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      The HERrespect intervention to address violence against female garment workers in Bangladesh: study protocol for a quasi-experimental trial

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          Abstract

          Background

          Women in Bangladesh experience high rates of Intimate Partner Violence (IPV). IPV is more prevalent against income earning women compared to their non-earning counterparts, and Workplace Violence (WPV) is also common. Such violence is a violation of women’s rights, and also constrains them from contributing to their personal growth, household, community and the economy at large. There is limited evidence on what works to prevent IPV and WPV amongst garment workers. This paper describes an evaluation of HERrespect, an intervention which aims to reduce IPV and WPV against female garment workers in and around Dhaka, Bangladesh.

          Methods

          The trial employs a quasi-experimental design, with four intervention and four control factories. In the intervention factories a randomly selected cohort of married female line workers, a cohort of male line workers, and all middle management staff received the intervention. The intervention strategies involved (1) gender transformative group-based training for workers and management staff; (2) joint session between workers (15 female and male) and middle-management staff; (3) factory-wide activities; (4) awareness raising among top management; (5) factory policy review and development and 6) a community based campaign. For the evaluation, a cohort of randomly selected female workers and a cohort of selected management staff have been established. All workers ( n = 800) and management staff ( n = 395) from these cohorts were interviewed at baseline using two different questionnaires, and will be interviewed in the endline, 24 months post-baseline. Intention to treat analysis will be used for assessing the impact of HERrespect, comparing the intervention and control factories.

          Discussion

          To our knowledge this is the first study that seeks to evaluate the impact on IPV and WPV, of group sessions with female workers, male workers, and management; factory-wide campaigns and a community intervention among female garment workers in Bangladesh. Apart from informing programmers and policy makers about intervention effectiveness in reducing IPV and WPV against female garment workers this study will also present evidence on an intervention tailored to the situation in the garment sector, which makes HERrespect scalable.

          Trial registration

          ClinicalTrials.gov NCT03304015, retrospectively registered on October 06, 2017.

          Electronic supplementary material

          The online version of this article (10.1186/s12889-018-5442-5) contains supplementary material, which is available to authorized users.

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          Most cited references17

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          Global Self-Esteem and Specific Self-Esteem: Different Concepts, Different Outcomes

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            Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: a cluster randomised trial.

            HIV infection and intimate-partner violence share a common risk environment in much of southern Africa. The aim of the Intervention with Microfinance for AIDS and Gender Equity (IMAGE) study was to assess a structural intervention that combined a microfinance programme with a gender and HIV training curriculum. Villages in the rural Limpopo province of South Africa were pair-matched and randomly allocated to receive the intervention at study onset (intervention group, n=4) or 3 years later (comparison group, n=4). Loans were provided to poor women who enrolled in the intervention group. A participatory learning and action curriculum was integrated into loan meetings, which took place every 2 weeks. Both arms of the trial were divided into three groups: direct programme participants or matched controls (cohort one), randomly selected 14-35-year-old household co-residents (cohort two), and randomly selected community members (cohort three). Primary outcomes were experience of intimate-partner violence--either physical or sexual--in the past 12 months by a spouse or other sexual intimate (cohort one), unprotected sexual intercourse at last occurrence with a non-spousal partner in the past 12 months (cohorts two and three), and HIV incidence (cohort three). Analyses were done on a per-protocol basis. This trial is registered with ClinicalTrials.gov, number NCT00242957. In cohort one, experience of intimate-partner violence was reduced by 55% (adjusted risk ratio [aRR] 0.45, 95% CI 0.23-0.91; adjusted risk difference -7.3%, -16.2 to 1.5). The intervention did not affect the rate of unprotected sexual intercourse with a non-spousal partner in cohort two (aRR 1.02, 0.85-1.23), and there was no effect on the rate of unprotected sexual intercourse at last occurrence with a non-spousal partner (0.89, 0.66-1.19) or HIV incidence (1.06, 0.66-1.69) in cohort three. A combined microfinance and training intervention can lead to reductions in levels of intimate-partner violence in programme participants. Social and economic development interventions have the potential to alter risk environments for HIV and intimate-partner violence in southern Africa.
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              Development of the multidimensional peer-victimization scale

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                Author and article information

                Contributors
                mahfuzmamun@icddrb.org
                kparvin@icddrb.org
                myu@bsr.org
                jwan@bsr.org
                Samantha.Willan@mrc.ac.za
                Andrew.Gibbs@mrc.ac.za
                Rachel.Jewkes@mrc.ac.za
                ruchira@icddrb.org
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                18 April 2018
                18 April 2018
                2018
                : 18
                : 512
                Affiliations
                [1 ]ISNI 0000 0004 0600 7174, GRID grid.414142.6, Health Systems and Population Studies Division, icddr,b, ; Dhaka, Bangladesh
                [2 ]BSR, Hong Kong, China
                [3 ]ISNI 0000 0000 9155 0024, GRID grid.415021.3, Gender and Health Research Unit, , South African Medical Research Council, ; Pretoria, South Africa
                [4 ]ISNI 0000 0004 1937 1135, GRID grid.11951.3d, School of Public Health, , University of the Witwatersrand, ; Johannesburg, South Africa
                Article
                5442
                10.1186/s12889-018-5442-5
                5907290
                29669567
                dd223960-9e27-4bad-ac71-4beaad292145
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 12 October 2017
                : 11 April 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100001322, South African Medical Research Council;
                Categories
                Study Protocol
                Custom metadata
                © The Author(s) 2018

                Public health
                intimate partner violence,workplace violence,female garment worker,bangladesh,quasi-experimental trial

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