Testing a counselling intervention in antenatal care for women experiencing partner violence: a study protocol for a randomized controlled trial in Johannesburg, South Africa

Tordrup, David; García‐Moreno, Claudia; Stöeckl, Heidi; Hatcher, Abigail M.; MacPhail, Catherine; Mokoatle, Keneoue; Woollett, Nataly

doi:10.1186/s12913-016-1872-x

Cited by 39 publications

(35 citation statements)

References 32 publications

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“…In a study in KwaZulu Natal on social support and pregnancy, women were most likely to disclose their newly diagnosed status as HIV positive when they felt that they could live at home and feel safe and supported [27]. South African women generally attend at least one antenatal visit and give birth with a skilled birth attendant [28], and consequently antenatal care (ANC) is a potentially important point of intervention, hence our focus.…”

Section: Introductionmentioning

confidence: 99%

Personal support and expressions of care for pregnant women in Soweto, South Africa

Mlotshwa

Manderson

Merten

2017

Global Health Action

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Background: Pregnancy is life changing, making great demands on women to adapt physically, psychologically, and socially. Social relationships and the support that flow from these provide a critical role in managing health problems in pregnancy. Isolation and lack of care, in contrast, may lead women to experience increased distress during this time. Objective: This study aimed to explore South African women's perception and experience of care and support in pregnancy. Methods: A life history approach was employed to explore women’s experiences of pregnancy and sexual behaviour, with each participant encouraged to narrate important life events from her own perspective. We drew on narrative interviews with 15 pregnant women, conducted between July and October 2015, in which we explored questions regarding pregnancy planning and the provision and receipt of care. A thematic approach was employed to code and analyse the data. Results: Themes that emerged from the interviews showed that participants gained a sense of stability in their lives when they had support in their pregnancy, especially when dealing with challenging situations. This support came variously from family, friends, and social networks. Overall, those participants who mentioned the most support, and its diversity across different groups, reported a better experience of pregnancy. Conclusions: Women emphasised the importance of social and emotional support in pregnancy. Understanding women’s experiences can assist in making pregnancy less overwhelming, and can add to a woman’s ability to deal with different challenges before and after the arrival of the new baby.

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Section: Introductionmentioning

confidence: 99%

Personal support and expressions of care for pregnant women in Soweto, South Africa

Mlotshwa

Manderson

Merten

2017

Global Health Action

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“…In a resource limited setting such as Nepal, where services for DFV are insufficient in number or are just emerging [8], screening for DFV alone can be a good initiative to inform women about DFV and the appropriate referrals of victims could contribute to an improvement in their health and well-being [15,16]. Antenatal care (ANC) has been the recommended setting for implementation of such a screening and referral intervention [13,17].…”

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confidence: 99%

‘We don’t see because we don’t ask’: Qualitative exploration of service users’ and health professionals’ views regarding a psychosocial intervention targeting pregnant women experiencing domestic and family violence

et al. 2020

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IntroductionGiven the relative recency of Domestic and Family Violence (DFV) management as a field of endeavour, it is not surprising that interventions for addressing DFV is still in its infancy in developing countries. In order to maximise the success of an intervention, it is important to know which aspects of the intervention are considered important and helpful by service providers and service users. This study, therefore, examined the acceptability of an antenatalbased psychosocial intervention targeting DFV in Nepal and explored suggestions for improving the program in future. Materials and methodsIntervention participants and health care providers (HCPs) were interviewed using semistructured interviews. Data were audio-recorded and thematic analysis was used to analyse the data. Final codes and themes were identified using an iterative review process among the research team. ResultsThemes emerging from the data were grouped into domains including perceptions towards DFV, impact of the intervention on women's lives and recommendations for improving the program. DFV was recognised as a significant problem requiring urgent attention for its prevention and control. Intervention participants expressed that they felt safe to share their feelings during the counselling session and got opportunity to learn new skills to cope with DFV.

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“…Local project partner Sonke Gender Justice (Sonke) formed community action teams in the two Johannesburg communities where most CHARISMA participants lived (Hillbrow and Diepkloof) to conduct community engagement activities with men; to challenge harmful norms around gender, intimate partner violence, and HIV prevention; and to raise awareness of and support for the vaginal ring. Additional details about CHARISMA have been published elsewhere [20].…”

Section: Intervention Descriptionmentioning

confidence: 99%

Acceptability and Feasibility of the CHARISMA Counseling Intervention to Support Women’s Use of Pre-Exposure Prophylaxis

Wilson¹,

Wagner²,

Palanee‐Phillips³

et al. 2020

Preprint

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Background: Women may need or seek male partner approval to {Malow, 2000 #18}{Malow, 2000 #18}{Malow, 2000 #18}{Malow, 2000 #18}safely and consistently use oral antiretroviral pre-exposure prophylaxis (PrEP) or vaginal microbicides. We developed CHARISMA, a counseling intervention to support women’s relationships and their ability to consistently use HIV prevention products.Methods: In a pilot study with 95 female participants in Johannesburg, South Africa, lay counselors assessed participants’ relationship(s) with their male partner(s) and barriers or facilitators to HIV prevention method use, and then provided tailored, interactive counseling. We conducted study participant surveys and clinic staff interviews to evaluate CHARISMA’s feasibility and acceptability.Results: The CHARISMA pilot study indicates that a two-session relationship counseling intervention with 6-month follow-up to support women’s ability to safely and effectively use vaginal microbicides was generally acceptable and feasible. Most participants thought CHARISMA was relevant, helpful, and about the right length, and that it had a positive impact on their relationships with their partners and their product use. Staff stated that it was generally feasible to implement. Based on these promising preliminary findings, the project team is currently conducting a randomized controlled trial in which participants are receive either the standard of care for IPV screening and referral (control arm) or the CHARISMA intervention.Conclusions: Clinic staff felt strongly that the length and intensity of CHARISMA were necessary for participants to begin to trust the counselors enough to be open and honest about problems in their relationships, and to begin to overcome the normalization of intimate partner violence. The length and intensity of CHARISMA may not be feasible in some settings, but a shorter version of the intervention may not offer as much support as women and staff need. One possible approach to reduce the burden on clinic staff would be to self-administer the intervention through a computer rather than requiring a counselor. Lessons learned from the pilot study may be relevant to others developing interventions supporting women’s use of oral PrEP or vaginal microbicides.

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Testing a counselling intervention in antenatal care for women experiencing partner violence: a study protocol for a randomized controlled trial in Johannesburg, South Africa

Cited by 39 publications

References 32 publications

Personal support and expressions of care for pregnant women in Soweto, South Africa

Personal support and expressions of care for pregnant women in Soweto, South Africa

‘We don’t see because we don’t ask’: Qualitative exploration of service users’ and health professionals’ views regarding a psychosocial intervention targeting pregnant women experiencing domestic and family violence

Acceptability and Feasibility of the CHARISMA Counseling Intervention to Support Women’s Use of Pre-Exposure Prophylaxis

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