Skip to main content
Top
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Study protocol

Creating opportunities through mentorship, parental involvement, and safe spaces (COMPASS) program: multi-country study protocol to protect girls from violence in humanitarian settings

Authors: Kathryn L. Falb, Sophie Tanner, Leora Ward, Dorcas Erksine, Eva Noble, Asham Assazenew, Theresita Bakomere, Elizabeth Graybill, Carmen Lowry, Pamela Mallinga, Amy Neiman, Catherine Poulton, Katie Robinette, Marni Sommer, Lindsay Stark

Published in: BMC Public Health | Issue 1/2016

Login to get access

Abstract

Background

Violence against adolescent girls in humanitarian settings is of urgent concern given their additional vulnerabilities to violence and unique health and well-being needs that have largely been overlooked by the humanitarian community. In order to understand what works to prevent violence against adolescent girls, a multi-component curriculum-based safe spaces program (Creating Opportunities through Mentorship, Parental involvement and Safe Spaces – COMPASS) will be implemented and evaluated. The objectives of this multi-country study are to understand the feasibility, acceptability and effectiveness of COMPASS programming to prevent violence against adolescent girls in diverse humanitarian settings.

Methods/design

Two wait-listed cluster-randomized controlled trials are being implemented in conflict-affected communities in eastern Democratic Republic of Congo (N = 886 girls aged 10–14 years) and in refugee camps in western Ethiopia (N = 919 girls aged 13–19 years). The intervention consists of structured facilitated sessions delivered in safe spaces by young female mentors, caregiver discussion groups, capacity-building activities with service providers, and community engagement. In Ethiopia, the research centers on the overall impact of COMPASS compared to a wait-list group. In DRC, the research objective is to understand the incremental effectiveness of the caregiver component in addition to the other COMPASS activities as compared to a wait-list group. The primary outcome is change in sexual violence. Secondary outcomes include decreased physical and emotional abuse, reduced early marriage, improved gender norms, and positive interpersonal relationships, among others. Qualitative methodologies seek to understand girls’ perceptions of safety within their communities, key challenges they face, and to identify potential pathways of change.

Discussion

These trials will add much needed evidence for the humanitarian community to meet the unique needs of adolescent girls and to promote their safety and well-being, as well as contributing to how multi-component empowerment programming for adolescent girls could be adapted across humanitarian settings.

