Cargando…
‘SASA! is the medicine that treats violence’. Qualitative findings on how a community mobilisation intervention to prevent violence against women created change in Kampala, Uganda
BACKGROUND: Intimate partner violence (IPV) violates women's human rights and is a serious public health concern. Historically strategies to prevent IPV have focussed on individuals and their relationships without addressing the context under which IPV occurs. Primary prevention of IPV is a rel...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Co-Action Publishing
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4165071/ https://www.ncbi.nlm.nih.gov/pubmed/25226421 http://dx.doi.org/10.3402/gha.v7.25082 |
_version_ | 1782335055041921024 |
---|---|
author | Kyegombe, Nambusi Starmann, Elizabeth Devries, Karen M. Michau, Lori Nakuti, Janet Musuya, Tina Watts, Charlotte Heise, Lori |
author_facet | Kyegombe, Nambusi Starmann, Elizabeth Devries, Karen M. Michau, Lori Nakuti, Janet Musuya, Tina Watts, Charlotte Heise, Lori |
author_sort | Kyegombe, Nambusi |
collection | PubMed |
description | BACKGROUND: Intimate partner violence (IPV) violates women's human rights and is a serious public health concern. Historically strategies to prevent IPV have focussed on individuals and their relationships without addressing the context under which IPV occurs. Primary prevention of IPV is a relatively new focus of international efforts and what SASA!, a phased community mobilisation intervention, seeks to achieve. METHODS: Conducted in Kampala, Uganda, between 2007 and 2012, the SASA! Study is a cluster randomised controlled trial to assess the community-level impact of SASA! This nested qualitative study explores pathways of individual- and community-level change as a result of SASA! Forty in-depth interviews with community members (20 women, 20 men) were conducted at follow-up, audio recorded, transcribed verbatim and analysed using thematic analysis complemented by constant comparative methods. RESULTS: SASA! influenced the dynamics of relationships and broader community norms. At the relationship level, SASA! is helping partners to explore the benefits of mutually supportive gender roles; improve communication on a variety of issues; increase levels of joint decision-making and highlight non-violent ways to deal with anger or disagreement. Not all relationships experienced the same breadth and depth of change. At the community level, SASA! has helped foster a climate of non-tolerance of violence by reducing the acceptability of violence against women and increasing individuals’ skills, willingness, and sense of responsibility to act to prevent it. It has also developed and strengthened community-based structures to catalyse and support on-going activism to prevent IPV. DISCUSSION: This paper provides evidence of the ways in which community-based violence prevention interventions may reduce IPV in low-income settings. It offers important implications for community mobilisation approaches and for prevention of IPV against women. This research has demonstrated the potential of social norm change interventions at the community level to achieve meaningful impact within project timeframes. |
format | Online Article Text |
id | pubmed-4165071 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Co-Action Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-41650712014-10-02 ‘SASA! is the medicine that treats violence’. Qualitative findings on how a community mobilisation intervention to prevent violence against women created change in Kampala, Uganda Kyegombe, Nambusi Starmann, Elizabeth Devries, Karen M. Michau, Lori Nakuti, Janet Musuya, Tina Watts, Charlotte Heise, Lori Glob Health Action Intimate Partner Violence and Mental Health BACKGROUND: Intimate partner violence (IPV) violates women's human rights and is a serious public health concern. Historically strategies to prevent IPV have focussed on individuals and their relationships without addressing the context under which IPV occurs. Primary prevention of IPV is a relatively new focus of international efforts and what SASA!, a phased community mobilisation intervention, seeks to achieve. METHODS: Conducted in Kampala, Uganda, between 2007 and 2012, the SASA! Study is a cluster randomised controlled trial to assess the community-level impact of SASA! This nested qualitative study explores pathways of individual- and community-level change as a result of SASA! Forty in-depth interviews with community members (20 women, 20 men) were conducted at follow-up, audio recorded, transcribed