Do Gender-Based Violence Interventions Consider the Impacts of Climate Change? A Systematic Review

Abstract

Climate change and extreme weather events have been shown to increase incidences of gender-based violence (GBV). Numerous organizations have devoted significant time, resources, and effort to the design and implementation of interventions aimed at reducing GBV in Africa. Some interventions effectively reduce violence, but GBV persists and remains pervasive. The United Nations has called for GBV interventions that consider the impact of climate change on violence. This review aims to determine whether public health interventions intended to reduce GBV in Africa take into account the effects of climate change on the region and the population. PubMed, PsychArticles, and CINAHL databases were searched systematically in February 2023 for interventions conducted in Africa published between 2010 and 2023. There were a total of 86 articles in the final review that described 40 distinct interventions. The intervention designs included empowerment and participatory approaches (microfinance, microfinance plus, community education, and community engagement), changing social and cultural norms (community education, community engagement, and media), and school-based programs. None of the 40 interventions mentioned climate, weather, or climate change as a component of the intervention. There are several opportunities to improve existing, successful GBV interventions in order to increase their efficacy. GBV interventions could incorporate economic independence programs that do not rely on agriculture and include climate change education. These findings could facilitate the integration of two previously distinct research disciplines—climate change and GBV prevention—to inform future research and develop more effective and cost-efficient interventions.

Keywords

gender-based violence intimate partner violence climate change women Africa severe weather interventions

Introduction

Globally, climate change and extreme weather events have been explored as potential catalysts of violence (Mearns et al., 2012). This is particularly apparent in agrarian-based economies (Wozniacka, 2021). As the variability of weather patterns increases, severe weather events disrupt the agriculture and fishing industries. Those who rely on agricultural work face a multitude of stressors because of climate-change-related severe weather events (Wozniacka, 2021). Following disasters, dwindling financial prospects and the threat of long-term unemployment cause stress and become a contributing factor to the rise in violence (Mearns et al., 2012). Food insecurity due to meager harvests or the loss of livestock during severe weather events causes feelings of insecurity, anxiety, and stress among men who can no longer provide for their families (Cartier, 2021; Gevers et al., 2019). These disruptions increase family stress and diminish food affordability, which could lead to millions of people falling into extreme poverty (D’Alessandro, 2015; Sanz-Barbero et al., 2018; USAID 2020). Moreover, because small-scale subsistence farmers rely solely on their agricultural production to support their families, a natural disaster has a negative impact on their means of subsistence. The disruption and challenge to traditional gender roles and the decline in income for a household give rise to gender-based violence (GBV) (Castañeda Camey et al., 2020).

The purpose of this study is to examine current interventions aimed at reducing GBV and determine whether the effects of climate change are considered through a systematic review of the literature. In the subsequent paragraphs, we expound upon the ramifications of climate change on women, an intersectionality approach to the issues of climate and violence, and United Nations (UN)’s call to empower women in climate change efforts.

Women and children often bear the brunt of climate-change-induced turmoil. Extreme weather patterns can place women and girls in a more vulnerable position and frequently contribute to an increase in violence (Allen et al., 2021; US EPA, 2016). Data illustrate a pattern of increased GBV following extreme weather events like droughts and floods (Allen et al., 2021; CARE International, 2015). In many parts of the world, women and children, typically girls, often perform daily tasks such as collecting water and firewood for the household. When droughts, deforestation, and floods deplete nearby supplies, women and children are forced to walk further to get these necessities (Cwienk, 2020), and walking further distances can increase the likelihood of sexual assault (Birch-Jeffrey, 2019; Gevers et al., 2019). Some studies have found that girls are forced to marry at a young age in exchange for food or livestock when droughts or floods destroy crops (Cwienk, 2020; Pope et al., 2022; UNFPA, 2021b). Transactional sex exchange (jaboya) is a recognized issue in coastal Kenyan regions where women are forced to engage in sex to gain access to fish; declining fish populations have exacerbated this issue (Davis & Silver, 2019).

