Principal Investigator: Wietse A. Tol, Johns Hopkins Bloomberg School of Public Health
This study aimed to inform public health responses to humanitarian crises, particularly with regard to intimate partner violence (IPV) and psychological distress. The research team aimed to develop an intervention manual based on two existing interventions, integrating a focus on mental health with a focus on intimate partner violence. The team aimed to adapt the interventions for women residing in protracted low-resource refugee settings – making it shorter and lower intensity, and training lay protection workers to deliver this intervention to increase feasibility, acceptability, and sustainability. The research initially sought to test the adapted manual in a Randomised Controlled Trial with up to 400 women who had a history of past-year intimate partner violence and who were experiencing moderate to severe psychological distress, split into intervention and control arms. Tests would be conducted at baseline immediately after the delivery of the intervention programme, and then approximately 3 months after the intervention had been completed. The project sought to increase knowledge on task shifting, and make possible improved operational research to strengthen knowledge and public mental health interventions by making available well-tested tools for screening, monitoring and evaluation.
The intervention manual was successfully developed following desk review, qualitative interviews, expert consultations, and an initial pilot of the intervention. Given an unforeseen regional refugee crisis and ongoing operational challenges, the research team decided to conduct a more detailed feasibility trial rather than pursuing a fully-powered RCT at this time. This feasibility trial recruited 311 women. In addition, an additional series of 29 qualitative interviews were conducted with key stakeholders (including intervention participants, facilitators, clinical supervisors, research staff, members of the community advisory board and representatives from partner agencies) to evaluate the implementation of the research and intervention procedures.
The study made available a number of research tools and gender-based violence intervention service mapping that could be used by UNHCR in Tanzania to strengthen both interventions and operational research (needs assessment, monitoring and evaluation). The research improved the available knowledge on the relevance, feasibility, safety, and acceptability of implementing an integrated (multi-sectoral) mental health and IPV reduction intervention, implemented by community health and community services workers in routine service provision.
In our last post, we presented findings from a qualitative study where we explored the problems affecting Congolese women that have experienced intimate partner violence (IPV) in Nyarugusu refugee camp,…View
In preparation for a more structured evaluation of the implementation of the intervention and research activities, we felt it was necessary to conduct a first trial run of the research…View
Nguvu, the Swahili term for strength, is the foundation for our project, which aims to improve psychosocial health and empower refugee women who experienced intimate partner violence (IPV). Spanning two…View
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