Trial registration

Clinical Trials NCT02384642 (Registered: 2/24/15) & NCT02506543 (Registered: 7/19/15).
Literature
1.
go back to reference UNHCR. World at war: global trends: forced displacement in 2014. Geneva, Switzerland: UNHCR; 2014. UNHCR. World at war: global trends: forced displacement in 2014. Geneva, Switzerland: UNHCR; 2014.
2.
go back to reference Schulte J, Rizvi Z. In search of safety and solutions: somali refugee adolescent girls at Sheder and Aw Barre Camps, Ethiopia. New York, NY: Women’s Refugee Commission; 2012. Schulte J, Rizvi Z. In search of safety and solutions: somali refugee adolescent girls at Sheder and Aw Barre Camps, Ethiopia. New York, NY: Women’s Refugee Commission; 2012.
3.
go back to reference UNHCR. Driven by desperation: transactional sex as a survival strategy in Port au Prince IDP Camps. Geneva: United Nations High Commissioner for Refugees; 2011. UNHCR. Driven by desperation: transactional sex as a survival strategy in Port au Prince IDP Camps. Geneva: United Nations High Commissioner for Refugees; 2011.
4.
go back to reference van de Gaag N: In Double Jeopardy: Adolescent Girls and Disasters. In: Because I am a Girl: State of the World’s Girls 2013. Surrey, UK: Plan International; 2013. van de Gaag N: In Double Jeopardy: Adolescent Girls and Disasters. In: Because I am a Girl: State of the World’s Girls 2013. Surrey, UK: Plan International; 2013.
5.
go back to reference Vu A, Adam A, Wirtz A, Pham K, Rubenstein L, Glass N, Beyrer C, Singh S. The prevalence of sexual violence among female refugees in complex humanitarian emergencies: a systematic review and meta-analysis. PLos Currents Disasters 2014. doi:10.1371/currents.dis.835f10778fd80ae031aac12d3b533ca7. Vu A, Adam A, Wirtz A, Pham K, Rubenstein L, Glass N, Beyrer C, Singh S. The prevalence of sexual violence among female refugees in complex humanitarian emergencies: a systematic review and meta-analysis. PLos Currents Disasters 2014. doi:10.1371/currents.dis.835f10778fd80ae031aac12d3b533ca7.
6.
go back to reference International Rescue Committee. Let me not die before my time: domestic violence in West Africa. New York, NY: IRC; 2012. International Rescue Committee. Let me not die before my time: domestic violence in West Africa. New York, NY: IRC; 2012.
7.
go back to reference Stark L, Ager A. A systematic review of prevalence studies of gender-based violence in complex emergencies. Trauma, Violence, Abuse. 2011;12(3):127–34.CrossRefPubMed Stark L, Ager A. A systematic review of prevalence studies of gender-based violence in complex emergencies. Trauma, Violence, Abuse. 2011;12(3):127–34.CrossRefPubMed
8.
go back to reference Paik K. The path to hope: congolese refugee adolescent girls in Nyarugusu Refugee Camp, Tanzania. Women’s Refugee Commission: New York, NY; 2012. Paik K. The path to hope: congolese refugee adolescent girls in Nyarugusu Refugee Camp, Tanzania. Women’s Refugee Commission: New York, NY; 2012.
9.
go back to reference Spencer D. To protect her honour: child marriage in emergencies -- the fatal confusion between protecting girls and sexual violence. In: Gender and protection in humanitarian contexts: critical issues series. United Kingdom: Care International; 2015. Spencer D. To protect her honour: child marriage in emergencies -- the fatal confusion between protecting girls and sexual violence. In: Gender and protection in humanitarian contexts: critical issues series. United Kingdom: Care International; 2015.
10.
go back to reference UNICEF. A study on early marriage in Jordan. Amman, Jordan: UNICEF; 2014. UNICEF. A study on early marriage in Jordan. Amman, Jordan: UNICEF; 2014.
11.
go back to reference Save the Children. Too young to wed: the growing problem of child marriage among Syrian girls in Jordan. London, UK: Save the Children; 2014. Save the Children. Too young to wed: the growing problem of child marriage among Syrian girls in Jordan. London, UK: Save the Children; 2014.
12.
go back to reference Krause SK, Jones RK, Purdin SJ. Programmatic responses to refugee’s reproductive health needs. Int Fam Plann Perspect. 2000;26(4):181–7.CrossRef Krause SK, Jones RK, Purdin SJ. Programmatic responses to refugee’s reproductive health needs. Int Fam Plann Perspect. 2000;26(4):181–7.CrossRef
13.
go back to reference Annan J, Brier M. The risk of return: intimate partner violence in northern Uganda’s armed conflict. Soc Sci Med. 2010;70(1):152–9.CrossRefPubMed Annan J, Brier M. The risk of return: intimate partner violence in northern Uganda’s armed conflict. Soc Sci Med. 2010;70(1):152–9.CrossRefPubMed