The significance of considering the intersectionality of climate and GBV cannot be overstated, as it illuminates their intricate and multifaceted nature. The theoretical framework of Crenshaw emphasizes the intersection of systemic inequalities, which creates unique experiences for marginalized groups (Crenshaw, 1991). In this context, marginalized gender identities, socioeconomic status, and geographical location can exacerbate individuals’ vulnerability to climate-induced disasters and GBV. Those who live in impoverished neighborhoods have a higher link with violence than those who reside in affluent communities (Mares et al., 2013). This demonstrates how severe weather and climate change can exacerbate violence in an already vulnerable group due to increased stress. The aftermath of natural disasters can exacerbate existing patterns of violence, including partner violence. The stress, dislocation, and disruption caused by these disasters may contribute to an increase in violence and conflict among damaged communities (Rezaeian, 2013). Inadequate access to resources and support networks during the post-disaster recovery period may also increase the chance of violence (Gearhart et al., 2018). In the African context, where environmental shifts can lead to significant socioeconomic ramifications, it is crucial to consider the interconnectedness of these factors in order to develop comprehensive, culturally attuned, and effective solutions. The combination of marginalized gender identities, socioeconomic status, and geographic location may exacerbate individuals’ vulnerabilities in relation to climate-induced disasters and GBV.

The global hazards posed by climate change and environmental degradation are likely to exacerbate the growing number of complex crises that disproportionately affect women and girls. Though they are among the most vulnerable to its effects, women are frequently excluded from decision-making and, therefore, unable to affect changes that would improve their health, safety, and chances of survival (Castañeda Camey et al., 2020; Elwell and Williams, 2016). In 2022, the UN Secretary General issued a report regarding the need and strategy for achieving gender equity and empowerment in the context of climate change and environmental disaster risk reduction policies and programs (UN Commission on the Status of Women, 2022). In this report, the Secretary General admonished countries for not making significant strides in reducing gender inequities in relation to climate change as the UN had called for in 2016 (UN Commission on the Status of Women, 2022). The report identified several negative effects of climate change experienced by women, including GBV. The report further identified several action items for countries to complete to improve gender equity in the fight against climate change, including economic empowerment of women in sustainable industries, climate change resilience, climate change education, and programs to reduce GBV (UN Commission on the Status of Women, 2022).

Given the strong evidence that climate change and GBV are connected and the push from the UN to address climate change and violence, the authors questioned if and how these two issues are being addressed together. As the effects of climate change intensify, resource scarcity will exacerbate (or render unpredictable) economic duress and increase GBV (UN Commission on the Status of Women, 2022). Therefore, if the design of a GBV intervention considers how climate change may impact the target population, it will likely have the greatest potential impact with the most efficient use of resources.

This review aims to determine whether public health interventions to reduce GBV in Africa take into account the effects of climate change on the region and the population. More than 60% of sub-Saharan Africa’s population are small-scale farmers, and about 23% of the region’s gross domestic product is derived from agriculture (Goedde et al., 2019). Climate change can significantly impact agrarian-based economies in Africa, affecting agricultural productivity and exacerbating existing vulnerabilities. Considering the intersection of GBV and climate change is crucial for developing effective interventions that address the unique challenges faced by women in these contexts. The findings of this systematic review will facilitate the integration of two previously distinct research disciplines—climate change and GBV prevention—to inform future research and develop more effective and cost-efficient interventions.

Methods

Search Protocol and Study Selection

This systematic review conforms to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 Statement (Page et al., 2020). The following databases were searched for this systematic review: PubMed, PsychArticles, and CINAHL. We were interested in knowing if climate change was a consideration in the design of GBV interventions; thus, we used broad search terms to capture any article about an intervention in any African country focused on GBV.

We used the following inclusion criteria to capture all GBV-focused interventions: Articles had to include a description of an intervention, the intervention had to be based in Africa, and the intervention had to be designed to reduce GBV. Interventions that were not yet implemented or reviewed for efficacy were still included in this review as long as they met the inclusion criteria. The World Health Organization (WHO) Report in 2010 called for GBV prevention research (WHO, 2010); thus, each search included date ranges for articles published between January 1, 2010 and February 12, 2023. In addition, we restricted our review to English-language, peer-reviewed journal articles. Search results were imported into the Covidence systematic review application (Covidence, 2023). Covidence is a web-based collaboration software platform that streamlines the production of systematic literature reviews.

