How did SASA! reduce violence against women?

Exploring couples' processes of change in the context of SASA!, a violence against women and HIV prevention intervention in Uganda.

Starmann E, Collumbien M, Kyegombe N, Devries K, Michau L, Musuya T, Watts C, Heise L. Prev Sci. 2017 Feb; 18(2): 233–244. doi:  10.1007/s11121-016-0716-6. Epub 2016 Sep 29. 

There is now a growing body of research indicating that prevention interventions can reduce intimate partner violence (IPV); much less is known, however, about how couples exposed to these interventions experience the change process, particularly in low-income countries. Understanding the dynamic process that brings about the cessation of IPV is essential for understanding how interventions work (or don't) to reduce IPV. This study aimed to provide a better understanding of how couples' involvement with SASA!-a violence against women and HIV-related community mobilisation intervention developed by Raising Voices in Uganda-influenced processes of change in relationships. Qualitative data were collected from each partner in separate in-depth interviews following the intervention. Dyadic analysis was conducted using framework analysis methods. Study findings suggest that engagement with SASA! contributed to varied experiences and degrees of change at the individual and relationship levels. Reflection around healthy relationships and communication skills learned through SASA! activities or community activists led to more positive interaction among many couples, which reduced conflict and IPV. This nurtured a growing trust and respect between many partners, facilitating change in longstanding conflicts and generating greater intimacy and love as well as increased partnership among couples to manage economic challenges. This study draws attention to the value of researching and working with both women, men and couples to prevent IPV and suggests IPV prevention interventions may benefit from the inclusion of relationship skills building and support within the context of community mobilisation interventions.

Abstract  Full-text [free] access 

Editor’s notes: Evidence from sub-Saharan Africa suggests community mobilization approaches work at many different levels to prevent intimate partner violence. However it is unclear how they work. This study interviewed ten couples (men and women interviewed separately) who participated in the SASA! activities and reported reductions in intimate partner violence over time. Findings suggest that engagement with SASA! by one or both members of the couple resulted in a range of change processes at the individual and relational levels. The biggest changes were seen in couples with severe intimate partner violence and in couples where one or both partners experienced high-intensity exposure to SASA! Changes were not usually universal or rapid but often uneven and slow. Overall, greater awareness of healthy relationship values and increased relational resources – communication and self-regulation skills – led to improved relationships.

Of interest to people involved in programmes on intimate partner violence, is that focusing on promoting positive relationship values and dynamics - such as love, respect and trust are effective.  Indeed, they were far more effective, than focusing on gender roles such as sharing of household tasks – which created conflict. The findings suggest intimate partner violence programmes should consider mixed-sex approaches that work with both men and women. These programmes should include promoting love and intimacy as a mechanism to achieve more balanced power in relationships and reduce violence. 

 

Africa
Uganda
  • share