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Cash plus programming and intimate partner violence: a qualitative evaluation of the benefits of group-based platforms for delivering activities in support of the Ethiopian government’s Productive Safety Net Programme (PSNP)

OBJECTIVES: Intimate partner violence (IPV) is a public health challenge but there is evidence that cash and cash ‘plus’ interventions reduce IPV. An increasingly popular design feature of these kind of interventions is the group-based modality for delivering plus activities, however, evidence of th...

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Autores principales: Buller, Ana Maria, Pichon, Marjorie, Hidrobo, Melissa, Mulford, Michael, Amare, Tseday, Sintayehu, Wastina, Tadesse, Seifu, Ranganathan, Meghna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163490/
https://www.ncbi.nlm.nih.gov/pubmed/37137564
http://dx.doi.org/10.1136/bmjopen-2022-069939
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author Buller, Ana Maria
Pichon, Marjorie
Hidrobo, Melissa
Mulford, Michael
Amare, Tseday
Sintayehu, Wastina
Tadesse, Seifu
Ranganathan, Meghna
author_facet Buller, Ana Maria
Pichon, Marjorie
Hidrobo, Melissa
Mulford, Michael
Amare, Tseday
Sintayehu, Wastina
Tadesse, Seifu
Ranganathan, Meghna
author_sort Buller, Ana Maria
collection PubMed
description OBJECTIVES: Intimate partner violence (IPV) is a public health challenge but there is evidence that cash and cash ‘plus’ interventions reduce IPV. An increasingly popular design feature of these kind of interventions is the group-based modality for delivering plus activities, however, evidence of the mechanisms through which this modality of delivery impacts IPV is limited. We explore how the group-based modality of delivering plus activities that complemented the Government of Ethiopia’s Productive Safety Net Programme contributed to modifying intermediate outcomes on the pathway to IPV. DESIGN: Qualitative study using in-depth interviews and focus group discussions between February and March 2020. Data were analysed using a thematic content and gender lens approach. Findings were interpreted, refined and drafted in collaboration with our local research partners. SETTING: Amhara and Oromia regions in Ethiopia. PARTICIPANTS: In total 115 men and women beneficiaries from the Strengthen PSNP4 Institutions and Resilience (SPIR) programme took part in the study. Fifty-eight were interviewed and 57 took part in 7 focus group discussions. RESULTS: We found that Village Economic and Social Associations—through which SPIR activities were delivered—improved financial security and increased economic resilience against income shocks. The group-based delivery of plus activities to couples appeared to enhance individual agency, collective power and social networks, which in turn strengthened social support, gender relations and joint decision-making. Critical reflective dialogues provided a reference group to support the shift away from social norms that condone IPV. Finally, there appeared to be gender differences, with men highlighting the financial benefits and enhanced social status afforded by the groups, whereas women’s accounts focused primarily on strengthened social networks and social capital. CONCLUSION: Our study offers important insights into the mechanisms by which the group-based delivery of plus activities affects intermediate outcomes on the pathway to IPV. It underscores the importance of the modality of delivery in such programmes, and suggests that policy-makers should consider gender-specific needs as men and women might differentially benefit from interventions that enhance social capital to generate gender transformative impacts.
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spelling pubmed-101634902023-05-07 Cash plus programming and intimate partner violence: a qualitative evaluation of the benefits of group-based platforms for delivering activities in support of the Ethiopian government’s Productive Safety Net Programme (PSNP) Buller, Ana Maria Pichon, Marjorie Hidrobo, Melissa Mulford, Michael Amare, Tseday Sintayehu, Wastina Tadesse, Seifu Ranganathan, Meghna BMJ Open Qualitative Research OBJECTIVES: Intimate partner violence (IPV) is a public health challenge but there is evidence that cash and cash ‘plus’ interventions reduce IPV. An increasingly popular design feature of these kind of interventions is the group-based modality for delivering plus activities, however, evidence of the mechanisms through which this modality of delivery impacts IPV is limited. We explore how the group-based modality of delivering plus activities that complemented the Government of Ethiopia’s Productive Safety Net Programme contributed to modifying intermediate outcomes on the pathway to IPV. DESIGN: Qualitative study using in-depth interviews and focus group discussions between February and March 2020. Data were analysed using a thematic content and gender lens approach. Findings were interpreted, refined and drafted in collaboration with our local research partners. SETTING: Amhara and Oromia regions in Ethiopia. PARTICIPANTS: In total 115 men and women beneficiaries from the Strengthen PSNP4 Institutions and Resilience (SPIR) programme took part in the study. Fifty-eight were interviewed and 57 took part in 7 focus group discussions. RESULTS: We found that Village Economic and Social Associations—through which SPIR activities were delivered—improved financial security and increased economic resilience against income shocks. The group-based delivery of plus activities to couples appeared to enhance individual agency, collective power and social networks, which in turn strengthened social support, gender relations and joint decision-making. Critical reflective dialogues provided a reference group to support the shift away from social norms that condone IPV. Finally, there appeared to be gender differences, with men highlighting the financial benefits and enhanced social status afforded by the groups, whereas women’s accounts focused primarily on strengthened social networks and social capital. CONCLUSION: Our study offers important insights into the mechanisms by which the group-based delivery of plus activities affects intermediate outcomes on the pathway to IPV. It underscores the importance of the modality of delivery in such programmes, and suggests that policy-makers should consider gender-specific needs as men and women might differentially benefit from interventions that enhance social capital to generate gender transformative impacts. BMJ Publishing Group 2023-05-03 /pmc/articles/PMC10163490/ /pubmed/37137564 http://dx.doi.org/10.1136/bmjopen-2022-069939 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Qualitative Research
Buller, Ana Maria
Pichon, Marjorie
Hidrobo, Melissa
Mulford, Michael
Amare, Tseday
Sintayehu, Wastina
Tadesse, Seifu
Ranganathan, Meghna
Cash plus programming and intimate partner violence: a qualitative evaluation of the benefits of group-based platforms for delivering activities in support of the Ethiopian government’s Productive Safety Net Programme (PSNP)
title Cash plus programming and intimate partner violence: a qualitative evaluation of the benefits of group-based platforms for delivering activities in support of the Ethiopian government’s Productive Safety Net Programme (PSNP)
title_full Cash plus programming and intimate partner violence: a qualitative evaluation of the benefits of group-based platforms for delivering activities in support of the Ethiopian government’s Productive Safety Net Programme (PSNP)
title_fullStr Cash plus programming and intimate partner violence: a qualitative evaluation of the benefits of group-based platforms for delivering activities in support of the Ethiopian government’s Productive Safety Net Programme (PSNP)
title_full_unstemmed Cash plus programming and intimate partner violence: a qualitative evaluation of the benefits of group-based platforms for delivering activities in support of the Ethiopian government’s Productive Safety Net Programme (PSNP)
title_short Cash plus programming and intimate partner violence: a qualitative evaluation of the benefits of group-based platforms for delivering activities in support of the Ethiopian government’s Productive Safety Net Programme (PSNP)
title_sort cash plus programming and intimate partner violence: a qualitative evaluation of the benefits of group-based platforms for delivering activities in support of the ethiopian government’s productive safety net programme (psnp)
topic Qualitative Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163490/
https://www.ncbi.nlm.nih.gov/pubmed/37137564
http://dx.doi.org/10.1136/bmjopen-2022-069939
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