14.
go back to reference Robles O, Katz R, Rastogi S. I’m here: adolescent girls in emergencies: approaches and tools for improved repsonse. New York: Women’s Refugee Commission; 2014. Robles O, Katz R, Rastogi S. I’m here: adolescent girls in emergencies: approaches and tools for improved repsonse. New York: Women’s Refugee Commission; 2014.
15.
go back to reference Inter-Agency Standing Committee. Women, Girls, Boys and Men: Different Needs - Equal Opportunities. In: IASC Gender Handbook. New York, NY: Inter-Agency Standing Committee; 2006. Inter-Agency Standing Committee. Women, Girls, Boys and Men: Different Needs - Equal Opportunities. In: IASC Gender Handbook. New York, NY: Inter-Agency Standing Committee; 2006.
16.
go back to reference Mazurana D, Benelli P, Gupta H, Walker P. Sex and age matter: improving humanitarian response in emergencies. Medford, MA: Feinstein International Center, Tufts University; 2011. Mazurana D, Benelli P, Gupta H, Walker P. Sex and age matter: improving humanitarian response in emergencies. Medford, MA: Feinstein International Center, Tufts University; 2011.
17.
go back to reference Hossain M, Zimmerman C, Watts C. Preventing violence against women and girls in conflict. Lancet. 2014;383(9934):2021–2.CrossRefPubMed Hossain M, Zimmerman C, Watts C. Preventing violence against women and girls in conflict. Lancet. 2014;383(9934):2021–2.CrossRefPubMed
18.
go back to reference Spangaro J, Adogu C, Ranmuthugala G, Powell Davies G, Steinacker L, Zwi A. What evidence exists for initiatives to reduce risk and incidence of sexual violence in armed conflict and other humanitarian crises? a systematic review. PLoS One. 2013;8(5):e62600.CrossRefPubMedPubMedCentral Spangaro J, Adogu C, Ranmuthugala G, Powell Davies G, Steinacker L, Zwi A. What evidence exists for initiatives to reduce risk and incidence of sexual violence in armed conflict and other humanitarian crises? a systematic review. PLoS One. 2013;8(5):e62600.CrossRefPubMedPubMedCentral
19.
go back to reference Hossain M, Zimmerman C, Kiss L, Abramsky T, Kone D, Bakayoko-Topolska M, et al. Working with men to prevent intimate partner violence in a conflict-affected setting: a pilot cluster randomized controlled trial in rural Cote d’Ivoire. BMC Public Health. 2014;14:339. Hossain M, Zimmerman C, Kiss L, Abramsky T, Kone D, Bakayoko-Topolska M, et al. Working with men to prevent intimate partner violence in a conflict-affected setting: a pilot cluster randomized controlled trial in rural Cote d’Ivoire. BMC Public Health. 2014;14:339.
20.
go back to reference Gupta J, Falb KL, Lehmann H, Kpebo D, Xuan Z, Hossain M, et al. Gender norms and economic empowerment intervention to reduce intimate partner violence against women in rural Cote d’Ivoire: a randomized controlled pilot study. BMC Int Health Hum Rights. 2013;13:46. Gupta J, Falb KL, Lehmann H, Kpebo D, Xuan Z, Hossain M, et al. Gender norms and economic empowerment intervention to reduce intimate partner violence against women in rural Cote d’Ivoire: a randomized controlled pilot study. BMC Int Health Hum Rights. 2013;13:46.
21.
go back to reference UNICEF. Guidelines for child friendly spaces in emergencies. New York: UNICEF; 2011. UNICEF. Guidelines for child friendly spaces in emergencies. New York: UNICEF; 2011.
22.
go back to reference Browne E. Child Friendly Spaces for Adolescent Girls in Emergency Settings. In: Helpdesk Research Report. Edited by GSDRC: GSDRC; 2013. Browne E. Child Friendly Spaces for Adolescent Girls in Emergency Settings. In: Helpdesk Research Report. Edited by GSDRC: GSDRC; 2013.
23.
go back to reference Ager A, Metzler J, Vojta M, Savage K. Child friendly spaces: a systematic review of the current evidence base on outcomes and impact. Intervent J. 2013;11(2):133–47.CrossRef Ager A, Metzler J, Vojta M, Savage K. Child friendly spaces: a systematic review of the current evidence base on outcomes and impact. Intervent J. 2013;11(2):133–47.CrossRef
25.
go back to reference Johnson K, Scott J, Rughita B, et al. Association of sexual violence and human rights violations with physical and mental health in territories of the eastern democratic republic of the congo. JAMA. 2010;304(5):553–62.CrossRefPubMed Johnson K, Scott J, Rughita B, et al. Association of sexual violence and human rights violations with physical and mental health in territories of the eastern democratic republic of the congo. JAMA. 2010;304(5):553–62.CrossRefPubMed
26.
