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Registration

Field Before After
Trial Status on_going completed
Last Published June 26, 2018 02:57 PM October 02, 2024 02:25 PM
Study Withdrawn No
Intervention Completion Date September 01, 2016
Data Collection Complete Yes
Was attrition correlated with treatment status? No
Public Data URL https://microdata.worldbank.org/index.php/catalog/4773
Is there a restricted access data set available on request? No
Program Files No
Data Collection Completion Date December 31, 2017
Is data available for public use? Yes
Keyword(s) Health, Post Conflict Health, Post Conflict
Building on Existing Work No
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Other Primary Investigators

Field Before After
Affiliation The World Bank
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Papers

Field Before After
Paper Abstract Introduction The study objective was to understand the effectiveness of Engaging Men through Accountable Practice (EMAP), a group-based discussion series which sought to transform gender relations in communities, on intimate partner violence (IPV), gender inequitable attitudes and related outcomes. Methods A two-armed, matched-pair, cluster randomised controlled trial was conducted between 2016 and 2018 in eastern Democratic Republic of Congo. Adult men (n=1387) and their female partners (n=1220) participated in the study. The primary outcomes of the study were female report of past year physical and/ or sexual IPV and men’s intention to commit violence. Secondary outcomes included men’s gender attitudes, women’s economic and emotional IPV, women’s perception of negative male behaviours and perceived quality of the relationship. Results Men in EMAP reported significant reductions in intention to commit violence (β=−0.76; SE=0.23; p<0.01), decreased agreement with any reason that justifies wife beating (OR=0.59; SE=0.08; p<0.01) and increased agreement with the ability of a woman to refuse sex for all reasons (OR=1.47; SE=0.24; p<0.05), compared with men in the control group. We found no statistically significant differences in women’s experiences of IPV between treatment and control group at follow-up (physical or sexual IPV: adjusted OR=0.95; SE=0.14; p=0.71). However, female partners of men in EMAP reported significant improvements to the quality of relationship (β=0.28; p<0.05) and significant reductions in negative male behaviour (β=−0.32; p<0.01). Conclusion Interventions engaging men have the potential to change gender attitudes and behaviours in conflict-affected areas. However, while EMAP led to changes in gender attitudes and behaviours related to perpetration of IPV, the study showed no overall reduction of women’s experience of IPV. Further research is needed to understand how working with men may lead to longterm and meaningful changes in IPV and related gender equitable attitudes and behaviours in conflict areas.
Paper Citation Vaillant J, Koussoubé E, Roth D, et al. Engaging men to transform inequitable gender attitudes and prevent intimate partner violence: a cluster randomised controlled trial in North and South Kivu, Democratic Republic of Congo. BMJ Global Health 2020;5:e002223. doi:10.1136/ bmjgh-2019-002223
Paper URL http://dx.doi.org/10.1136/bmjgh-2019-002223
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Field Before After
Paper Abstract Introduction: The Engaging Men through Accountable Practice (EMAP) program is a series of facilitated group discussions for men in the Democratic Republic of the Congo that sought to reduce intimate-partner violence and transform gender relations. While a previous analysis found null impacts on women’s experience of past-year intimate-partner violence (IPV), these average results obscure important heterogeneity. The study objective is to analyze the effects of EMAP on subgroups of couples based on their initial levels of IPV. Methods: We use two rounds of data (baseline and endline) collected from adult men (n=1387) and their female partners (n=1220) as part of a two-armed, matched-pair, cluster randomized controlled trial conducted between 2016 and 2018 in eastern Democratic Republic of the Congo. Loss to follow up was low as 97% of male and 96% of female baseline respondents were retained at endline. We define subgroups of couples based on their baseline reports of physical and sexual IPV using two different methods: i) subgroups determined by binary indicators of violence at baseline, and ii) Latent Class Analysis (LCA). Results: We find that the EMAP program led to a statistically significant decrease both in the probability and severity of physical IPV among women who experienced high physical and moderate sexual violence at baseline. We also find a decrease in the severity of physical IPV (significant at the 10% level) among women who experienced both high physical and high sexual IPV at baseline. Findings indicate that the EMAP program was more effective at reducing IPV perpetration among men who were the most physically violent at baseline. Conclusion: These results suggest that men who perpetrate violence against their female partners with greater severity than average may be inspired to reduce their use of violence through participatory discussion with less violent men. In contexts of endemic violence, programs like EMAP can lead to a meaningful short-term reduction in harm to women, perhaps even without transforming prevailing norms about male superiority or the acceptability of IPV.
Paper Citation Gurbuz Cuneo A, Vaillant J, Koussoube ́ E, Pierotti RS, FalbK, Kabeya R(2023) Prevention, Cessation, or harm reduction: Heterogeneous effects of an intimate partner violence prevention program in eastern Democratic Republic of the Congo. PLoS ONE18(3): e0282339.
Paper URL https://doi.org/10.1371/journal.pone.0282339
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Fields Removed

Other Primary Investigators

Field Value
Affiliation The World Bank
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