Examining diffusion to understand the how of SASA!, a violence against women and HIV prevention intervention in Uganda

BMC Public Health
Elizabeth StarmannMartine Collumbien

Abstract

A growing number of complex public health interventions combine mass media with community-based "change agents" and/or mobilisation efforts acting at multiple levels. While impact evaluations are important, there is a paucity of research into the more nuanced roles intervention and social network factors may play in achieving intervention outcomes, making it difficult to understand how different aspects of the intervention worked (or did not). This study applied aspects of diffusion of innovations theory to explore how SASA!, a community mobilisation approach for preventing HIV and violence against women, diffused within intervention communities and the factors that influenced the uptake of new ideas and behaviours around intimate partner relationships and violence. This paper is based on a qualitative study of couples living in SASA communities and secondary analysis of endline quantitative data collected as part of a cluster randomised control trial designed to evaluate the impact of the SASA! The primary trial was conducted in eight communities in Kampala, Uganda between 2007 and 2012. The secondary analysis of follow up survey data used multivariate logistic regression to examine associations between intervention exposure a...Continue Reading

References

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Nov 23, 2006·BMC Public Health·Charles A S KaramagiKristian Heggenhougen
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Sep 30, 2016·Prevention Science : the Official Journal of the Society for Prevention Research·Elizabeth StarmannLori Heise

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Citations

Mar 20, 2019·Culture, Health & Sexuality·Beniamino CislaghiMartine Collumbien
Mar 22, 2019·Global Public Health·Beniamino CislaghiHolly Shakya
Feb 13, 2019·Prevention Science : the Official Journal of the Society for Prevention Research·Beniamino CislaghiCari Jo Clark
Sep 12, 2020·PloS One·Amanda N GesselmanVirginia J Vitzthum
Dec 16, 2020·SSM - Population Health·Lotus McDougalAnita Raj

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Software Mentioned

STATA
Stepping
NVIVO
MAISHA
SASA

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