Bandebereho Couples’ Intervention to Promote Male Engagement in Rwanda
The Bandebereho (“role model”) intervention, adapted from Program P, aimed to promote positive fatherhood and gender equality amongst expectant fathers and fathers of children under the age of five years, and their partners. Its objectives were: to promote more equitable gender and power relations in the household; to improve health-related behaviours and men’s support for reproductive and maternal health; and to reduce intimate partner violence in the home.
A two-arm multi-site randomised controlled trial was conducted to evaluate the intervention across four districts in Rwanda. The study results show substantial improvements in multiple reported outcomes in the intervention group compared to the control group: (i) Lower levels of physical and sexual violence by partners reported by women; (ii) Higher levels of women’s antenatal care attendance and use of modern contraceptives; (iii) A higher proportion of men accompanying women to antenatal care, using modern contraception, and supporting their partners during pregnancy; (iv) Lower levels of male dominance in household decision-making and a more equitable household division of labour; and (v) Lower levels of child physical punishment.