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Review
. 2021 Nov 19;18(22):12129.
doi: 10.3390/ijerph182212129.

Elements of the Design and Implementation of Interventions to Prevent Violence against Women and Girls Associated with Success: Reflections from the What Works to Prevent Violence against Women and Girls? Global Programme

Affiliations
Review

Elements of the Design and Implementation of Interventions to Prevent Violence against Women and Girls Associated with Success: Reflections from the What Works to Prevent Violence against Women and Girls? Global Programme

Rachel Jewkes et al. Int J Environ Res Public Health. .

Abstract

Intimate partner violence (IPV) has a large and sustained impact on women's mental health, and so effective prevention is critical. A review of 96 rigorous evaluations of interventions for their impact on violence against women and girls (mostly IPV) found that several intervention approaches were effective. However, not every evaluation of a 'successful approach' showed success in reducing IPV. In order to understand what else impacts success, we analysed practitioners' accounts and documentation of the design and implementation of seventeen interventions evaluated as part of What Works to Prevent Violence against Women and Girls (VAWG). Six features were identified as characteristics of all successful interventions: a rigorously planned intervention with a robust theory of change (ToC), attuned to the local context; addressing multiple drivers of VAWG; support for survivors; working with women and men; implementing at optimal intensity and having sufficient, well-selected, trained and supported staff and volunteers. Four features were necessary for success when relevant for the intervention approach: gender and social empowerment group activities and promoting positive interpersonal relations; participatory learning methods, emphasising empowerment, critical reflection and communication skills; carefully designed user-friendly manuals systematically followed; and when working with children, having an age-appropriate design with time for learning and an engaging pedagogy. This analysis provides the IPV prevention field with critical information for enhancing the impact of group- and community-based interventions in IPV prevention and through this strengthening women's mental health.

Keywords: design; gender; gender-based violence; implementation; intervention; intimate partner violence; prevention; programme; women’s health.

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Conflict of interest statement

The authors declare that they have no conflict of interests.

Figures

Figure 1
Figure 1
Ten elements of the design and implementation of What Works interventions found to effectively reduce VAWG.

References

    1. Violence against Women Prevalence Estimates, 2018. Global, Regional and National Prevalence Estimates for Intimate Partner Violence against Women and Global and Regional Prevalence Estimates for Non-Partner Sexual Violence against Women. World Health Organization, on behalf of the United Nations Inter-Agency Working Group on Violence Against Women Estimation and Data (UNICEF, UNFPA, UNODC, UNSD, UNWomen); Geneva, Switzerland: 2021. United Nations Inter-Agency Working Group on Violence against Women Estimation and Data.
    1. Abrahams N., Mhlongo S., Dunkle K., Chirwa E., Lombard C., Seedat S., Kengne A.P., Myers B., Peer N., Garcia-Moreno C., et al. Increase in HIV incidence in women exposed to rape: A comparative cohort study. AIDS. 2021;35:633–642. doi: 10.1097/QAD.0000000000002779. - DOI - PMC - PubMed
    1. Jewkes R.K., Dunkle K., Nduna M., Shai N. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: A cohort study. Lancet. 2010;376:41–48. doi: 10.1016/S0140-6736(10)60548-X. - DOI - PubMed
    1. Devries K.M., Child J., Bacchus L.J., Mak J., Falder G., Graham K., Watts C., Heise L. Intimate partner violence victimization and alcohol consumption in women: A systematic review and meta-analysis. Addiction. 2014;109:379–391. doi: 10.1111/add.12393. - DOI - PubMed
    1. Devries K.M., Mak J.Y., Bacchus L.J., Child J., Falder G., Petzold M., Astbury J., Watts C.H. Intimate Partner Violence and Incident Depressive Symptoms and Suicide Attempts: A Systematic Review of Longitudinal Studies. PLoS Med. 2013;10:e1001439. doi: 10.1371/journal.pmed.1001439. - DOI - PMC - PubMed

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