Bandebereho Couples Intervention

Updated: Jan 03, 2019
Evidence Rating:
Near Top Tier

Highlights

  • Program:

    A couples’ program that engages expectant fathers and fathers of children under five, along with their partners, in group education sessions designed to promote men’s engagement in maternal, newborn, and child health; family planning; caregiving; and preventing domestic violence.

  • Evaluation Methods:

    A large, well-conducted randomized controlled trial (RCT) with a sample of 1,199 men and their female partners in Rwanda.

  • Key Findings:

    At follow-up 21 months after random assignment, the program reduced the incidence of intimate partner violence (IPV) by more than one-third, compared to the control group – an effect that was highly statistically significant.

  • Other:

    The study was conducted in a single country – Rwanda. As a next step in the research, a replication trial in another country would be desirable to hopefully confirm the initial results and establish that they generalize to other nations with similarly high rates of domestic violence.

Bandebereho is a Rwandan program for expectant fathers and fathers of children under the age of five years, along with their partners, that is designed to promote men’s engagement in maternal, newborn, and child health; family planning; caregiving; and preventing domestic violence. The program is delivered by the Rwanda Men’s Resource Center – a non-governmental organization – and is part of a four-country initiative known as MenCare+.

The program consists of 15 group sessions for men (maximum 45 hours), of which their female partners are invited to attend 8 (maximum 24 hours). Trained community volunteers (local fathers) facilitate the sessions, meeting with the same group of 12 men/couples on a weekly basis. The sessions address gender and power; fatherhood; couple communication and decision-making; intimate partner violence (IPV); caregiving; child development; and male engagement in reproductive and maternal health.

The program’s cost is not reported in publicly available program materials, but is likely to be modest given the nature of the program activities. The program manual is linked here.

To see our full evidence summary:
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References

Doyle K, Levtov RG, Barker G, Bastian GG, Bingenheimer JB, Kazimbaya S, et. al. (2018). “Gender-transformative Bandebereho couples’ intervention to promote male engagement in reproductive and maternal health and violence prevention in Rwanda: Findings from a randomized controlled trial.” PLoSONE 13(4): e0192756.

Schochet, PZ (2008). Technical Methods Report: Guidelines for Multiple Testing in Impact Evaluations (NCEE 2008-4018). Washington, DC: National Center for Education Evaluation and Regional Assistance, Institute of Education Sciences, U.S. Department of Education.

Food and Drug Administration, U.S. Department of Health and Human Services (January 2017). Multiple Endpoints in Clinical Trials: Guidance for Industry (Draft).

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