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Published in: BMC Medicine 1/2014

Open Access 01-12-2014 | Commentary

Preventing and reducing violence against women: innovation in community-level studies

Authors: Angela Taft, Rhonda Small

Published in: BMC Medicine | Issue 1/2014

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Abstract

Intimate partner violence is a serious global problem that damages the health and prosperity of individuals, their families, community, and society. WHO endorses an `ecological model,’ which states that there are multi-level intersecting factors enabling perpetration and victimization of violence. Intervention science to prevent or reduce the problem is in its infancy, and the few existing intervention studies have been targeted at the individual level. In a recent study published in BMC Medicine, Abramsky et al. bring innovation to the field, targeting their intervention trial “SASA!” in Kampala Uganda at all ecological levels, but particularly at the community level. Recruiting and training both male and female community leaders and activists who enabled group and media discussions, the authors focused on the beneficial and abusive detrimental uses of power rather than commencing with the central issue of gender inequality. SASA! successfully reduced community attitudes to tolerance of violence and inequality, men’s sexual risk behaviors, and women’s experience of physical violence. The study also improved the communities’ response to victimized women. SASA! has promise for adaptation and replication in low, middle and high income countries.
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Literature
1.
go back to reference Global and Regional Estimates of Violence Against Women: Prevalence and Health Effects of Intimate Partner Violence and Non-Partner Sexual Violence. 2013, WHO, Geneva Global and Regional Estimates of Violence Against Women: Prevalence and Health Effects of Intimate Partner Violence and Non-Partner Sexual Violence. 2013, WHO, Geneva
2.
go back to reference Abramsky T, Devries K, Kiss L, Nakuti J, Kyegombe N, Starmann N, Cundill B, Francisco L, Kaye D, Musuya T, Michau L, Watts C: Findings from the SASA! Study: a cluster randomised controlled trial to assess the impact of a community mobilisation intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda. BMC Med. 2014, 12: 122-10.1186/s12916-014-0122-5.CrossRefPubMedPubMedCentral Abramsky T, Devries K, Kiss L, Nakuti J, Kyegombe N, Starmann N, Cundill B, Francisco L, Kaye D, Musuya T, Michau L, Watts C: Findings from the SASA! Study: a cluster randomised controlled trial to assess the impact of a community mobilisation intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda. BMC Med. 2014, 12: 122-10.1186/s12916-014-0122-5.CrossRefPubMedPubMedCentral
3.
go back to reference London School of Hygiene and Tropical Medicine. Preventing Intimate Partner and Sexual Violence Against Women: Taking Action and Generating Evidence. 2010, World Health Organisation (WHO), Geneva, Switzerland London School of Hygiene and Tropical Medicine. Preventing Intimate Partner and Sexual Violence Against Women: Taking Action and Generating Evidence. 2010, World Health Organisation (WHO), Geneva, Switzerland
4.
go back to reference Ramsay J, Carter YH, Davidson LL, Rivas C, Feder G, Hegarty K, Rivas C, Taft A, Warburton A: Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database Syst Rev. 2009, 8: 3-CD005043 Ramsay J, Carter YH, Davidson LL, Rivas C, Feder G, Hegarty K, Rivas C, Taft A, Warburton A: Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database Syst Rev. 2009, 8: 3-CD005043
5.
go back to reference Taft A, O’Doherty L, Hegarty K, Ramsay J, Davidson L, Feder G: Screeningwomen for intimate partner violence in healthcare settings. Cochrane Database Syst Rev. 2013, -Issue 4. Art. No.: CD007007. doi:10.1002/14651858.CD007007.pub2 Taft A, O’Doherty L, Hegarty K, Ramsay J, Davidson L, Feder G: Screeningwomen for intimate partner violence in healthcare settings. Cochrane Database Syst Rev. 2013, -Issue 4. Art. No.: CD007007. doi:10.1002/14651858.CD007007.pub2
6.