go back to reference Ministere du Plan et Suivi de la Mise en oeuvre de la Revolution de la Modernite, Ministere de la Sante Publique, MEASURE DHS, ICF International. Democratic Republic of Congo DHS 2013–14. Kinshasa, DRC and Rockville, Maryland, USA: Ministere du Plan et Suivi de la Mise en oeuvre de la Revolution de la Modernite, Ministere de la Sante Publique, MEASURE DHS, ICF International; 2014. Ministere du Plan et Suivi de la Mise en oeuvre de la Revolution de la Modernite, Ministere de la Sante Publique, MEASURE DHS, ICF International. Democratic Republic of Congo DHS 2013–14. Kinshasa, DRC and Rockville, Maryland, USA: Ministere du Plan et Suivi de la Mise en oeuvre de la Revolution de la Modernite, Ministere de la Sante Publique, MEASURE DHS, ICF International; 2014.
27.
go back to reference Community Wellbeing Initiative - Tongo Camp. Rapid assessmnet of safety and protection risks of women and girls in Tongo Camp. Benishangul-Gumuz, Ethiopia: International Rescue Committee; 2013. Community Wellbeing Initiative - Tongo Camp. Rapid assessmnet of safety and protection risks of women and girls in Tongo Camp. Benishangul-Gumuz, Ethiopia: International Rescue Committee; 2013.
28.
go back to reference International Rescue Committee. UCLA center for international medicine: clinical care for sexual assault survivors. New York, NY: International Rescue Committee; 2008. International Rescue Committee. UCLA center for international medicine: clinical care for sexual assault survivors. New York, NY: International Rescue Committee; 2008.
29.
go back to reference International Rescue Committee. Caring for child survivors of sexual abuse: guidelines for health and psychosocial service providers in humanitarian settings. New York, NY: International Rescue Committee; 2012. International Rescue Committee. Caring for child survivors of sexual abuse: guidelines for health and psychosocial service providers in humanitarian settings. New York, NY: International Rescue Committee; 2012.
30.
go back to reference World Health Organization. Putting women first: ethical and safety recommendations for research on domestic violence against women. Geneva: WHO; 2001. World Health Organization. Putting women first: ethical and safety recommendations for research on domestic violence against women. Geneva: WHO; 2001.
31.
go back to reference Hewett PC, Mensch BS, Erulkar AS. Consistency in the reporting of sexual behaviour by adolescent girls in Kenya: a comparison of interviewing methods. Sex Transm Infect. 2004;80(S2):ii43–8.PubMedPubMedCentral Hewett PC, Mensch BS, Erulkar AS. Consistency in the reporting of sexual behaviour by adolescent girls in Kenya: a comparison of interviewing methods. Sex Transm Infect. 2004;80(S2):ii43–8.PubMedPubMedCentral
32.
go back to reference Metzler J, Savage K, Vojta M, Yamano M, Schafer A, Ager A. Evaluation of child friendly spaces: Ethiopia field study summary report, February 2013. New York, NY: Columbia University, World Vision; 2013. Metzler J, Savage K, Vojta M, Yamano M, Schafer A, Ager A. Evaluation of child friendly spaces: Ethiopia field study summary report, February 2013. New York, NY: Columbia University, World Vision; 2013.
33.
go back to reference Metzler J, Kaijuka R, Vojta M, Savage K, Yamano M, Schafer A, et al. Evaluation of child friendly spaces: Uganda field study summary report, July 2013. New York, NY: Columbia University, World Vision International; 2013. Metzler J, Kaijuka R, Vojta M, Savage K, Yamano M, Schafer A, et al. Evaluation of child friendly spaces: Uganda field study summary report, July 2013. New York, NY: Columbia University, World Vision International; 2013.
34.
go back to reference Center for Reproductive Law and Policy (CRLP). Women of the world: laws and policies affecting their reproductive lives (Anglophone Africa). New York, NY: CRLP; 2001. Center for Reproductive Law and Policy (CRLP). Women of the world: laws and policies affecting their reproductive lives (Anglophone Africa). New York, NY: CRLP; 2001.
35.
go back to reference Falb KL, Annan J, Kpebo D, Cole H, Willie T, Xuan Z, Raj A, Gupta J. Differential impacts of an intimate partner violence prevention program based on child marriage status in rural Cote d’Ivoire. J Adolesc Health 2015, Epub ahead of print. Falb KL, Annan J, Kpebo D, Cole H, Willie T, Xuan Z, Raj A, Gupta J. Differential impacts of an intimate partner violence prevention program based on child marriage status in rural Cote d’Ivoire. J Adolesc Health 2015, Epub ahead of print.
36.
