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
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Pettifor, Audrey, et al. 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. BioMed Central, 2015. https://doi.org/10.17615/aeep-4z16APA
Pettifor, A., Lippman, S., Selin, A., Peacock, D., Gottert, A., Maman, S., Rebombo, D., Suchindran, C., Twine, R., Lancaster, K., Daniel, T., Gómez Olivé, F., Kahn, K., & Mac Phail, C. (2015). 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. BioMed Central. https://doi.org/10.17615/aeep-4z16Chicago
Pettifor, Audrey, Sheri A Lippman, Amanda Selin, Dean Peacock, Ann Gottert, Suzanne Maman, Dumisani Rebombo et al. 2015. 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. BioMed Central. https://doi.org/10.17615/aeep-4z16- Creator
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Pettifor, Audrey
- Affiliation: Gillings School of Global Public Health, Department of Epidemiology
- Other Affiliation: Honorary appointments at MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) and Wits Reproductive Health and HIV Institute (WHRI), University of the Witwatersrand, Johannesburg, South Africa
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Lippman, Sheri A.
- Other Affiliation: Center for AIDS Prevention Studies (CAPS), Department of Medicine, University of California at San Francisco, San Francisco, CA, USA
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Selin, Amanda
- Affiliation: Carolina Population Center
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Peacock, Dean
- Other Affiliation: Sonke Gender Justice, Cape Town, South Africa
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Gottert, Ann
- Affiliation: Gillings School of Global Public Health, Department of Epidemiology
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Maman, Suzanne
- Affiliation: Gillings School of Global Public Health, Department of Health Behavior
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Rebombo, Dumisani
- Other Affiliation: Sonke Gender Justice, Cape Town, South Africa
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Suchindran, Chirayath
- Affiliation: Gillings School of Global Public Health, Department of Biostatistics
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Twine, Rhian
- Other Affiliation: MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Lancaster, Kathryn
- Affiliation: Gillings School of Global Public Health, Department of Epidemiology
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Daniel, Tamu
- Other Affiliation: US Department of State, Lusaka, Zambia
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Gómez-Olivé, F.X.
- Other Affiliation: MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Kahn, Kathleen
- Other Affiliation: MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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MacPhail, Catherine
- Other Affiliation: Honorary appointments at MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) and Wits Reproductive Health and HIV Institute (WHRI), University of the Witwatersrand, Johannesburg, South Africa; CRN for Mental Health and Wellbeing, University of New England, Armidale, NSW, Australia
- Abstract
- Background Community 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. Methods Community 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. Conclusions This 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 registration ClinicalTrials.gov NCT02129530
- Date of publication
- August 6, 2015
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- Pettifor et al.
- Journal title
- BMC Public Health
- Journal volume
- 15
- Journal issue
- 1
- Page start
- 752
- Language
- English
- Bibliographic citation
- BMC Public Health. 2015 Aug 06;15(1):752
- Publisher
- BioMed Central
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