verbatim and analysed using thematic analysis complemented by constant comparative methods. RESULTS: SASA! influenced the dynamics of relationships and broader community norms. At the relationship level, SASA! is helping partners to explore the benefits of mutually supportive gender roles; improve communication on a variety of issues; increase levels of joint decision-making and highlight non-violent ways to deal with anger or disagreement. Not all relationships experienced the same breadth and depth of change. At the community level, SASA! has helped foster a climate of non-tolerance of violence by reducing the acceptability of violence against women and increasing individuals’ skills, willingness, and sense of responsibility to act to prevent it. It has also developed and strengthened community-based structures to catalyse and support on-going activism to prevent IPV. DISCUSSION: This paper provides evidence of the ways in which community-based violence prevention interventions may reduce IPV in low-income settings. It offers important implications for community mobilisation approaches and for prevention of IPV against women. This research has demonstrated the potential of social norm change interventions at the community level to achieve meaningful impact within project timeframes. Co-Action Publishing 2014-09-12 /pmc/articles/PMC4165071/ /pubmed/25226421 http://dx.doi.org/10.3402/gha.v7.25082 Text en © 2014 Nambusi Kyegombe et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Intimate Partner Violence and Mental Health Kyegombe, Nambusi Starmann, Elizabeth Devries, Karen M. Michau, Lori Nakuti, Janet Musuya, Tina Watts, Charlotte Heise, Lori ‘SASA! is the medicine that treats violence’. Qualitative findings on how a community mobilisation intervention to prevent violence against women created change in Kampala, Uganda |
title | ‘SASA! is the medicine that treats violence’. Qualitative findings on how a community mobilisation intervention to prevent violence against women created change in Kampala, Uganda |
title_full | ‘SASA! is the medicine that treats violence’. Qualitative findings on how a community mobilisation intervention to prevent violence against women created change in Kampala, Uganda |
title_fullStr | ‘SASA! is the medicine that treats violence’. Qualitative findings on how a community mobilisation intervention to prevent violence against women created change in Kampala, Uganda |
title_full_unstemmed | ‘SASA! is the medicine that treats violence’. Qualitative findings on how a community mobilisation intervention to prevent violence against women created change in Kampala, Uganda |
title_short | ‘SASA! is the medicine that treats violence’. Qualitative findings on how a community mobilisation intervention to prevent violence against women created change in Kampala, Uganda |
title_sort | ‘sasa! is the medicine that treats violence’. qualitative findings on how a community mobilisation intervention to prevent violence against women created change in kampala, uganda |
topic | Intimate Partner Violence and Mental Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4165071/ https://www.ncbi.nlm.nih.gov/pubmed/25226421 http://dx.doi.org/10.3402/gha.v7.25082 |
work_keys_str_mv | AT kyegombenambusi sasaisthemedicinethattreatsviolencequalitativefindingsonhowacommunitymobilisationinterventiontopreventviolenceagainstwomencreatedchangeinkampalauganda AT starmannelizabeth sasaisthemedicinethattreatsviolencequalitativefindingsonhowacommunitymobilisationinterventiontopreventviolenceagainstwomencreatedchangeinkampalauganda AT devrieskarenm sasaisthemedicinethattreatsviolencequalitativefindingsonhowacommunitymobilisationinterventiontopreventviolenceagainstwomencreatedchangeinkampalauganda AT michaulori sasaisthemedicinethattreatsviolencequalitativefindingsonhowacommunitymobilisationinterventiontopreventviolenceagainstwomencreatedchangeinkampalauganda AT nakutijanet sasaisthemedicinethattreatsviolencequalitativefindingsonhowacommunitymobilisationinterventiontopreventviolenceagainstwomencreatedchangeinkampalauganda AT musuyatina sasaisthemedicinethattreatsviolencequalitativefindingsonhowacommunitymobilisationinterventiontopreventviolenceagainstwomencreatedchangeinkampalauganda AT wattscharlotte sasaisthemedicinethattreatsviolencequalitativefindingsonhowacommunitymobilisationinterventiontopreventviolenceagainstwomencreatedchangeinkampalauganda AT heiselori sasaisthemedicinethattreatsviolencequalitativefindingsonhowacommunitymobilisationinterventiontopreventviolenceagainstwomencreatedchangeinkampalauganda |