Together to End Violence Against Women (TEVAW)
Women in Tanzania suffer alarming rates of gender-based violence (GBV) that have detrimental effects on mental and physical health. In Tanzania, intimate partner violence (IPV) is one of the most pervasive forms of GBV, with 44% of ever-married women experiencing physical and/or sexual violence from partners. Our Together to End Violence Against Women (TEVAW) program, implemented in Karatu District in Northern Tanzania, aims to address IPV through individual, interpersonal, and community level interventions. To date, research on IPV has been limited, especially regarding the effectiveness of prevention efforts that target structural drivers of IPV in low- and middle-income countries.
With funding from the Sexual Violence Research Initiative of the South African Medical Research Council, researchers and staff from Boston University’s Center for Global Health and Development and we conducted a cluster randomized control trial to test the preliminary effectiveness of TEVAW in addressing IPV. Nine villages in Karatu District were randomly assigned into one of three study arms, each comprised of 150 couples (150 women and their co-resident male partners). This pilot study had 40% power to detect a 50% reduction in men’s perpetration of IPV.
Women in all study arms participated in LIMCA savings and lending groups. LIMCA empowers participants through savings and credit activities to increase their economic independence and strengthen social support networks. LIMCA members also received training in business skills and financial literacy as well as key messaging on HIV and IPV prevention to improve women’s knowledge about the physical and emotional consequences of IPV on women, men and children. In one arm of the intervention, male partners of LIMCA members participated in male peer group workshops that explored gender norms, power dynamics, intimate partner violence prevention, and HIV prevention using a 24-hour curriculum we developed by adapting existing evidence-based curricula.
At the end of the study, male peer groups and community dialogues appear promising in reducing men’s physical, sexual, and emotional violence against women by targeting attitudes, behaviors, and social norms and increasing awareness among men and the communities about the negative consequences of intimate partner violence. While this pilot study demonstrated trends in a positive direction, we recommend that a fully powered study (80%) with adequate sample size be implemented in order to detect statistically significant changes in attitudes and behavior.
Click the above image to read more about TEVAW and the results from the cluster randomized control trial.
 Tanzania Demographic and Health Survey 2010.