An interventional study of MenCare+/Bandebereho fathers'/couples' group education in Gender Relations, Violence and Child Development, sponsored by Promundo, United States. Completed at 1 site in Rwanda. Open to participants aged 21 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-10-29.
Sponsored by Promundo, United States · Not applicable, Interventional, and Prevention
This study seeks to conduct a six-year follow-up of the Bandebereho randomized control trial (RCT) to assess the longer-term impact of the gender-transformative Bandebereho couples intervention on participating men, women, and their children. The Bandebereho program was implemented by the Rwanda Men's Resource Centre (RWAMREC) and Promundo-US, in collaboration with the Rwanda Ministry of Health and local authorities between 2013 and 2015. A two-arm RCT collected three rounds of data from 1,199 couples (575 treatment; 624 control) starting in 2015-16: baseline (pre-intervention), 9 month follow-up, and 21-month follow-up. The findings at 21-months demonstrated significant impacts of the intervention on multiple gender and health-related outcomes. This study will conduct surveys with men enrolled in the RCT and their female partners 6 years after the intervention, to assess its long-term impact on reproductive and maternal health, gender attitudes and household dynamics, intimate partner violence, mental health and wellbeing, parenting, and child development. In addition, child assessments will be conducted with a sub-sample of 800 children aged 4 to 7 years to directly assess early childhood development outcomes.
This study seeks to conduct a six-year follow-up of the Bandebereho randomized controlled trial (RCT) to assess the longer-term impact of the gender-transformative Bandebereho couples intervention on participating men, women, and their children. The Bandebereho program being assessed was first implemented by the Rwanda Men's Resource Center (RWAMREC) and Promundo-US, in collaboration with the Rwanda Ministry of Health and local authorities in Karongi, Musanze, Nyaruguru and Nyaruguru districts between 2013 and 2015. A two-arm RCT was conducted with 1,199 couples (575 treatment; 624 control) in 2015-16. Three rounds of data were collected: baseline (pre-intervention), 9 month follow-up (4 months post-intervention), and 21-month follow-up (16 months post-intervention). The findings at 21-months demonstrated significant impacts of the intervention on multiple gender and health-related outcomes. The proposed study will conduct surveys with men enrolled in the RCT and their female partners, to assess the longer-term impact of the intervention on reproductive and maternal health, gender attitudes and household dynamics, intimate partner violence, mental health and wellbeing, parenting, and child development. In addition, child assessments will be conducted with a sub-sample of 800 children aged 4 to 7 years to directly assess early childhood development outcomes.
Promundo, United States is the lead sponsor of 3 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria at baseline:
See intervention description
Behavioral: MenCare+/Bandebereho fathers'/couples' group education
Participants randomized into the control arm are surveyed at the same time points as intervention participants, but did not receive any intervention.
MenCare+/Bandebereho was a 3 year project to engage men in maternal, newborn and child health (MNCH) and in sexual and reproductive health in Rwanda. A core component of the project is fathers'/couples' group education. The target participants were first-time parents or parents of young children living in 16 rural and semi-urban sectors selected by the implementing partner in collaboration with local authorities. The MenCare+/Bandebereho fathers'/couples' group education engaged men in 15 weekly sessions of group discussion, critical reflection and interactive activities led by a trained facilitator using a curriculum developed by RWAMREC and Promundo and approved by the Rwandan Ministry of Health, adapted from the Program P Manual. Men's partners participate in 6-8 sessions. The sessions focused on men's role in MNCH, family planning, sharing household responsibilities, intimate partner violence, conflict resolution, family budgeting, and gender equality.
Also known as: Program P
Women's experiences of intimate partner violence (physical & sexual)
A composite capturing self-reported exposure to a standard set of violent acts by a partner in past 12 months, adapted from World Health Organisation's multi-country study on violence against women.
Time frame: Experience of violence in past 12 months, measured 6 years post intervention
Use of violence/harsh punishment against children
A composite capturing respondents' self reported use of various harsh discipline acts in the past month, adapted from the UNICEF Multiple Indicator Cluster Surveys (MICS) study.
Time frame: 6 years post intervention
Observation-based child development measure
Observation-based scores on the International Development and Early Learning Assessment (IDELA) for children ages 4-7
Time frame: 6 years post intervention
Child behavior assessment
Parent-reported scores on Strengths and Difficulties Questionnaire (SDQ)
Time frame: 6 years post intervention
Family planning
Self reported responses on current use of family planning methods, using Demographic and Health Survey (DHS) measure.
Time frame: 6 years post intervention
Antenatal care (ANC) service utilization
Self reported responses on women's frequency of ANC visits during most recent pregnancy, using DHS measure (women only).
Time frame: 6 years post intervention
Antenatal care (ANC) accompaniment
Self reported responses on men's frequency of accompaniment to ANC visits during most recent pregnancy, adapted from International Men and Gender Equality Survey.
Time frame: 6 years post intervention
Parenting behaviors with children
Composite variable capturing behaviors with children in the past week (e.g. reading stories, playing, etc.) adapted from IDELA HOME and select items related to parenting behaviors adapted from the Parenting and Family Adjustment Scales (PAFAS).
Time frame: 6 years post intervention
Parenting behaviors and adjustment
Select items related to parenting behaviors and feelings adapted from the Parenting and Family Adjustment Scales (PAFAS).
Time frame: 6 years post intervention
Time spent/gender division of caregiving/domestic tasks and paid work
a) A composite measure of self-reported time spent on specific tasks in the past week; and b) self-reported distribution of tasks between partners.
Time frame: 6 years post intervention
Couple communication
A composite capturing frequency of communication across multiple topics.
Time frame: 6 years post intervention
Gender-related attitudes
A continuous scale variable, adapted from the validated Gender Equitable Men (GEM) scale; scores range from 1 to 5, with higher scores indicating more equitable attitudes.
Time frame: 6 years post intervention
Decision-making in relationship
Self-reported responses on who makes the decision in the relationship, adapted from the DHS.
Time frame: 6 years post intervention
Frequency of quarreling
Self-reported response to one item capturing frequency of quarreling in the couple.
Time frame: 6 years post intervention
Relationship quality and conflict resolution
Self-reported relationship quality items adapted from the relationship quality scale from the Decision Making in Low-Income Couples scale.
Time frame: 6 years post intervention
Relationship conflict resolution
Self-reported items on couple communication and resolution in conflict adapted from the Couple Functionality Assessment.
Time frame: 6 years post intervention
Alcohol use
Self reported alcohol use (men \& women) and women's reports on partners' alcohol use (women) in past year, adapted from the Alcohol Use Disorders Identification Test (AUDIT).
Time frame: 6 years post intervention
Depression/Mental health
Self reported symptoms in past week, adapted from the Center for Epidemiologic Studies Depression Scale (CES-D) short form.
Time frame: 6 years post intervention
Reproductive coercion
Women's self reported experience with reproductive coercion from their current partner in the past year, adapted from the Reproductive Autonomy coercion subscale.
Time frame: Coercion in the past year, measured 6 years post intervention
Plan to share: No
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Promundo, United States