Ntombi Vimbela! Sexual violence risk reduction intervention: pre and one-year post assessments from a single arm pilot feasibility study among female students in South Africa.

Journal: BMC public health

Volume: 23

Issue: 1

Year of Publication: 2023

Affiliated Institutions:  South African Medical Research Council Gender and Health Research Unit, Pretoria, South Africa. Mercilene.Machisa@mrc.ac.za. South African Medical Research Council Gender and Health Research Unit, Pretoria, South Africa. Sexual Violence Research Initiative, Pretoria, South Africa. Department of Basic Education, Pretoria, South Africa.

Abstract summary 

The extremely high prevalence of sexual violence victimisation reported among female students in South African public higher education demands urgent action to develop, rigorously evaluate and scale effective prevention interventions. This article details findings from a pilot feasibility study of Ntombi Vimbela! a campus sexual violence risk reduction intervention developed to tackle the high burden of sexual violence in higher education institutions in South Africa.Ntombi Vimbela! (NV!) is a sexual violence risk reduction intervention that comprises sexuality empowerment, gender and social norm change, early-risk identification, self-defence, resistance and mental wellbeing components. NV! is comprised of ten workshop sessions running for 3.5 h each. Workshops are co-delivered by two trained peer facilitators per group of at most 20 first-year female students. One-year post-intervention quantitative outcome assessments were remotely completed by 98 participants who participated in the NV! pilot workshops. Qualitative assessments were conducted with 35 participants through in-depth telephone interviews (IDTIs).One year after attending NV! workshops, most participants reported improved awareness of sexual rights, assertive communication, shifts in gender equitable beliefs, reductions in rape myth acceptance, improved expressed sexual relationship power sexual decision-making, and improved negotiation within their intimate relationships. Participants' depressive symptoms also significantly decreased. Many participants improved awareness of sexual assault risk and vigilance, including using self-protection strategies such as removing themselves from environments where alcohol intoxication posed sexual assault risks. Some participants used assertive communication to withstand peer pressure to engage in risky sexual behaviours. Most participants scored highly on the self-defence efficacy scale. Some participants were exposed to and successful in using verbal and physical resistance strategies in potential sexual assault risky situations.These findings indicate the potential beneficial effects of NV! as a campus sexual violence risk reduction intervention at one-year post-intervention, which must be evaluated in a future rigorous randomised control trial.ClinicalTrials.gov NCT04607564 on 29/10/2020.

Authors & Co-authors:  Machisa Mercilene Tanyaradzwa MT Mahlangu Pinky P Chirwa Esnat E Nunze Ncediswa N Sikweyiya Yandisa Y Dartnall Elizabeth E Pillay Managa M Jewkes Rachel R

Study Outcome 

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Statistics
Citations :  Machisa MT, Chirwa ED, Mahlangu P, Sikweyiya Y, Nunze N, Dartnall E, et al. Factors associated with female students’ past year experience of sexual violence in south african public higher education settings: a cross-sectional study. PLoS ONE. 2021;16(12):e0260886. doi: 10.1371/journal.pone.0260886.
Authors :  8
Identifiers
Doi : 1242
SSN : 1471-2458
Study Population
Female
Mesh Terms
Humans
Other Terms
Campus intervention;Intimate partner violence;Pilot and feasibility study;Sexual violence;South Africa
Study Design
Case Control Trial,Cross Sectional Study
Study Approach
Quantitative,Qualitative
Country of Study
South Africa
Publication Country
England