Training Leaders to Prevent and Reduce Domestic Violence in Their Communities: Experimental Evidence From Peru

培训领导者预防和减少社区家庭暴力：来自秘鲁的实验证据

• 批准号: 10689306
• 负责人: Ursula T. Aldana
• 金额: $ 51.6万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-24 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10689306
• 关键词: Address; Affect; Africa; Area; Asia; Attitude; Awareness; Behavior; Behavior Control; Behavioral; Child; Communities; Community Health; Consensus; Control Groups; Cost Analysis; Country; Data; Dimensions; Domestic Violence; Economics; Education; Educational workshop; Effectiveness; Evaluation; Experimental Designs; Exposure to; Facilities and Administrative Costs; Family; Female; Gender; Gender Role; Goals; Government Programs; Health; Home; Household; Impact evaluation; Incidence; Individual; Infrastructure; Intervention; Knowledge; Latin American; Learning; Legal system; Literature; Long-Term Effects; Manuals; Measures; Mental Health; Methodology; Outcome; Patient Self-Report; Peru; Peruvian; Policies; Policy Making; Politics; Positioning Attribute; Prevention; Privacy; Privatization; Productivity; Program Effectiveness; Public Health; Randomized; Randomized, Controlled Trials; Reporting; Research; Research Design; Risk; Risk Factors; Running; Rural; Sampling; Social Change; Social Problems; Surveys; Techniques; Testing; Training; Training Programs; Treatment Efficacy; Violence; Visit; Woman; Women' s Group; cost; cost effectiveness; design; effectiveness measure; empowerment; experience; gender-based violence; health seeking behavior; insight; instrument; intervention effect; male; men; novel; outreach; peer; prevent; programs; scale up; segregation; social; social capital; social norm; successful intervention; virtual; volunteer; welfare

Abstract Gender-based violence (GBV) affects one out of three women in the world, with long-term welfare consequences for victims and families, and indirect costs to the health sector, the legal system, and the economy. Yet there has been little rigorous research on the efficacy of interventions that aim to reduce or prevent GBV. As a result, policymaking has been guided by “best-practice” manuals and little robust evidence. An emerging consensus centers on multi-level and gender transformative approaches, but there is a lack of systematic research on the effectiveness of this approach or insight into key components of programming. The goal of this project is to deliver new rigorous evidence to the scientific and policy community by experimentally evaluating the impact of alternative versions of a state-run GBV intervention in Peru. Our evaluation will provide evidence on the effectiveness of distinct program components, assess their cost-effectiveness and potential to scale, and shed light on mechanisms underlying changes in GBV. This project takes advantage of a long-standing partnership with the Peruvian Ministry of Women (MOW) to conduct an experimental evaluation randomized across 250 villages of Leaders in Action (LIA), the MOW’s flagship GBV program that trains local leaders on gender violence and norms. We experimentally assess the impact of its two main components: a household-based module (HT), consisting of household visits by trained leaders, and a group-based module (GT) with education sessions in small gender-segregated groups organized by trained facilitators. We will cross-randomize each approach to assess their efficiency in reducing domestic violence and changing social norms around tolerance toward violence and gender roles. The study disentangles the impact of the two modules separately, as well as their interaction, while explicitly addressing methodological concerns of previous studies. Reporting bias from self- reported measures will be addressed with a fully private self-administrated instrument, and a large clustered sample will address statistical power limitations of previous studies. In addition, comprehensive male and female survey instruments are designed to shed light on the potential mechanisms and theoretical framework underlying GBV. Finally, our experimental design will allow us to disentangle short and long-term effects, and the efficacy of separate delivery modes. This is a unique opportunity to evaluate government programs to guide GBV programming in Peru and worldwide, estimate their cost effectiveness, and bring scientific evidence on GBV reduction and prevention. The MOW is eager to incorporate the results to its programming of the Peruvian National Plan Against GBV. The project includes policy outreach activities to guide MOW’s policymaking through workshops, policy briefs and capacity building sessions. We expect future research to address the accuracy of extrapolating our findings to other Latin American countries and contrast them to experiences in Africa and Asia.

抽象的 世界上三分之一的女性受到性别暴力 (GBV) 的影响，并造成长期福利后果 受害者和家庭的损失，以及卫生部门、法律体系和经济的间接损失。 Yet there 对于旨在减少或预防 GBV 的干预措施的有效性，目前还没有进行严格的研究。因此， 政策制定一直以“最佳实践”手册为指导，但缺乏有力的证据。 An emerging consensus 重点关注多层次和性别变革方法，但缺乏系统研究 这种方法的有效性或对编程关键组成部分的洞察。该项目的目标是 通过实验评估影响，向科学和政策界提供新的严格证据 秘鲁国营GBV干预措施的替代版本。我们的评估将提供证据 不同计划组成部分的有效性，评估其成本效益和扩展潜力，并摆脱 阐明 GBV 变化的潜在机制。该项目利用了长期合作伙伴关系 与秘鲁妇女部 (MOW) 合作，对 250 名参与者进行随机实验评估 行动领袖村 (LIA)，这是 MOW 的旗舰 GBV 计划，对当地领导人进行性别暴力方面的培训 和规范。我们通过实验评估其两个主要组成部分的影响：基于家庭的模块（HT）， 包括由经过培训的领导者进行家访，以及包含教育课程的小组模块 (GT) 由经过培训的协调员组织的按性别隔离的小型团体。我们将对每种方法进行交叉随机 评估其在减少家庭暴力和改变对容忍行为的社会规范方面的效率 暴力和性别角色。该研究分别阐明了这两个模块的影响以及它们的作用 相互作用，同时明确解决先前研究的方法论问题。自我报道带来的偏见 所报告的措施将通过一个完全私人的自我管理工具和一个大型集群来解决 样本将解决先前研究的统计功效限制。另外，综合男女 调查工具旨在揭示潜在机制和理论框架 GBV。最后，我们的实验设计将使我们能够理清短期和长期影响以及功效 不同的交付模式。这是评估引导 GBV 的政府计划的独特机会 在秘鲁和世界范围内进行规划，评估其成本效益，并提供有关 GBV 的科学证据 减少和预防。 MOW 渴望将结果纳入秘鲁的计划中 反对 GBV 的国家计划。该项目包括政策推广活动，通过以下方式指导 MOW 的决策： 研讨会、政策简报和能力建设会议。我们期望未来的研究能够解决以下问题的准确性 将我们的研究结果推断到其他拉丁美洲国家，并将其与非洲和亚洲的经验进行对比。