In the initial phase of screening, the authors examined the articles based on their titles and abstracts. At this stage of vetting, the authors employed Covidence’s two-reviewer approval method. Two of the three reviewers had to concur on an article’s inclusion or exclusion for it to be included or excluded from this review. Conflicts that arose between the first and second reviewers were discussed by all three reviewers, and the third reviewer made the final decision regarding inclusion or exclusion. This process helped to assure consistency during article review and selection. Only articles that were clearly outside the scope of this systematic review were excluded during the initial review of titles. To avoid improperly excluding an article, articles were included for the next level of review when uncertainty existed.

We identified 13,039 articles from the 3 databases. After removing 1,774 duplicates, there were 11,264 articles remaining for initial screening. A total of 11,053 articles were excluded after title review, and another 106 were excluded after abstract review because they did not meet the inclusion criteria. Through full text review, another 20 articles were excluded due to the following: (a) the article did describe a GBV intervention (N = 13); (b) the article was not about Africa (N = 1); (c) the intervention in the article aimed to identify victims of GBV in clinical settings or improve clinical treatment rather than prevent GBV (N = 4); and (d) the article was not within scope for multiple of reasons 1–3 (N = 2). After this full-text review, 86 articles remained for final review. The included articles are noted with an asterisk in the list of references. The study selection flow is shown in Figure 1.

Figure 1.

Preferred reporting items for systematic reviews and meta-analyses diagram.

Data Extraction and Analysis

To evaluate the final manuscripts, the authors developed a template for standardizing data collection. One author extracted all pertinent data from each article, including general information (author(s), year of publication, article title, and Covidence database number) and substantive information (summary of intervention, target population, location of intervention, theory of the intervention, number of people participating in intervention, and whether the intervention was successful at reducing GBV if it was implemented). In 2010, the WHO identified several types of GBV interventions that had some evidence of success, including: school-based programs to prevent violence, empowerment and participatory approaches to reduce gender inequality, home visitation programs to prevent GBV, programs to reduce access to alcohol, and changing social and cultural norms related to gender (WHO, 2010). We grouped the interventions by these WHO categories as well as the type of intervention.

Results

The 86 articles assessed 40 distinct interventions. Numerous articles examined the same multiple interventions or variants of one of those interventions. Intervention with Microfinance for AIDS and Gender Equity (IMAGE) intervention (N = 5), Start, Awareness, Support, Action (SASA!) study (N = 7), CETA intervention (N = 6), Indashyikirwa Program (N = 4), CHANGE intervention (N = 5), MAISHA intervention (N = 5), Rural Response System (N = 3), and Stepping Stones and Creating Futures (N = 4) were the interventions most frequently discussed and analyzed.

The interventions were conducted in only a small percentage of African countries: South Africa (N = 6), Rwanda (N = 4), Tanzania (N = 6), Ghana (N = 1), Uganda (N = 5), Somalia (N = 1), South Sudan (N = 2), Ethiopia (N = 3), Democratic Republic of the Congo (N = 4), Mali (N = 1), Kenya (N = 6), Malawi (N = 1), Côte d’Ivoire (N = 2), Nigeria (N = 2), and Liberia (N = 11). Some of the interventions were conducted in multiple countries. The authors only reviewed the portions of the programs conducted in Africa. The interventions targeted a wide range of populations, including women, men, couples, children, families, and entire communities more generally. Some of these interventions had additional aims beyond reducing intimate partner violence (IPV). The authors only reviewed aspects of the intervention related to IPV reduction. The details of the interventions are summarized in Table 1.

Table 1.

Summary of Interventions Identified in Articles.

