Effectiveness of the Communities Care programme on change in social norms associated with gender-based violence (GBV) with residents in intervention compared with control districts in Mogadishu, Somalia

Effectiveness of the Communities Care programme on change in social norms associated with gender-based violence (GBV) with residents in intervention compared with control districts in Mogadishu, Somalia
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DOI:
10.1136/bmjopen-2018-023819
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发表时间:
2019-06-01
期刊:
影响因子:
2.9
通讯作者:
Read-Hamilton, Sophie
Read-Hamilton, Sophie
中科院分区:
医学3区
文献类型:
--
作者:
Glass, Nancy;Perrin, Nancy;Read-Hamilton, Sophie

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目的确定社区关怀项目(CCP)在改变与基于性别的暴力(GBV)相关的有害社会规范方面的有效性,以及与对照区相比,干预区居民对提供服务的信心。我们假设,与对照区相比,干预区的居民会报告对有害社会规范的支持减少,对服务的信心增加。该研究在索马里的摩加迪沙进行。在干预区,192名社区成员(50%为女性)完成了基线调查,163名(84.9%)在结束时保留。在对照区,195名社区成员(50%为女性)完成了基线调查,167人(85.6%)在结束时保留。干预措施:预防暴力中心利用与社区成员的便利对话,促进性别暴力预防行动,并向不同部门提供培训,以加强对性别暴力幸存者的应对服务。结果干预区居民在社会规范变化方面有显著改善:(1)对性暴力的反应(b=-0.214, p=0.041);(2)维护家族荣誉(b=-0.558, p
Objective Determine the effectiveness of the Communities Care programme (CCP) on change in harmful social norms associated with gender-based violence (GBV) and confidence in provision of services with residents in intervention compared with control district. We hypothesised that residents in the intervention district would report a decrease in support for harmful social norms and increase in confidence in services in comparison with control district.Setting The study was conducted in Mogadishu, Somalia.Participants In the intervention district, 192 community members (50% women) completed baseline surveys with 163 (84.9%) retained at endline. In the control district, 195 community members (50% women) completed baseline surveys with 167 (85.6%) retained at endline.Intervention CCP uses facilitated dialogues with community members to catalyse GBV prevention actions and provides training to diverse sectors to strengthen response services for GBV survivors.Results Residents in the intervention district had significantly greater improvement in change in social norms: (1) response to sexual violence (b=-0.214, p=0.041); (2) protecting family honour (b=-0.558, p