go back to reference Kiely M, El-Mohandes A, El Khorazaty MN, Gantz MG: An integrated intervention to reduce intimate partner violence in pregnancy: a randomised controlled trial. Obstet Gynaecol. 2011, 115: 273-283. 10.1097/AOG.0b013e3181cbd482.CrossRef Kiely M, El-Mohandes A, El Khorazaty MN, Gantz MG: An integrated intervention to reduce intimate partner violence in pregnancy: a randomised controlled trial. Obstet Gynaecol. 2011, 115: 273-283. 10.1097/AOG.0b013e3181cbd482.CrossRef
7.
go back to reference Feder G, Agnew-Davies R, Baird K, Dunne D, Eldridge S, Griffiths C, Gregory A, Howell A, Johnson M, Ramsay J, Rutterford C, Sharp D: Identification and Referral to Improve Safety (IRIS) of women experiencing domestic violence with a primary care training and support programme: a cluster randomised controlled trial. Lancet. 2011, 378: 1788-1795. 10.1016/S0140-6736(11)61179-3. Epub doi:10.1016/S0140-6736(11)61179-3CrossRefPubMed Feder G, Agnew-Davies R, Baird K, Dunne D, Eldridge S, Griffiths C, Gregory A, Howell A, Johnson M, Ramsay J, Rutterford C, Sharp D: Identification and Referral to Improve Safety (IRIS) of women experiencing domestic violence with a primary care training and support programme: a cluster randomised controlled trial. Lancet. 2011, 378: 1788-1795. 10.1016/S0140-6736(11)61179-3. Epub doi:10.1016/S0140-6736(11)61179-3CrossRefPubMed
8.
go back to reference Hegarty K, O'Doherty L, Taft AJ, Chondros P, Brown SJ, Valpied J, Astbury J, Taket A, Gold L, Feder G, Gunn J: Effect of screening and brief counselling for abused women on quality of life, safety planning and mental health: a primary care cluster randomised controlled trial (weave). Lancet. 2013, 382: 249-258. 10.1016/S0140-6736(13)60052-5.CrossRefPubMed Hegarty K, O'Doherty L, Taft AJ, Chondros P, Brown SJ, Valpied J, Astbury J, Taket A, Gold L, Feder G, Gunn J: Effect of screening and brief counselling for abused women on quality of life, safety planning and mental health: a primary care cluster randomised controlled trial (weave). Lancet. 2013, 382: 249-258. 10.1016/S0140-6736(13)60052-5.CrossRefPubMed
9.
go back to reference Krishnan S, Subbiah K, Chandra P, Srinivasan K: Minimising risks and monitoring safety in an antenatal care intervention to mitigate domestic violence among young Indian women: the DilMil trial. BMC Public Health. 2012, 12: 943-10.1186/1471-2458-12-943.CrossRefPubMedPubMedCentral Krishnan S, Subbiah K, Chandra P, Srinivasan K: Minimising risks and monitoring safety in an antenatal care intervention to mitigate domestic violence among young Indian women: the DilMil trial. BMC Public Health. 2012, 12: 943-10.1186/1471-2458-12-943.CrossRefPubMedPubMedCentral
10.
go back to reference Pronyk PM, Hargreaves JR, Kim JC, Morison LA, Phetla G, Watts C, Busza J, Porter JD: Effect of a structural intervention for the prevention of intimate partner violence and HIV in rural South Africa: a cluster randomised trial. Lancet. 2006, 368: 1973-1983. 10.1016/S0140-6736(06)69744-4.CrossRefPubMed Pronyk PM, Hargreaves JR, Kim JC, Morison LA, Phetla G, Watts C, Busza J, Porter JD: Effect of a structural intervention for the prevention of intimate partner violence and HIV in rural South Africa: a cluster randomised trial. Lancet. 2006, 368: 1973-1983. 10.1016/S0140-6736(06)69744-4.CrossRefPubMed
11.
go back to reference Gupta J, Falb KL, Lehmann H, Kpebo D, Xuan Z, Hossain M, Zimmerman C, Watts C, Annan J: Gender norms and economic empowerment intervention to reduce intimate partner violence against women in rural Cote D'Ivoire: a randomised controlled pilot study. BMC Int Health Human Rights. 2013, 13: 46-10.1186/1472-698X-13-46.CrossRef Gupta J, Falb KL, Lehmann H, Kpebo D, Xuan Z, Hossain M, Zimmerman C, Watts C, Annan J: Gender norms and economic empowerment intervention to reduce intimate partner violence against women in rural Cote D'Ivoire: a randomised controlled pilot study. BMC Int Health Human Rights. 2013, 13: 46-10.1186/1472-698X-13-46.CrossRef
Metadata
Title
Preventing and reducing violence against women: innovation in community-level studies
Authors
Angela Taft
Rhonda Small
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2014
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/s12916-014-0155-9

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