Intervention Name	Type of Intervention as Defined by World Health Organization Framework	Details of Intervention	Country	Target Population
Common Elements Treatment Approach	Empowerment and participatory approach to reducing gender inequality	Community engagement: Cognitive behavioral therapy-based transdiagnostic psychotherapy	South Africa	Couples and families
Community Health Action for Norms and Gender Equity	Empowerment and participatory approach to reducing gender inequality	Community engagement: Community activities including: door-to-door discussion of gender equality and human rights; workshops on topics relating to gender, violence, and sexuality; painting murals to trigger discussions; holding community dialogs; and, advocacy efforts toward local government actors	South Africa	Community
Intervention with Microfinance and Gender Equity	Empowerment and participatory approach to reducing gender inequality	Microfinance plus: Micro loans with group gender and HIV education sessions	South Africa	Women
Indashyikirwa	Empowerment and participatory approach to reducing gender inequality	Community education: Community outreach and community leader outreach on topics of gender, gender roles, violence, and similar topics	Rwanda	Couples and community opinion leaders
MAISHA	Empowerment and participatory approach to reducing gender inequality	Microfinance plus: micro loans with 10 session education on gender roles, violence, and similar topics	Tanzania	Women receiving micro loans
Rural Response System	Change social and cultural norms related to gender	Community education: Community-based action teams spread information about gender within the community	Ghana	Community
Start, Awareness, Support, Action	Empowerment and participatory approach to reducing gender inequality	Community education: Community-based information sharing and educational program using informal and formal methods to education about gender and violence	Uganda	Men and women
Safe Homes And Respect for Everyone	Empowerment and participatory approach to reducing gender inequality	Community engagement: Violence-reduction intervention and screening to reduce intimate partner violence (IPV) related to HIV disclosure and risk behaviors in women seeking HIV counseling and testing	Uganda	Women
Stepping Stones and Creating Futures	Empowerment and participatory approach to reducing gender inequality	Community engagement: Group sessions teaching topics such as gender, violence, livelihoods, and keeping employment	South Africa	Young men and women in urban informal settlements
Conditional Cash Transfer (CCT) and HIV Prevention Trials Network (HPTN) Study	Empowerment and participatory approach to reducing gender inequality	Microfinance: Conditional cash transfers	South Africa	Young Women and their households
Combined One Man Can Intervention with Men with Conscience Intervention	School-based programs to prevent violence	School-based engagement: University men engaged in a series of workshops to learn more about sexual violence to prevent sexual violence	South Africa	Male university students
Community Cares Program	Empowerment and participatory approach to reducing gender inequality	Community engagement: Education and community engagement sessions to improve gender equity and social norms	Somalia and South Sudan	Women and girls in humanitarian settings
Creating Opportunities through Mentorship, Parental Involvement, and Safe Spaces	Empowerment and participatory approach to reducing gender inequality	Community engagement: Group sessions on topics related to girl life skills in safe spaces, with facilitated content and unstructured time aimed at improving communication skills, friendship building, and awareness of gender-based violence (GBV) and sexual and reproductive health	Ethiopia, Democratic Republic of the Congo (DRC), and Pakistan	Refugee adolescent girls
Engaging with Faith Groups to Prevent Violence Against Women and Girls in Conflict Affected Communities	Change social and cultural norms related to gender	Community education: Develop faith leaders to become catalysts within their communities to address root causes of GBV from a faith perspective. The faith leaders were expected to integrate the learning in their ongoing activities, particularly in public speaking/preaching and couple counseling.	DRC	Community
Filets Sociaux (Jigisémèjiri)	Empowerment and participatory approach to reducing gender inequality	Microfinance: Mali’s national cash transfer program—heads of households received the funds	Mali	Heads of households, primarily men
Gender enhanced life skills training program	School-based programs to prevent violence	School based engagement: 5-day (25-hr) Peer Leader Training Academy in which interested youth and youth identified by school administrators learn life skills	Kenya	Primary and secondary school children
IMPower	Empowerment and participatory approach to reducing gender inequality	Community engagement: Standardized 6-week empowerment self defense program on sexual violence outcomes—empowerment self-defense training	Malawi	Girls in primary and secondary schools
IMPower intervention for girls & 50:50 intervention for boys	School-based programs to prevent violence	School based engagement: Classroom-based curricula taught by instructors to students. IMPower for girls and 50:50 for boys	Kenya	School aged boys and girls
