Government of Ethiopia's public works and complementary programmes: A mixed-methods study on pathways to reduce intimate partner violence.


Journal

Social science & medicine (1982)
ISSN: 1873-5347
Titre abrégé: Soc Sci Med
Pays: England
ID NLM: 8303205

Informations de publication

Date de publication:
02 2022
Historique:
received: 19 08 2021
revised: 05 01 2022
accepted: 06 01 2022
pubmed: 26 1 2022
medline: 19 3 2022
entrez: 25 1 2022
Statut: ppublish

Résumé

There is evidence that cash transfers reduce intimate partner violence (IPV), but less is known about the impacts of public works and complementary programmes on IPV. Using mixed-methods we examined whether and how the Ethiopian government's public works programme (that includes food or cash transfers for seasonal labour) alongside complementary activities that engage women and men affected IPV. We analysed midline data collected in July-October 2019 from a randomised controlled trial (RCT) designed to measure the added impacts of the complementary programming in the Amhara and Oromia regions. Eligible households for this analysis had at least one child aged 0-35 months and a primary female caregiver who was married, and under 50 years-old (n = 2604). A nested qualitative study was conducted with a sub-sample of RCT participants from February-March 2020; data included seven focus group discussions and 58 in-depth interviews. Male partners of women who reported experiencing IPV were purposively sampled. Ordinary Least Squares regression analyses were used to estimate the average treatment effect of the complementary programming, and sub-analyses were conducted on the poorest ten households from each village who received additional livelihood transfers. Qualitative data were analysed using thematic content analysis. We found no impacts of the complementary programming on IPV in the full sample, but some impacts among the poorest sample. Evidence on pathways found that both the public works and complementary programming decreased poverty-related stress and arguments within relationships and increased emotional wellbeing. There were some impacts on women's empowerment from the complementary programming. However, men's reactions to women's empowerment were mixed. There was strong evidence that engaging men in nutrition behaviour change communication contributed to improving gender relations. Our findings indicate that social protection and complementary programmes have the potential to be gender transformative and prevent the drivers of IPV.

Identifiants

pubmed: 35074558
pii: S0277-9536(22)00011-9
doi: 10.1016/j.socscimed.2022.114708
pii:
doi:

Types de publication

Journal Article Randomized Controlled Trial Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

114708

Informations de copyright

Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.

Auteurs

Meghna Ranganathan (M)

Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Tavistock Place, WC1H 9SH, London, UK. Electronic address: Meghna.Ranganathan@lshtm.ac.uk.

Marjorie Pichon (M)

Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Tavistock Place, WC1H 9SH, London, UK.

Melissa Hidrobo (M)

Poverty Health and Nutrition Division, International Food Policy Research Institute, 1201 I St NW, Washington DC, 20005, USA.

Heleene Tambet (H)

Poverty Health and Nutrition Division, International Food Policy Research Institute, 1201 I St NW, Washington DC, 20005, USA.

Wastina Sintayehu (W)

Independent Consultant, JaRco Consulting, P.O. Box 43107, Addis Ababa, Ethiopia.

Seifu Tadesse (S)

Independent Consultant, JaRco Consulting, P.O. Box 43107, Addis Ababa, Ethiopia.

Ana Maria Buller (AM)

Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Tavistock Place, WC1H 9SH, London, UK.

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