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Economic Evaluation of the MEWE Intervention

NCT ID: NCT05598697

Last Updated: 2023-12-07

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

1536 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-15

Study Completion Date

2022-11-30

Brief Summary

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Cash transfers have shown promise in preventing intimate partner violence, and in reducing recipients' stress levels. Cash transfers with behavioral or psychological interventions have shown limited effectiveness at reducing stress in some African countries. Little is known of the cost-effectiveness of interventions delivered alongside cash transfer programs. The MEWE economic evaluation sub-study (MEWE-EE) runs alongside MEWE, a three-arm cluster-randomized controlled trial in Sindh, Pakistan. MEWE-EE will assess the costs and cost-effectiveness of delivering a cash-transfer program (BISP-CT) combined with a life-skills building curriculum (LSB curriculum), compared to the BISP-CT alone. The LSB curriculum is offered to either women who receive BISP-CT, or to women who receive BISP-CT and their husbands.

Detailed Description

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Conditions

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Depression Mental Health Issue Intimate Partner Violence Domestic Violence Gender-based Violence Rape Sexual Assault Battered Women

Keywords

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violence abuse coercion assault aggression gender women girl wife partner spouse sexual physical psychological economic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Cash Transfers only

Participants allocated to this arm receive cash transfers. They are clients of a nation-wide cash transfer program.

Group Type ACTIVE_COMPARATOR

Cash transfer to adult females

Intervention Type OTHER

The BISP intervention offers access to quarterly unconditional cash transfers to adult females.

Cash Transfers + LSB curriculum for females clients only

Participants allocated to this arm receive cash transfers and access to LSB curriculum training. Female cash transfer recipients attend 10 life-skills building sessions. Sessions are held weekly and are 90 minutes long. Two trained facilitators run the session for groups of 10 women over a ten-week period.

Group Type EXPERIMENTAL

Life Skills Building (LSB) curriculum for females

Intervention Type BEHAVIORAL

The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions.

All female study participants attending LSB curriculum classes are BISP-CT clients.

For females, the MEWE intervention comprises access to LSB curriculum + BISP CTs.

Cash transfer to adult females

Intervention Type OTHER

The BISP intervention offers access to quarterly unconditional cash transfers to adult females.

Cash Transfers + LSB curriculum for females clients and their husbands

Participants allocated to this arm receive cash transfers and access to LSB curriculum training in gender-segregated groups. Men and women attend 10 life-skills building sessions in parallel. Sessions are held weekly and are 90 minutes long. Two trained facilitators, whose gender matches the participants', run the session for groups of 10 women or men over a ten-week period.

Group Type EXPERIMENTAL

Life Skills Building (LSB) curriculum for males

Intervention Type BEHAVIORAL

The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions.

All male study participants attending LSB curriculum classes are married to BISP-CT clients.

For men, the MEWE intervention provides access to the LSB curriculum only.

Life Skills Building (LSB) curriculum for females

Intervention Type BEHAVIORAL

The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions.

All female study participants attending LSB curriculum classes are BISP-CT clients.

For females, the MEWE intervention comprises access to LSB curriculum + BISP CTs.

Cash transfer to adult females

Intervention Type OTHER

The BISP intervention offers access to quarterly unconditional cash transfers to adult females.

Interventions

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Life Skills Building (LSB) curriculum for males

The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions.

All male study participants attending LSB curriculum classes are married to BISP-CT clients.

For men, the MEWE intervention provides access to the LSB curriculum only.

Intervention Type BEHAVIORAL

Life Skills Building (LSB) curriculum for females

The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions.

All female study participants attending LSB curriculum classes are BISP-CT clients.

For females, the MEWE intervention comprises access to LSB curriculum + BISP CTs.

Intervention Type BEHAVIORAL

Cash transfer to adult females

The BISP intervention offers access to quarterly unconditional cash transfers to adult females.

Intervention Type OTHER

Other Intervention Names

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MEWE males MEWE females BISP-CT

Eligibility Criteria

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Inclusion Criteria

* In receipt of Benazir Income Support Program (BISP) cash transfers (CTs)
* Parity: have at least one child, at least 18 months old

Exclusion Criteria

* Plan for the family to migrate out of the village within the next 2 years
Minimum Eligible Age

15 Years

Maximum Eligible Age

49 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Aga Khan University

OTHER

Sponsor Role collaborator

Bill and Melinda Gates Foundation

OTHER

Sponsor Role collaborator

London School of Economics and Political Science

OTHER

Sponsor Role lead

Responsible Party

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Giulia Ferrari

Assistant Professorial Research Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Giulia Ferrari, PhD

Role: PRINCIPAL_INVESTIGATOR

London School of Economics & Political Science

Locations

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Mirpur Sakro

Thatta, Sindh, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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108137

Identifier Type: -

Identifier Source: org_study_id