Reducing violence and increasing condom use in the intimate partnerships of female sex workers: study protocol for Samvedana Plus, a cluster randomised controlled trial in Karnataka state, south India

摘要: Female sex workers (FSWs) are at increased risk of HIV and STIs compared to women in the general population, frequently experience violence their working domestic lives from a variety perpetrators, which can enhance this risk. While progress has been made addressing by police clients, little work done understand prevent intimate partners (IPs) among FSW populations. Samvedana Plus is multi-level intervention programme that works with FSWs, IPs, worker community, aims reduce increase consistent condom use within these ‘intimate’ relationships. The involves shifting norms around acceptability beating as form discipline, challenging gender roles give men authority over women, encourage new relationship models based on equity respect. will aim cover 800 FSWs IPs living 47 villages Bagalkot district, northern Karnataka. study designed assess two primary outcomes: proportion who report: (i) physical or sexual partner violence; (ii) relationship, past 6 months. evaluation employ cluster-randomised controlled trial design, 50 % village clusters (n = 24) randomly selected receive for first 24 months remaining (n = 23) receiving thereafter. Statisticians be blinded treatment arm allocation. an adjusted, cluster-level intention treat analysis, comparing outcomes control midline (12 months) endline (24 months). design involve quantitative qualitative assessments all report IP IPs; process/ implementation monitoring. Baseline data collection was completed April 2015, anticipated May 2017. This innovative address part prevention programming FSWs. Reducing expected vulnerability acquisition, help live without fear violence. Clinical Trials NCT02807259 Jun 24 2016 (retrospectively registered).