Impact of an integrated intimate partner violence and HIV prevention intervention: A cluster randomized trial in rakai, Uganda

Wagman, Jennifer

Saturday, March 21, 2015: 11:25 AM-12:45 PM

Room 10/11 (Renaissance Washington, DC Downtown Hotel)

Speaker:
Jennifer Wagman, MHS, PhD, University of California, San Diego

Authors:
Ronald Gray, MSc, MD, Johns Hopkins Bloomberg School of Public Health
Jacquelyn Campbell, PhD, RN, FAAN, Johns Hopkins University
Marie Thoma, MHS, PhD, Johns Hopkins Bloomberg School of Public Health
Anthony Ndyanabo, MHS, Rakai Health Sciences Program
Joseph Ssekasanvu, MS, Rakai Health Sciences Program
Fred Nalugoda, MHS, Rakai Health Sciences Program
Gertrude Nakigozi, MBChB, MPH, Rakai Health Sciences Program
Joseph Kagaayi, MBChB, MPH, PhD, Rakai Health Sciences Program
David Serwadda, MBChB, MSc, MMed, MPH, Makerere University
Heena Brahmbhatt, PhD, Johns Hopkins Bloomberg School of Public Health

Presentation Format:
Scientific Program Report

Learning Objectives:

Understand the relationship between IPV and HIV infection in rural Uganda and learn how researchers from Rakai Health Sciences Program followed a public health approach to design and implement SHARE, a combined IPV and HIV reduction intervention.
Have knowledge of the methods used to rigorously evaluate the impact of SHARE, the results of its impact on physical and sexual IPV, select risk behaviors and HIV incidence.
Be knowledgeable about an approach for integrating low-cost, long term IPV reduction into existing HIV programs that reduced physical and sexual IPV among women and HIV incidence in the population. Thus, others could consider adapting it for use in their setting.

Description:
A cluster-randomized trial was conducted in Rakai, Uganda (2005-2009). Four intervention clusters received an IPV prevention intervention (the Safe Homes and Respect for Everyone (SHARE) Project) and enhanced HIV testing and linkage to services (N=5,339). Seven control arm clusters received standard of care HIV services alone (N=6,112). Baseline and two follow-up visits occurred via the Rakai Community Cohort Study. SHARE was associated with reductions in physical and sexual IPV, marital rape and HIV incidence and increased disclosure of HIV results.