A cluster randomized-controlled trial of a community mobilization intervention to change gender norms and reduce HIV risk in rural South Africa: study design and intervention.

Journal: BMC public health

Volume: 15

Issue: 

Year of Publication: 2016

Affiliated Institutions:  Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA. apettif@email.unc.edu. Center for AIDS Prevention Studies (CAPS), Department of Medicine, University of California at San Francisco, San Francisco, CA, USA. Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Sonke Gender Justice, Cape Town, South Africa. Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA. Department of Health Behavior, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA. Department of Biostatistics, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA. MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. US Department of State, Lusaka, Zambia. Honorary appointments at MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) and Wits Reproductive Health and HIV Institute (WHRI), University of the Witwatersrand, Johannesburg, South Africa.

Abstract summary 

Community mobilization (CM) interventions show promise in changing gender norms and preventing HIV, but few have been based on a defined mobilization model or rigorously evaluated. The purpose of this paper is to describe the intervention design and implementation and present baseline findings of a Cluster Randomized Controlled Trial (RCT) of a two-year, theory-based CM intervention that aimed to change gender norms and reduce HIV risk in rural Mpumalanga province, South Africa.Community Mobilizers and volunteer Community Action Teams (CATs) implemented two-day workshops, a range of outreach activities, and leadership engagement meetings. All activities were mapped onto six theorized mobilization domains. The intervention is being evaluated by a randomized design in 22 communities (11 receive intervention). Cross-sectional, population-based surveys were conducted with approximately 1,200 adults ages 18-35 years at baseline and endline about two years later.This is among the first community RCTs to evaluate a gender transformative intervention to change norms and HIV risk using a theory-based, defined mobilization model, which should increase the potential for impact on desired outcomes and be useful for future scale-up if proven effective.ClinicalTrials.gov NCT02129530.

Authors & Co-authors:  Pettifor Audrey A Lippman Sheri A SA Selin Amanda M AM Peacock Dean D Gottert Ann A Maman Suzanne S Rebombo Dumisani D Suchindran Chirayath M CM Twine Rhian R Lancaster Kathryn K Daniel Tamu T Gómez-Olivé F Xavier FX Kahn Kathleen K MacPhail Catherine C

Study Outcome 

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Statistics
Citations :  Aral SO, Hughes JP, Stoner B, Whittington W, Handsfield HH, Anderson RM, et al. Sexual mixing patterns in the spread of gonococcal and chlamydial infections. American Journal of Public Health. 1999;89(6):825–33. doi: 10.2105/AJPH.89.6.825.
Authors :  14
Identifiers
Doi : 752
SSN : 1471-2458
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Study Design
Study Approach
Country of Study
South Africa
Publication Country
England