第673回千葉医学会整形外科例会 28.

Description of patients included at each time point in each of the development and validation samples. (DOC 37 kb

第702回千葉医学会例会・第1内科教室同門会例会 17.

Description of patients included at each time point in each of the development and validation samples. (DOC 37 kb

Association between individual- and group-level potential mediators and physical IPV risk.

Association between individual- and group-level potential mediators and physical IPV risk.</p

Additional file 2: of A cluster randomized controlled trial to assess the impact on intimate partner violence of a 10-session participatory gender training curriculum delivered to women taking part in a group-based microfinance loan scheme in Tanzania (MAISHA CRT01): study protocol

Participant Information and Consent Form for MAISHA CRT01 – In-depth Interview. Information provided to potential participants, as part of the informed consent process for participant and key informant in-depth interviews, and the informed consent form signed by participants and key informants who agree to take part in the in-depth interviews. (DOC 49 kb

Baseline individual- and relationship-level characteristics of women in the MAISHA trials, presented separately for women in CRT01 and CRT02.

Baseline individual- and relationship-level characteristics of women in the MAISHA trials, presented separately for women in CRT01 and CRT02.</p

Adjusted odds ratios of intervention impact on past year physical IPV among different sub-groups of women in CRT01.

Adjusted odds ratios of intervention impact on past year physical IPV among different sub-groups of women in CRT01.</p

Outline of the Wanawake Na Maisha curriculum.

Intimate partner violence (IPV) affects over one-in-four women globally. Combined economic and social empowerment interventions are a promising IPV prevention model. However, questions remain on the mechanisms through which such interventions prevent IPV, and whether standalone social empowerment interventions can work in the absence of an economic component. This secondary analysis of MAISHA Study data (north-western Tanzania) explores pathways through which a group-based gender-training intervention, delivered to women standalone or alongside microfinance, may impact on physical IPV risk. Two cluster-randomised trials (CRT) assessed the impact of the MAISHA intervention on women’s IPV risk; CRT01 among women in 66 pre-existing microfinance groups (n = 919), and CRT02 among 66 newly-formed groups not receiving microfinance (n = 1125). Women were surveyed at baseline and 29 months follow-up. Sub-group analyses explored whether intervention effects on past-year experience of physical IPV varied by participant characteristics. Mediators of intervention effect on physical IPV were explored using mixed-effects logistic regression (disaggregated by trial). In CRT01, MAISHA was associated with reduced past-year physical IPV (adjusted-OR 0.63, 95%CI 0.41–0.98), with stronger effects among those younger, more financially independent, and without prior physical IPV. CRT02 showed no impact on physical IPV, overall or among sub-groups. In CRT01, individual-level reduced acceptability of IPV and group-level confidence to intervene against IPV emerged as potential mediators of intervention effect, while relationship-level indicators of communication were not impacted. In CRT02, positive impacts on individual-level attitudes did not translate into reduced IPV risk. In CRT02, arguments with partners over perceived transgressions of gender roles increased in the intervention-arm. Neither trial resulted in increased separations. Findings illustrate the importance of addressing poverty and women’s economic dependence on men, structural factors that may impede the success of socially oriented violence prevention programming. Programming with men is also crucial to ameliorate risks of backlash against attitudinal/behavioural change among women.Trial registration: ClinicalTrials.gov #NCT02592252.</div

Conceptual framework—MAISHA pathways of impact on physical IPV.

Conceptual framework—MAISHA pathways of impact on physical IPV.</p

Intervention impact on women’s past year experience of physical IPV, with and without adjustment for potential mediators—CRT01.

Intervention impact on women’s past year experience of physical IPV, with and without adjustment for potential mediators—CRT01.</p

A cluster randomised controlled trial to assess the impact on intimate partner violence of a 10-session participatory social empowerment intervention for women in Tanzania (MAISHA CRT02): Study protocol.

A cluster randomised controlled trial to assess the impact on intimate partner violence of a 10-session participatory social empowerment intervention for women in Tanzania (MAISHA CRT02): Study protocol.</p