Abstract

Intimate partner violence (IPV) has a large and sustained impact on women’s mental health, and so effective prevention is critical. A review of 96 rigorous evaluations of interventions for their impact on violence against women and girls (mostly IPV) found that several intervention approaches were effective. However, not every evaluation of a ‘successful approach’ showed success in reducing IPV. In order to understand what else impacts success, we analysed practitioners’ accounts and documentation of the design and implementation of seventeen interventions evaluated as part of What Works to Prevent Violence against Women and Girls (VAWG). Six features were identified as characteristics of all successful interventions: a rigorously planned intervention with a robust theory of change (ToC), attuned to the local context; addressing multiple drivers of VAWG; support for survivors; working with women and men; implementing at optimal intensity and having sufficient, well-selected, trained and supported staff and volunteers. Four features were necessary for success when relevant for the intervention approach: gender and social empowerment group activities and promoting positive interpersonal relations; participatory learning methods, emphasising empowerment, critical reflection and communication skills; carefully designed user-friendly manuals systematically followed; and when working with children, having an age-appropriate design with time for learning and an engaging pedagogy. This analysis provides the IPV prevention field with critical information for enhancing the impact of group- and community-based interventions in IPV prevention and through this strengthening women’s mental health.

Highlights

  • Intimate partner violence (IPV) and rape are globally pervasive problems, with a high prevalence in low- and middle-income countries [1]

  • Preventing IPV is critical for removing a major driver of women’s mental ill-health. This is the first endeavour to look across multiple Violence against Women and Girls (VAWG) prevention interventions and ask the question of why some interventions are more effective than others when using a proven intervention approach

  • Preventing IPV is vital for improving the health of women, and important for improving mental health outcomes

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Summary

Objectives

The aim of our paper is to reflect on the design and implementation of the interventions in What Works and consider whether there are aspects of these that distinguished those that were more effective in preventing and/or reducing VAWG, with a view to guiding future programming

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