Overview

This trial is active, not recruiting.

Conditions gender relations, prenatal care, partner communication, contraception, violence
Treatment mencare+/bandebereho fathers'/couples' group education
Sponsor Promundo, United States
Collaborator Rwanda Men's Resource Center (Rwamrec)
Start date February 2015
End date December 2016
Trial size 2400 participants
Trial identifier NCT02694627, 137D

Summary

This study seeks to assess the impact of the MenCare+/Bandebereho fathers'/couples' group education intervention on men's attitudes towards, and participation in, sexual and reproductive health, maternal, newborn and child health, and equitable and non-violent relationships with their children and partners.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Intervention model parallel assignment
Masking open label
Primary purpose prevention
Arm
(Experimental)
See intervention description
mencare+/bandebereho fathers'/couples' group education Program P
MenCare+/Bandebereho is 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 are 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 engages 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 focus on men's role in MNCH, family planning, sharing household responsibilities, intimate partner violence, conflict resolution, family budgeting, and gender equality.
(No Intervention)
Participants randomized into the control arm are surveyed at the same time points as intervention participants, but do not receive any intervention.

Primary Outcomes

Measure
Gender division of caregiving/domestic tasks (from questionnaire: a) composite capturing frequency of the respondent doing household or caregiving tasks; b) composite capturing how tasks are shared between partners).
time frame: 4 months post intervention
Men's participation in family planning and maternal, newborn and child health (from questionnaire: a) men's presence at antenatal care visits; b) women's reports of receiving partner support during pregnancy; c) use of family planning).
time frame: 4 months post intervention
Gender-related attitudes (from questionnaire: a continuous scale variable, adapted from the validated Gender Equitable Men (GEM) scale).
time frame: 4 months post intervention
Women's experiences of intimate partner violence (from: questionnaire: a composite capturing exposure to a standard set of violent acts by a partner).
time frame: 4 months post intervention

Secondary Outcomes

Measure
Use of violence/harsh punishment against children (from questionnaire: a composite capturing respondents' use of various harsh discipline acts in the past month, adapted from the UNICEF MICS study).
time frame: 4 months post intervention
Relationship quality measured (from questionnaire: a) frequency of quarreling and b) quality scale adapted from the Decision Making in Low-Income Couples).
time frame: 4 months post intervention
Couple communication (from questionnaire: a composite capturing frequency of communication across multiple topics).
time frame: 4 months post intervention

Eligibility Criteria

Male or female participants from 21 years up to 35 years old.

Inclusion Criteria: - Men aged 21-35 years - Living with a partner - Expectant (or soon to be) father or father of young children under-5 - Living in an area with a group facilitator Exclusion Criteria: - Participated in previous cycles of the same intervention

Additional Information

Official title Bandebereho Father Groups: a Randomized Control Trial to Assess the Impact of Maternal, Newborn and Child Health Group Education for New and Expecting Fathers
Principal investigator Kate E Doyle, MA
Description This study seeks to assess the impact of the MenCare+/Bandebereho fathers'/couples' group education intervention on men's attitudes towards, and participation in, sexual and reproductive health, maternal, newborn and child health, and equitable and non-violent relationships with their children and partners. The MenCare+/ Bandebereho program is a multi-component comprehensive intervention being 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 Rwamagana districts. The proposed study will evaluate one component of the program, a 15-session group education intervention targeting young fathers and mothers. The impact of the fathers' group education will be assessed through a randomized control trial design with an intervention arm of men and women participating in the father groups and a control arm of men and women who do not participate in the intervention. The study will collect quantitative and qualitative data over a period of approximately three years.
Trial information was received from ClinicalTrials.gov and was last updated in February 2016.
Information provided to ClinicalTrials.gov by Promundo, United States.