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 Public Deposited

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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
  • Lancaster, Kathryn
    • Affiliation: Gillings School of Global Public Health, Department of Epidemiology
  • Lippman, Sheri A.
    • Other Affiliation: Center for AIDS Prevention Studies (CAPS), Department of Medicine, University of California at San Francisco, San Francisco, CA, USA
  • Rebombo, Dumisani
    • Other Affiliation: Sonke Gender Justice, Cape Town, South Africa
  • Selin, Amanda
    • Affiliation: Carolina Population Center
  • Daniel, Tamu
    • Other Affiliation: US Department of State, Lusaka, Zambia
  • 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
  • Suchindran, Chirayath
    • Affiliation: Gillings School of Global Public Health, Department of Biostatistics
  • Maman, Suzanne
    • Affiliation: Gillings School of Global Public Health, Department of Health Behavior
  • 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
  • Gottert, Ann
    • Affiliation: Gillings School of Global Public Health, Department of Epidemiology
  • Peacock, Dean
    • Other Affiliation: Sonke Gender Justice, Cape Town, South Africa
  • Pettifor, Audrey
    • Affiliation: Gillings School of Global Public Health, Department of Epidemiology, Carolina Population Center
    • 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
  • 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
Abstract
  • 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
Identifier
  • doi:10.1186/s12889-015-2048-z
Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Pettifor et al.
Language
  • English
Bibliographic citation
  • BMC Public Health. 2015 Aug 06;15(1):752
Publisher
  • BioMed Central
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