Mazeda Hossain|Cathy Zimmerman|Lígia Kiss|Tanya Abramsky|Drissa Koné|Monika Bakayoko-Topolska|Jeannie Annan|Heidi Lehmann|Charlotte Watts
Working with men to prevent intimate partner violence in a conflict-affected setting: a pilot cluster randomized controlled trial in rural Côte d’Ivoire
London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine|International Rescue Committee|International Rescue Committee|International Rescue Committee|International Rescue Committee|London School of Hygiene & Tropical Medicine
evidence armed conflict settings points high levels intimate partner violence ipv women current knowledge prevent ipv limitedespecially within waraffected settings inform prevention programming genderbased violence settings affected conflict evaluated impact adding targeted mens intervention communitybased prevention programme cte divoirewe conducted twoarmed nonblinded cluster randomized trial cte divoire among 12 pairmatched communities spanning governmentcontrolled un buffer rebelcontrolled zones intervention communities received 16week ipv prevention intervention using mens discussion group format communities received communitybased prevention programmes baseline data collected couples september 2010 preintervention followup march 2012 one year postintervention primary trial outcome womens reported experiences physical andor sexual ipv last 12 months also assessed mens reported intention use physical ipv attitudes towards sexual ipv use hostility conflict management skills participation gendered household tasks adjusted clusterlevel intention treat analysis used compare outcomes intervention control communities followupat followup reported levels physical andor sexual ipv intervention arm decreased compared control arm arr 052 95 ci 018151 significant men participating intervention reported decreased intentions use physical ipv arr 083 95 ci 066106 improved attitudes toward sexual ipv arr 121 95 ci 077191 significant differences found men intervention control arms reported ability control hostility manage conflict arr 13 95 ci 106158 participation gendered household tasks arr 247 95 ci 124490this trial points value adding interventions working men alongside community activities reduce levels ipv conflictaffected settings intervention significantly influenced mens reported behaviours related hostility conflict management gender equitable behaviours decreased mean level ipv differences intervention control arms statistically significant suggest ipv conflictaffected areas reduced concerted efforts include men directly violence prevention programming largerscale trial needed replicate findings understand mechanisms changeclinicaltrialsgov nct01803932