Findings from the SASA! Study: a cluster randomized controlled trial to assess the impact of a community mobilization intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda

• DOI: 10.1186/s12916-014-0122-5
• Publication Date: 2014-07-30T10:46:07Z
• Authors: Tanya Abramsky; Karen Devries; Ligia Kiss; Janet Nakuti; Nambusi Kyegombe; Elizabeth Starmann; Bonnie Cundill; Leilani Francisco; Dan Kaye; Tina Musuya; Lori Michau; Charlotte Watts
• Keywords: Community mobilization

Intimate partner violence (IPV) and HIV are important interconnected public health concerns. While it is recognized that they share common social drivers, there limited evidence surrounding the potential of community interventions to reduce risk at level. The SASA! study assessed community-level impact SASA!, a mobilization intervention prevent HIV-risk behaviors.From 2007 2012 pair-matched cluster randomized controlled trial (CRT) was conducted in eight communities (four four control) Kampala, Uganda. Cross-sectional surveys random sample members, 18- 49-years old, were undertaken baseline (n = 1,583) years post implementation 2,532). Six HIV-related primary outcomes defined priori. An adjusted cluster-level intention-to-treat analysis compared control follow-up.The associated with significantly lower acceptance IPV among women (adjusted ratio 0.54, 95% confidence interval (CI) 0.38 0.79) men (0.13, CI 0.01 1.15); greater woman can refuse sex (1.28, 1.07 1.52) (1.31, 1.00 1.70); 52% past year experience physical (0.48, 0.16 1.39); levels sexual (0.76, 0.33 1.72). Women experiencing more likely receive supportive responses. Reported concurrency by (0.57, 0.36 0.91).This first CRT sub-Saharan Africa assess program on acceptability IPV, prevalence concurrency. achieved impacts, now being delivered replicated 15 countries.ClinicalTrials.gov #NCT00790959.