Primary prevention of intimate partner violence in India

该IRSDA应用程序体现了Fogarty的使命，即通过以下方式促进全球卫生研究 建立国际卫生研究机构之间的合作，培养新的全球卫生科学家。 该奖项将使2012-2013年间在国家艾滋病研究所担任Fogarty全球卫生研究员的阿米塔·卡洛赫博士 印度浦那纳里研究所和埃默里大学传染病内科医生，建立 她是一名独立资助的全球卫生研究人员，有能力开发和实施有效的、 为遏制印度亲密伴侣暴力(IPV)而量身定做的文化干预。职业发展计划 将为Kalokhe博士提供1)关于IPV理论及其在设计中的应用的增强知识 印度的预防干预措施，制定和评估行为干预措施的方法， 和定性研究的设计和分析，2)很好地把握了进行 国际IPV研究，以及3)提高口头和书面研究陈述技能，以传播成果 面向多学科的国际观众。卡洛基博士组建了一个多元化的导师团队， 集体在进行IPV研究方面有丰富的知识和经验(在中低收入人群中 包括印度在内的国家)，利用行为理论开发行为健康干预措施，并深入 印度文化的理解。这包括主要的埃默里和印度导师，罗布·斯蒂芬森，博士和 Seema Sahay博士和共同导师Carlos del Rio医学博士、Kristin Dunkle博士和Anuradha ParanJapan医学博士。 IPV在印度妇女中很普遍，并与心理和身体健康不良有关。这 这项研究将在印度浦那通过Nari进行，旨在1)探索IPV中财富的差异 新婚夫妇的流行率、接受度、资源利用和性健康知识 妇女，以及2)开发和3)在低财富地区试行文化定制的初级IPV预防干预措施 夫妻二人组，初步评估可行性、可接受性、安全性和有效性。第一阶段 (定量)涉及对200名随机抽样的新婚夫妇进行横断面调查 根据财富对女性进行分层，以评估12个月的IPV频率(使用我们最近开发的印度家庭 暴力和控制量表)、性健康知识、对疫苗的接受程度、疫苗的使用和使用障碍 支持服务。第二阶段(定性)使用关键线人访谈和焦点小组来制定 通过检查社区对重要干预组件、可接受性和 可行性，以及参与的障碍。第三阶段在一个月至20个月内分4个疗程进行干预 1)使用半结构问卷对干预后的可接受性和可行性进行评估 与参与者和干预人员的访谈和2)使用半结构问卷3个月后的安全性和有效性 量化双方对IPV可接受性和性别态度的变化的访谈和调查 对干预前水平的性健康和IPV资源的平等和了解。

This IRSDA application embodies the Fogarty mission of facilitating global health research through building collaboration between international health research institutes and training new global health scientists. The award will enable Dr. Ameeta Kalokhe, a 2012-2013 Fogarty Global Health Fellow at the National AIDS Research Institute (NARI, Pune, India) and infectious diseases physician at Emory University, to establish herself as an independently-funded, global health researcher with capacity to develop and implement effective, culturally-tailored interventions to curb intimate partner violence (IPV) in India. The career development plan will provide Dr. Kalokhe with 1) enhanced knowledge of IPV theories and their application in designing prevention interventions in the Indian context, methods for developing and assessing behavioral interventions, and qualitative study design and analysis, 2) a strong grasp of the ethical considerations in conducting international IPV research, and 3) improved oral and written research presentation skills to disseminate results to multi-disciplinary, international audiences. Dr. Kalokhe has assembled a diverse mentorship team that collectively has extensive knowledge and experience in conducting IPV research (in low- and middle-income countries including India), utilizing behavioral theory to develop behavioral health interventions, and in-depth Indian cultural understanding. This includes primary Emory and India mentors, Rob Stephenson, PhD and Seema Sahay, PhD, and co-mentors Carlos del Rio, MD, Kristin Dunkle, PhD, and Anuradha Paranjape, MD. IPV is prevalent among women in India and associated with poor mental and physical health. This study will be conducted in Pune, India through NARI and aims to 1) explore differences by wealth in IPV prevalence, acceptance, and resource utilization, and sexual health knowledge among recently-married women, and 2) to develop and 3) pilot a culturally-tailored primary IPV prevention intervention in low-wealth husband-wife dyads to preliminarily evaluate feasibility, acceptability, safety, and efficacy. Phase I (quantitative) involves cross-sectional survey administration to 200 randomly-sampled, recently-married women stratified by wealth to assess 12-month frequency of IPV (using our recently-developed Indian Family Violence and Control Scale), sexual health knowledge, IPV acceptance, and use and barriers to use of IPV support services. Phase II (qualitative) uses key informant interviews and focus groups to develop the intervention by examining community perspectives on vital intervention components, acceptability and feasibility, and barriers to participation. Phase III pilots the intervention in 4 sessions over a month to 20 husband-wife dyads and assesses 1) acceptability and feasibility post-intervention using semi-structured interviews with participants and intervention staff and 2) safety and efficacy at 3 months using semi-structured interviews and surveys quantifying the change in the dyad's attitudes toward IPV acceptability and gender equality and knowledge of sexual health and IPV resources from pre-intervention levels.