international research focusing on the structural and environmental factors that shape the spread of the HIV/AIDS epidemic, and create barriers and facilitators in relation to HIV-prevention programs is provided.

Nelson Mandela / HSRC study of HIV/AIDS. South African national HIV prevalence behavioural risks and mass media. Household survey 2002.

The pioneering study presented in this report – the first systematically sampled nationwide community-based survey of the prevalence of HIV in South Africa – assumes great importance because its findings open three windows of opportunity for concerted interventions inSouth Africa.

WHO Multi-country Study on Women's Health and Domestic Violence against Women: Initial Results on Prevalence, Health Outcomes and Women's Responses

This report of the WHO Multi-country Study on Womens Health and Domestic Violence against Women analyses data collected from over 24 000 women in 10 countries representing diverse cultural

Microfinance and HIV prevention - Emerging lessons from rural South Africa

Do the gains in confidence and economic well being that can come from participation in a microfinance programme reduce clients' vulnerability to HIV infection? Until now practical experience and an

Effectiveness of HIV prevention interventions in developing countries.

It is found that behavioral change interventions are effective when targeted to populations at high risk, particularly female sex workers and their clients, and that HIV prevention interventions can be effective in changing risk behaviors and preventing transmission in low and middle-income countries.

Multiple levels of analysis and intervention in HIV prevention science: exemplars and directions for new research.

E ecological theory is used to outline multiple levels of analysis at which preventive interventions can be conceptualized, which include the individual, dyadic/small group, organizational, community, and societal/cultural.