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.

Abstract:

BACKGROUND: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. METHODS: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. CONCLUSIONS: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. TRIAL REGISTRATION:ClinicalTrials.gov NCT02129530.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Pettifor A,Lippman SA,Selin AM,Peacock D,Gottert A,Maman S,Rebombo D,Suchindran CM,Twine R,Lancaster K,Daniel T,Gómez-Olivé FX,Kahn K,MacPhail C

doi

10.1186/s12889-015-2048-z

subject

Has Abstract

pub_date

2015-08-06 00:00:00

pages

752

issn

1471-2458

pii

10.1186/s12889-015-2048-z

journal_volume

15

pub_type

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