"A clustered randomized trial in two states of India examines alternate strategies to reduce child marriage, increase girls' education and change gender attitudes. GPs were randomized into four treatment and one control group in a 1:1:1:2:2 ratio. The GP level intervention from November 2012 deliver ... ed to treatment groups i) A Full Package, comprising mass-media, training and community mobilization programs; ii) a Training Package comprising a combination of mass media and a training program at the block level; iii) a Community Mobilization Package comprising a combination of mass-media and a community mobilization program; iv) and an only Mass Media program. Data from 2,542 households seven years after the start of the program shows that the intervention made significant improvements in impact indicators on girls' education and incidence and age at marriage. As compared to the control GPs, the Full Package intervention increased the age at marriage for girls aged 13-25 on an average by 6.5 months and their education by 9 months. The Full Package also increased the percentage of girls enrolled in school by an additional 9% over the level that control group achieved (92% in Full Package vs 83% in Control Group). The program impacts were similar after controlling for stratification and other household and GP level characteristics. We found that the intervention made an outcome indicator - gender attitudes - more progressive; GP with Full Package had a 0.407 standard deviation (equivalent to approximately 16%) higher gender attitude index than control GPs (p < 0.01). The measure of attitudes is an index of aggregated indices on gender equality, education, marriage, mobility and knowledge. Attitude change was larger for education and mobility indices. For example, the households in the Full Package had 0.26 and 0.33 standard deviations more positive attitude towards girls’ education and mobility than control GPs. We did not find any significant effect on attitudes pertaining to marriage and girl’s work and responsibility. There is little change in norms related to gender roles within the home and education has mostly been perceived as a vehicle for better management of the home, rather than for empowering women to work and be independent." (Summary) more

"The Soul City Institute for Health and Development Communication—a South African multi-media health promotion project—together with the National Network on Violence Against Women, formulated an intervention to address domestic violence. Recognising that behavioural change interventions aimed so ... lely at individuals have limited impact, the intervention was designed to impact at multiple mutually reinforcing levels; individual, community and socio-political environment. The intervention and its evaluation results are presented. Soul City successfully reached 86%, 25% and 65% of audiences through television, print booklets and radio, respectively. On an individual level there was a shift in knowledge around domestic violence including 41% of respondents hearing about the helpline. Attitude shifts were also associated with the intervention, with a 10% increase in respondents disagreeing that domestic violence was a private affair. There was also a 22% shift in perceptions of social norms on this issue. Qualitative data analysis suggests the intervention played a role in enhancing women's and communities’ sense of efficacy, enabling women to make more effective decisions around their health and facilitating community action. The evaluation concluded that implementation of the Domestic Violence Act can largely be attributed to the intervention. While demonstrating actual reductions in levels of domestic violence was not possible, the evaluation shows a strong association between exposure to intervention components and a range of intermediary factors indicative of, and necessary to bring about social change. This paper reports on the evaluation, discusses its limitations and challenges as well as lessons learned regarding multi-level interventions on domestic violence." (Abstract) more