Active — Not RecruitingNot Applicable

The Role of Gender Transformative Interventions to Strengthen Gender Equity and Improve Immunization Outcomes

Pakistan, Togo448 participantsStarted 2024-09-09

Plain-language summary

The goal of this clinical trial is to test the role of community-based men's engagement interventions in improving immunization uptake and strengthening gender equity at the household level. The main questions it aims to answer are: (1) Does household and community engagement of male caregivers and couples improve equitable gender relations, including increased male involvement in household tasks and childcare, in Togo and Pakistan, compared with communities that did not receive an intervention? (2) Can household and community engagement of male caregivers and couples increase support for and rates of age-appropriate timely immunization among children under 12 months of age, in Togo and Pakistan, compared with communities that did not receive an intervention? (3) How feasible, acceptable, and appropriate is it for CSO staff/volunteers to engage female and male caregivers and community leaders using gender transformative approaches (including household visits and group discussions) as assessed over a seven-month period? (4) What is the cost of gender transformative engagement of male and female caregivers and community leaders by CSO staff/volunteers compared to standard childhood immunization outreach services over a seven-month period? Participants (male and female caregivers of children under 12 months of age) will be sorted into intervention or comparison groups based on their community of residence. Participants in the intervention group will: * Receive household visits to raise awareness of immunization benefits and gender equity * Participate in couples communication discussion groups * Receive immunization and gender equity messaging from community leaders and other influencers. Researchers will compare the intervention group with comparison groups in similar communities to see if the intervention group demonstrates improved equitable gender relations and increased rates of immunization compared to the comparison group which does not receive the intervention.

Who can participate

Age range18 Years – 49 Years

SexALL

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Inclusion Criteria: Caregivers Pakistan: * Adult women and men aged 18-49 who are in a monogamous relationship, or polygamous relationship in which the male partner agrees to participate with one female partner, and are together caregivers of at least one child 12 months of age or younger * Have lived in the study site for at least one year * Plan to continue to live in the study site for at least one year from time of recruitment * If the caregiver is drawn from one of the intervention Union Councils, must be willing to fully participated in the intervention for the full implementation period Caregivers Togo: * Adult women and men aged 18-49 who are in a monogamous relationship, or are in a polygamous relationship in which the man resides only with the woman who is also involved in the study, and who and are together caregivers of at least one child 12 months of age or younger * Have lived in the study site for at least one year * Plan to continue to live in the study site for at least one year from time of recruitment * If the caregiver is drawn from one of the intervention communities, must be willing to fully participate in the intervention for the full implementation period Community mobilizers Pakistan: * A woman or man currently living in the intervention Union Councils * Has at least one child who has received the complete vaccine series * Fluently speak the language that is most commonly spoken in the Union Council in which they live * Be able to read and write…

What they're measuring

Sharing of childcare and household tasks

Timeframe: 7 months

Trial details

NCT IDNCT06258200

SponsorJhpiego

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-08-08