go back to reference Abramsky T, Devries K, Kiss L, Nakuti J, Kyegombe N, Starmann E, et al. Findings from the SASA! study: a cluster randomized controlled trial to assess the impact of a community mobilization intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda. BMC Med. 2014;12:122. Abramsky T, Devries K, Kiss L, Nakuti J, Kyegombe N, Starmann E, et al. Findings from the SASA! study: a cluster randomized controlled trial to assess the impact of a community mobilization intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda. BMC Med. 2014;12:122.
37.
go back to reference Kim JC, Watts CH, Hargreaves JR, Ndhlovu LX, Phetla G, Morison LA, et al. Understanding the impact of a microfinance-based intervention on women’s empowerment and the reduction of intimate partner violence in South Africa. Am J Public Health. 2007;97(10):1794–802. Kim JC, Watts CH, Hargreaves JR, Ndhlovu LX, Phetla G, Morison LA, et al. Understanding the impact of a microfinance-based intervention on women’s empowerment and the reduction of intimate partner violence in South Africa. Am J Public Health. 2007;97(10):1794–802.
38.
go back to reference Hall BJ, Bolton PA, Annan J, Kaysen D, Robinette K, Cetinoglu T, et al. The effect of cognitive therapy on structural social capital: results from a randomized controlled trial among sexual violence survivors in the Democratic Republic of the Congo. Am J Public Health. 2014;104(9):1680–6. Hall BJ, Bolton PA, Annan J, Kaysen D, Robinette K, Cetinoglu T, et al. The effect of cognitive therapy on structural social capital: results from a randomized controlled trial among sexual violence survivors in the Democratic Republic of the Congo. Am J Public Health. 2014;104(9):1680–6.
40.
go back to reference World Bank. Sisters of Success: measuring the impact of mentoring and girls groups in supporting girls’ transition into adolescence and adulthood in Liberia. Washington, DC: World Bank Group; 2015. World Bank. Sisters of Success: measuring the impact of mentoring and girls groups in supporting girls’ transition into adolescence and adulthood in Liberia. Washington, DC: World Bank Group; 2015.
41.
go back to reference Zolotor AJ, Runyan DK, Dunne MP, Jain D, Peturs HR, Ramirez C, et al. ISPCAN child abuse screening tool children’s version (ICAST-C): instrument development and multi-national pilot testing. Child Abuse Negl. 2009;33(11):833–41. Zolotor AJ, Runyan DK, Dunne MP, Jain D, Peturs HR, Ramirez C, et al. ISPCAN child abuse screening tool children’s version (ICAST-C): instrument development and multi-national pilot testing. Child Abuse Negl. 2009;33(11):833–41.
42.
go back to reference Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press; 1965. Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press; 1965.
43.
go back to reference Nanda G. Compendium of Gender Scales. Washington, DC: FHI 360/C-Change; 2011. Nanda G. Compendium of Gender Scales. Washington, DC: FHI 360/C-Change; 2011.
44.
go back to reference Snyder CR, Hoza B, Pelham WE, Rapoff M, Ware L, Danovsky M, et al. The development and validation of the children’s hope scale. J Pediatr Psychol. 1997;22(3):399–421. Snyder CR, Hoza B, Pelham WE, Rapoff M, Ware L, Danovsky M, et al. The development and validation of the children’s hope scale. J Pediatr Psychol. 1997;22(3):399–421.
45.
go back to reference Measure DHS. Demographic health survey questionnaires and modules: domestic violence module. In. 2005. Measure DHS. Demographic health survey questionnaires and modules: domestic violence module. In. 2005.
46.
go back to reference Rohner RP, Khaleque A. Handbook for the Study of Parental Acceptance and Rejection, 4th edition. Storrs, CT: Rohner Research Publications; 2005 Rohner RP, Khaleque A. Handbook for the Study of Parental Acceptance and Rejection, 4th edition. Storrs, CT: Rohner Research Publications; 2005
47.
go back to reference Ruis-Caseres M. Child Protection Knowledge, Attitudes and Practices in Central and Western Liberia. In.: Save the Children; 2011 Ruis-Caseres M. Child Protection Knowledge, Attitudes and Practices in Central and Western Liberia. In.: Save the Children; 2011
Metadata
Title
Creating opportunities through mentorship, parental involvement, and safe spaces (COMPASS) program: multi-country study protocol to protect girls from violence in humanitarian settings
Authors
Kathryn L. Falb
Sophie Tanner
Leora Ward
Dorcas Erksine
Eva Noble
Asham Assazenew
Theresita Bakomere
Elizabeth Graybill
Carmen Lowry
Pamela Mallinga
Amy Neiman
Catherine Poulton
Katie Robinette
Marni Sommer
Lindsay Stark
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-2894-3

Other articles of this Issue 1/2016

BMC Public Health 1/2016 Go to the issue