Impacts of Clean Cookstoves and Empowerment Training on Women's Health in Refugee Settings

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1555 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-01

Study Completion Date

2020-12-31

Brief Summary

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The main objective of this study is to understand the links and outcomes of adoption of a cleaner cookstove/fuel and exposure to a personal empowerment training on women's health outcomes in a Congolese refugee camp in Rwanda, with a focus on gender-based violence (GBV).

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Detailed Description

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This randomized controlled trial examines the impacts of a phased-in integrated technology -behavior change intervention on women's health with a focus on gender-based violence. In a population of approximately 1500 Congolese households in Kigeme refugee camp in Rwanda, two interventions are randomly deployed in the camp. The first intervention is the Inyenyeri cookstove/pellet fuel system, a Tier 4 clean cookstove system; the second intervention is a behavior change intervention (referred to as I-ACT, Individual-Agency-Centered Training) designed to foster personal agency and empowerment, given to women and, if applicable, their male partner. Analyses will be done with interviews on 1500 women (ages 18-45) from these households that may have received one, both or none of the interventions, either as the full sample or the sub-sample of partnered-only women.

Conditions

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Gender-based Violence Adherence Mental Health Wellness 1 Empowerment Food Insecurity Relationship, Family

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

In this natural experiment, we have two connected randomized intervention deployments. The cookstove/fuel program was randomly rolled out to 750 households in Kigeme camp over a 6-month period (September 2018-March 2019) by Inyenyeri (a Rwandan social business). A second intervention (I-ACT empowerment training) was rolled out by Plan, International (December 2018-March 2019). I-ACT was deployed to women and their male partners (if applicable and available). After March 2019, the cookstove/pellet program was available to the whole camp. Assessments of impacts are done at 6 months after deployment of the interventions. Due to the staggering of the intervention roll-outs, the midline follow-up includes a six-month follow-up of the cookstove deployment and approximately 2-3 months of the I-ACT intervention and includes both partnered and non-partnered women. The 12-month assessment includes a 6-month follow up of the I-ACT empowerment intervention for partnered women only.

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Inyenyeri clean cookstove/fuel

A tier 4 clean Mimi-moto cookstove/pellet system

Group Type EXPERIMENTAL

Inyenyeri clean cookstove and fuel system

Intervention Type DEVICE

The Inyenyeri cooking systems includes a tier 4 clean cooking system with biomass pellets that are purchased through the unconditional cash transfer program in the refugee camp

I-ACT behavioral empowerment intervention

A culturally adapted 2-day personal empowerment workshop (based on the Individual, Agency-Centered Training (I-ACT) to women and modified, condensed 1-day training for their male partners, if applicable

Group Type EXPERIMENTAL

I-ACT (Individual, Agency-Centered Training) workshop

Intervention Type BEHAVIORAL

The I-ACT (Individual, Agency-Centered Training) empowerment workshop consists of behavioral exercises drawn primarily from positive psychology, that provide the tools to foster a growth mindset by allowing participants to understand the link between their thoughts, beliefs, and past actions to their future actions. Conducted in a workshop setting, this locally adapted version of the I-ACT curriculum consists of two days for women and a 1 day workshop for their male partners (as applicable)

Cookstove and I-ACT empowerment

Access to both the clean cookstove system and I-ACT empowerment training

Group Type EXPERIMENTAL

Inyenyeri clean cookstove and fuel system

Intervention Type DEVICE

The Inyenyeri cooking systems includes a tier 4 clean cooking system with biomass pellets that are purchased through the unconditional cash transfer program in the refugee camp

I-ACT (Individual, Agency-Centered Training) workshop

Intervention Type BEHAVIORAL

The I-ACT (Individual, Agency-Centered Training) empowerment workshop consists of behavioral exercises drawn primarily from positive psychology, that provide the tools to foster a growth mindset by allowing participants to understand the link between their thoughts, beliefs, and past actions to their future actions. Conducted in a workshop setting, this locally adapted version of the I-ACT curriculum consists of two days for women and a 1 day workshop for their male partners (as applicable)

I-ACT Waitlisted control

These households include those that were offered cookstoves after 6 months (from baseline) and are waitlisted to receive the I-ACT intervention

Group Type OTHER

Inyenyeri clean cookstove and fuel system

Intervention Type DEVICE

The Inyenyeri cooking systems includes a tier 4 clean cooking system with biomass pellets that are purchased through the unconditional cash transfer program in the refugee camp

Interventions

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Inyenyeri clean cookstove and fuel system

The Inyenyeri cooking systems includes a tier 4 clean cooking system with biomass pellets that are purchased through the unconditional cash transfer program in the refugee camp

Intervention Type DEVICE

I-ACT (Individual, Agency-Centered Training) workshop

The I-ACT (Individual, Agency-Centered Training) empowerment workshop consists of behavioral exercises drawn primarily from positive psychology, that provide the tools to foster a growth mindset by allowing participants to understand the link between their thoughts, beliefs, and past actions to their future actions. Conducted in a workshop setting, this locally adapted version of the I-ACT curriculum consists of two days for women and a 1 day workshop for their male partners (as applicable)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Study participants are between the ages of 18 years - 45 years of age
* Reported as currently living in a refugee camp with no intention to relocate
* Has lived in any refugee camp for at least 1 year and can be interviewed in private
* Has the ability to give informed consent

Exclusion Criteria

* Inability to provide informed consent
* Individuals having evidence of significant illness and/or are not able to engage fully in the surveys
* Women younger than 18 or over 45 years of age
* Those who have not lived continuously in a refugee camp setting for the past 12 months
* If two or more women live in a household, only one of these will be included in the study. The one responsible for fuel purchase/collection will be selected. If more than one woman is responsible for fuel collection, we will randomly choose one woman to participate in the study.

Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes