Randomized controlled trial to test the RHANI Wives HIV intervention for women in India at risk for HIV from husbands.
This study involved evaluation of the short-term impact of the RHANI Wives HIV intervention among wives at risk for HIV from husbands in Mumbai, India. A two-armed cluster RCT was conducted with 220 women surveyed on marital sex at baseline and 4-5 month follow-up. RHANI Wives was a multisession intervention focused on safer sex, marital communication, gender inequities and violence; control participants received basic HIV prevention education. Generalized linear mixed models were conducted to assess program impact, with cluster as a random effect and with time, treatment group, and the time by treatment interaction as fixed effects. A significant time by treatment effect on proportion of unprotected sex with husband (p = 0.01) was observed, and the rate of unprotected sex for intervention participants was lower than that of control participants at follow-up (RR = 0.83, 95 % CI = 0.75, 0.93). RHANI Wives is a promising model for women at risk for HIV from husbands.
Division of Global Public Health, Department of Medicine, University of California, San Diego School of Medicine, San Diego, CA, USA, anitaraj@ucsd.edu.
Anita
A
Raj
Niranjan
N
Saggurti
Madhusudana
M
Battala
Saritha
S
Nair
Anindita
A
Dasgupta
D D
DD
Naik
Daniela
D
Abramovitz
Jay G
JG
Silverman
Donta
D
Balaiah
D000293:Adolescent; D000328:Adult; D003075:Coitus; D017579:Domestic Violence / Q000706:statistics & numerical data; D005114:Extramarital Relations; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D015397:Program Evaluation; D012307:Risk Factors; D021841:Safe Sex; D011477:Sex Work; D012725:Sexual Behavior; D012747:Sexual Partners; D018454:Spouses / Q000523:psychology; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D016387:Women's Health