Gender-transformative Bandebereho Couples' Intervention to Promote Male Engagement in Reproductive and Maternal Health and Violence Prevention in Rwanda : Findings from a Randomized Controlled Trial

Rigorous evidence of the effectiveness of male engagement interventions, particularly on how these interventions impact relationship power dynamics and women’s decision-making, remains limited. This study assessed the impact of the Bandebereho gender-transformative couples’ intervention on impact on multiple behavioral and health-related outcomes influenced by gender norms and power relations. We conducted a multi-site randomised controlled trial in four Rwandan districts with expectant/current fathers and their partners, who were randomised to the intervention (n = 575 couples) or control group (n = 624 couples). Primary outcomes include women’s experience of physical and sexual IPV, women’s attendance and men’s accompaniment at ANC, modern contraceptive use, and partner support during pregnancy. At 21-months post-baseline, 1123 men and 1162 partners were included in intention to treat analysis. Generalized estimating equations with robust standard errors were used to fit the models.

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Bibliographic Details
Main Authors: Doyle, Kate, Levtov, Ruti G., Baker, Gary, Bastian, Gautam G., Bingenheimer, Jeffrey B., Kazimbaya, Shamsi, Nzabonimpa, Anicet, Pulerwitz, Julie, Sayinzoga, Felix, Sharma, Vandana, Shattuck, Dominick
Format: Journal Article biblioteca
Published: PLoS 2018-04-04
Subjects:REPRODUCTIVE HEALTH, MATERNAL HEALTH, VIOLENCE AGAINST WOMEN, MALE ENGAGEMENT, GENDER INEQUALITY, POWER DYNAMICS, CAREGIVING, GENDER NORMS, FAMILY PLANNING, WOMEN AND SOCIAL NORMS, AFRICA GENDER POLICY, GENDER INNOVATION LAB,
Online Access:http://hdl.handle.net/10986/30566
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Summary:Rigorous evidence of the effectiveness of male engagement interventions, particularly on how these interventions impact relationship power dynamics and women’s decision-making, remains limited. This study assessed the impact of the Bandebereho gender-transformative couples’ intervention on impact on multiple behavioral and health-related outcomes influenced by gender norms and power relations. We conducted a multi-site randomised controlled trial in four Rwandan districts with expectant/current fathers and their partners, who were randomised to the intervention (n = 575 couples) or control group (n = 624 couples). Primary outcomes include women’s experience of physical and sexual IPV, women’s attendance and men’s accompaniment at ANC, modern contraceptive use, and partner support during pregnancy. At 21-months post-baseline, 1123 men and 1162 partners were included in intention to treat analysis. Generalized estimating equations with robust standard errors were used to fit the models.