Microfinance and Health Intervention Trial for Youth in Dar es Salaam, Tanzania

This study is currently recruiting participants.
Verified November 2013 by University of North Carolina, Chapel Hill
Sponsor:
Collaborator:
Information provided by (Responsible Party):
University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier:
NCT01865383
First received: May 24, 2013
Last updated: November 12, 2013
Last verified: November 2013

May 24, 2013
November 12, 2013
July 2013
April 2016   (final data collection date for primary outcome measure)
Incidence of New Sexually Transmitted Infections [ Time Frame: at 30 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01865383 on ClinicalTrials.gov Archive Site
Proportion of Men Reporting Perpetration of Physical, Sexual, or Psychological Partner Violence [ Time Frame: at 30 months ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Microfinance and Health Intervention Trial for Youth in Dar es Salaam, Tanzania
Microfinance and Health Intervention Trial for Youth in Dar es Salaam, Tanzania

Young men who are members of the camps randomized to receive a microfinance and health leadership intervention will have a lower incidence of sexually transmitted infections (Neisseria gonorrhea (NG), Chlamydia trachomatis (CT) and Trichomonas vaginalis (TV) and report perpetrating less physical or sexual violence against sexual partners as compared to young men who are members of camps not randomized to receive the intervention.

Finding effective strategies to reach out to young men and mobilize them to reduce their HIV risk is critical, given men's control over the terms and conditions of most sexual partnerships. Unequal power distribution in relationships has a devastating impact on women, leading to HIV prevalence among young women in some sub-Saharan African countries four to seven times higher than among young men the same age. Gender power differentials have negative consequences for men as well, leading to increased risk of physical and mental health problems, substance use, and low uptake of health-related services. We need innovative approaches to address the structural and social determinant of young men's risk. Lack of economic opportunity is a key structural determinant of risk that has negative consequences for men, and has been linked to poor health outcomes. The influence of social network members is a social determinant of risk for both HIV and gender-based violence that can be addressed through interventions designed to change network norms. For the past 12 years our group has conducted research in Dar es Salaam, Tanzania on HIV and gender-based violence. With support from the National Institute of Mental Health (NIMH) we identified networks of young men who socialize in what are called "camps" and we successfully piloted a microfinance and health leadership intervention with men in camps like the one proposed in this application (R21 MH080577). Camps are enduring social groups of mostly men that have elected leadership, paid membership fees, and physical space to meet. The equivalent of a camp in US culture may be a cross between a club and a gang. Camps appear to be an urban phenomenon in Tanzania and our group is the first to have published data describing them. Men in camps engage in HIV risk behavior and in gender-based violence that put them and their partners at risk for HIV. Research suggests that microfinance combined with health promotion can lead to improvement in health outcomes, including reductions in HIV risk and gender-based violence. However, few, if any well designed evaluations of microfinance and health programs with young men have been reported.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
  • Sexually Transmitted Infections
  • Gender Based Violence Perpetration
Behavioral: Microfinance and Health Leadership
  • Experimental: Microfinance and Health Leadership
    Microfinance and Health Leadership: Participants will receive small loans and business training as part of the microfinance component. Camp leaders will receive health leadership training and then pass on knowledge to camp members.
    Intervention: Behavioral: Microfinance and Health Leadership
  • No Intervention: Control
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
3200
April 2016
April 2016   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Must be registered camp member for at least the last 3 months
  • Must be at least 15 years old
  • Must plan to reside in Dar es Salaam, Tanzania for the next 30 months
  • Must visit primary camp at least 1 time per week

Exclusion Criteria:

  • Unwilling to provide locator information
  • Unable to participate due to psychological disturbance, cognitive impairment or threatening behavior.
Both
15 Years and older
Yes
Contact: Suzanne Maman, PhD 919-966-3901 maman@email.unc.edu
United States
 
NCT01865383
12-1111, 1R01MH098690-01
No
University of North Carolina, Chapel Hill
University of North Carolina, Chapel Hill
National Institute of Mental Health (NIMH)
Principal Investigator: Suzanne Maman, PhD UNC Chapel Hill
Principal Investigator: Lusajo Kajula-Maonga, MA Muhimbilit University of Health and Allied Sciences
University of North Carolina, Chapel Hill
November 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP