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Title
A cluster randomized-controlled trial of a community mobilization intervention to change gender norms and reduce HIV risk in rural South Africa: study design and intervention. |
Full text
https://escholarship.org/uc/item/6c236325 |
Date
2015 |
Author(s)
Pettifor, Audrey; Lippman, Sheri A; Selin, Amanda M; Peacock, Dean; Gottert, Ann; Maman, Suzanne; Rebombo, Dumisani; Suchindran, Chirayath M; Twine, Rhian; Lancaster, Kathryn; Daniel, Tamu; Gómez-Olivé, F Xavier; Kahn, Kathleen; MacPhail, Catherine |
Abstract
BackgroundCommunity mobilization (CM) interventions show promise in changing gender norms and preventing HIV, but few have been based on a defined mobilization model or rigorously evaluated. The purpose of this paper is to describe the intervention design and implementation and present baseline findings of a Cluster Randomized Controlled Trial (RCT) of a two-year, theory-based CM intervention that aimed to change gender norms and reduce HIV risk in rural Mpumalanga province, South Africa.MethodsCommunity Mobilizers and volunteer Community Action Teams (CATs) implemented two-day workshops, a range of outreach activities, and leadership engagement meetings. All activities were mapped onto six theorized mobilization domains. The intervention is being evaluated by a randomized design in 22 communities (11 receive intervention). Cross-sectional, population-based surveys were conducted with approximately 1,200 adults ages 18-35 years at baseline and endline about two years later.ConclusionsThis is among the first community RCTs to evaluate a gender transformative intervention to change norms and HIV risk using a theory-based, defined mobilization model, which should increase the potential for impact on desired outcomes and be useful for future scale-up if proven effective.Trial registrationClinicalTrials.gov NCT02129530. |
Subject(s)
Humans; HIV Infections; Treatment Outcome; Cross-Sectional Studies; Gender Identity; Research Design; Community Networks; Adult; Rural Population; Community Health Services; South Africa; Female; Male; Mental Health; Clinical Research; Prevention; Clinical Trials and Supportive Activities; Pediatric; HIV/AIDS; Pediatric AIDS; 3.1 Primary prevention interventions to modify behaviours or promote wellbeing; Infection; Public Health and Health Services; Public Health |
Coverage
752 |
Publisher
eScholarship, University of California |
Type of publication
article |
Format
application/pdf |
Source
BMC public health, vol 15, iss 1 |
Rights
public |
Identifier
qt6c236325 |
Repository
Berkeley - University of California
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Added to C-A: 2022-07-18;10:20:01 |
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