Effect of Couple Based Violence Prevention Education on Intimate Partner Violence During Pregnancy in Southern, Ethiopia

NCT ID: NCT05856214

Last Updated: 2024-03-07

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 852 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-08-01
• Study Completion Date: 2024-04-30

Brief Summary

A significant proportion of women in Ethiopia suffer from violence by their intimate partner during pregnancy(IPVp), which has adverse maternal and newborn outcomes. Intervention addressing their intimate partners are not well-studied, particularly in Ethiopian setting. The investigators use a cluster randomized control study to evaluate the effectiveness of Couple-Based Violence Prevention Education(CBVPE). CBVPE is an intervention aimed to improve experience of violence during pregnancy, male partners knowledge, attitudes and controlling behavior towards intimate partner violacein this study kebeles found under each districts will be used as clusters. Sixteen clusters will be randomly assigned into one of two arms, each comprised of 216 couples. A total of 864 participants (432 pregnant women and 432 their male partners will be recruited for the study. women in the control group will receive the usual care provided by Health Extension Workers(HEWs), which is routine care. The intervention arm, wife and husband will be exposed to CBVPE that explores maternal health, intimate partner violence, adverse effects of violence during pregnancy, triggers of IPV, managing triggers of IPV, problem solving skills and health relationship. Our hypothesis is that CBVPE is superior to routine care in reducing and /or controlling intimate partner violence during pregnancy in HadiyaZone, Southwest Ethiopia. Structured interviewer administered questionnaire will be used to collect data at base-line and end-line.

Detailed Description

Violence during pregnancy is a possible risk to not only the pregnant mother but also the risk to that unborn child. IPV during pregnancy is associated with adverse maternal outcomes including emotional distress, depression, anxiety, insufficient or inconsistent prenatal care, inadequate gestational weight gain, higher rates of smoking, alcohol use, and mortality. In Ethiopia, intimate partner violence is one of the hidden epidemics, that needs appropriate intervention strategy. Couples in intervention arm 1 will be exposed to CBVPE, which explores intimate partner violence, consequences of violence during pregnancy, common triggers of IPV during pregnancy, the role of male partners in pregnancy, healthy relationships, and problem-solving skills. Couples in control arm 2, will receive the usual care provided by the Health Extension Workers. Our hypothesis is that women in intervention arm 1 will report less experience of intimate partner violence than participants in arm 2, the control group. Data will be collected at baseline and end line using a structured questionnaire. The study has the following specific objectives

1. To evaluate the effect of couple-based violence prevention education on male partners' knowledge, attitudes, and controlling behavior towards IPV during pregnancy

2. To compare the effect of couple-based violence prevention education on the experience of IPV during pregnancy

3. To Compare the effect of couple-based violence prevention education on women's autonomy and self-efficacy

Conditions

Intimate Partner Violence

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Couple-based violence prevention education(CBVPE)

Couples in the intervention group will receive trainings on gender based violence, intimate partner violence, Consequences of violence during pregnancy, common triggers of intimate partner violence, a healthy relationship in marriage ,couples communication and conflict management

Group Type: EXPERIMENTAL

Couple-Based Violence Prevention education(CBVPE)

Intervention Type: BEHAVIORAL

Couples in the intervention group will receive training on violence against women including intimate partner violence, types, and consequences of intimate partner violence during pregnancy, managing triggers of intimate partner violence, healthy relationships, the role of male partners during pregnancy, and couples communication and problem-solving skills. Training will be provided every fourth week by trained health extension workers for consecutive six months.

Interventions

Couple-Based Violence Prevention education(CBVPE)

Couples in the intervention group will receive training on violence against women including intimate partner violence, types, and consequences of intimate partner violence during pregnancy, managing triggers of intimate partner violence, healthy relationships, the role of male partners during pregnancy, and couples communication and problem-solving skills. Training will be provided every fourth week by trained health extension workers for consecutive six months.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Coupe whose wife is pregnant (trimester)
• Couple whose wife has at least one live birth
• Couple who lived in the study area at least six months before the study
• Couple whose wife's inter-pregnancy interval is less than two years
• Couple willing to be visited at home

Exclusion Criteria

• Couple having a severe medical illness
• Couple with hearing or communication problems
• Couple with a plan to move out from the intervention and control clusters in the next 8 months

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 59 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Wachemo University

OTHER

Sponsor Role: collaborator

Jimma University

OTHER

Sponsor Role: lead

Responsible Party

Zeleke Dutamo

Primary Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Zeleke D Agde, MPH

Role: PRINCIPAL_INVESTIGATOR

Department of population and family studies, Institute of Health, Jimma University, Ethiopia

Muluemebet A Wordofa, professor

Role: STUDY_CHAIR

Department of population and family studies, Institute of health, Jimma University, Ethiopia

Nega A Kassa, Professor

Role: STUDY_DIRECTOR

College of Medical and Health Sciences, Haramaya University, Ethiopia

Jeanette H Magnus, Professor

Role: STUDY_DIRECTOR

University of Oslo

Locations

1st Benara Health post

Hosa’ina, Central Ethiopia/Hadiya Zone, Ethiopia

Site Status: RECRUITING

Countries

Ethiopia

Central Contacts

zeleke D Agde, MPH

Role: CONTACT

zeledutamo@gmail.com

+251910489741

Facility Contacts

Tereza Petros, BSc Nurse

Role: primary

+251937252247

References

Agde ZD, Magnus JH, Assefa N, Wordofa MA. Effects of couple-based violence prevention education on male partners' knowledge, attitudes and controlling behavior related to intimate partner violence in rural Ethiopia: a cluster randomized controlled trial. Front Public Health. 2025 Mar 10;13:1506459. doi: 10.3389/fpubh.2025.1506459. eCollection 2025.

Reference Type: DERIVED

PMID: 40129596 (View on PubMed)

Agde ZD, Magnus JH, Assefa N, Wordofa MA. Effectiveness of couple-based violence prevention education in reducing intimate partner violence during pregnancy in rural Ethiopia: A cluster randomized controlled trial. PLoS One. 2025 Jan 17;20(1):e0317667. doi: 10.1371/journal.pone.0317667. eCollection 2025.

Reference Type: DERIVED

PMID: 39823488 (View on PubMed)

Agde ZD, H Magnus J, Assefa N, Wordofa MA. The protocol for a cluster randomized controlled trial to evaluate couple-based violence prevention education and its ability to reduce intimate partner violence during pregnancy in Southwest Ethiopia. PLoS One. 2024 May 13;19(5):e0303009. doi: 10.1371/journal.pone.0303009. eCollection 2024.

Reference Type: DERIVED

PMID: 38739581 (View on PubMed)

Other Identifiers

Couple-Based Education

Identifier Type: -

Identifier Source: org_study_id