Living Peace Intervention (LPint)	Empowerment and participatory approach to reducing gender inequality	Community engagement: 16-session, 16-week group therapeutic intervention where participants sit together in groups and are assisted by trained facilitators to develop alternative coping strategies to violence that are gender transformative and constructive in dealing with problems, explained as non-violent, positive masculinity behavior	DRC	Men perceived as violent
Male Norms Initiative	Change social and cultural norms related to gender	Community engagement: Interactive group education and community mobilization and engagement activities aimed at raising awareness and promoting community dialog around IPV	Ethiopia	Men
Mashinani	Empowerment and participatory approach to reducing gender inequality	Microfinance plus: micro- loans, business management training, and psycho–social support to groups for female survivors of IPV to start their own business	Kenya	Women
Men and Women in Partnership Initiative	Change social and cultural norms related to gender	Community engagement: Men’s Discussion Groups designed to increase men’s knowledge about the impact of GBV on women, men and children; shift gender inequitable beliefs and behaviors around violence and gender roles; and give men hostility and conflict management skills	Côte d’Ivoire	Men and boys 15 years and older
myPlan safety decision and planning intervention	Change social and cultural norms related to gender	Media: Electronic device App to education about issues relating to IPV	Kenya	Community
National Policy against GBV was developed by the Ministry of Gender and Family Promotion	Change social and cultural norms related to gender	Community education: Community-level GBV committees as part of the governmental bodies	Rwanda	Community
Nguvu intervention	Empowerment and participatory approach to reducing gender inequality	Community engagement: One individual session followed by seven weekly group sessions to provide protection and psychosocial support in the refugee camp	Tanzania	adult female refugees who were in a relationship for 12 months and reported IPV during that time
Parenting for Respectability (PfR)	Change social and cultural norms related to gender	Community engagement: educational program for parents and children about violence	Uganda	families
Sibling Support for Adolescents in Emergencies Program	Empowerment and participatory approach to reducing gender inequality	Community engagement: Mentor led counseling sessions with girls, boys, and caregivers separately to provide education and support	Nigeria	Families
UZIKWASA program	Change social and cultural norms related to gender	Community education: UZIKWASA is a civil society organization. It conducts Behavior Change Campaigns with a focus on promoting gender justice and effective leadership. There is a combination of community outreach and participatory education.	Tanzania	Community
Vijana Vijiweni II	Empowerment and participatory approach to reducing gender inequality	Microfinance plus: combined microfinance and peer health leadership intervention	Tanzania	Young men
Wings Program	Empowerment and participatory approach to reducing gender inequality	Microfinance plus: Four days of business skills training with a start-up grant of approximately $150 USD and then continued support by field staff	Uganda	Women
Bandebereho (meaning “role model” in Kinyarwanda) couples’ intervention	Empowerment and participatory approach to reducing gender inequality	Community engagement: Gender-transformative program for men and couples to promote men’s engagement in reproductive and maternal health, caregiving, and healthier couple relations	Rwanda	Couples
Reduction of GBV Against Women in Côte d’Ivoire	Empowerment and participatory approach to reducing gender inequality	Microfinance plus: Village savings and loan associations micro loans and an eight-session Gender Dialogue Group developed for women and their male partner and to address gender inequities	Cote d’Ivoire	Partnered women
unnamed	Change social and cultural norms related to gender	Media: Videos created by the community to raise awareness and share vital information about GBV	Liberia, South Sudan, Rwanda, Uganda, Thailand	Community
unnamed	Empowerment and participatory approach to reducing gender inequality	Community engagement: Gender socialization training, financial literacy education, and contraceptive counseling	Nigeria	young couples
unnamed	Empowerment and participatory approach to reducing gender inequality	Microfinance plus: Microfinance and health leadership education	Tanzania	social groups of young men
Your Moment of Truth	Empowerment and participatory approach to reducing gender inequality	Community engagement: Minimum 250 hours of instruction on topics relating to gender equality, development of positive masculinity, and how to safely and effectively intervene in GBV	Kenya	young boys
Unite for a Better Life	Empowerment and participatory approach to reducing gender inequality	Community engagement: Gender-transformative intervention of curriculum delivered during the Ethiopian coffee ceremony, a culturally established forum for community discussion	Ethiopia	Community
unnamed	Empowerment and participatory approach to reducing gender inequality	Microfinance plus: microfinance and peer leadership skills education	Tanzania	Men and women in refugee camps
unnamed	Empowerment and participatory approach to reducing gender inequality	Community engagement: Combined workshop for community leaders to learn how to support victims of GBV and about the negative effects of GBV, with training for medical clinics to better serve victims of GBV and identify risk factors	Kenya	Community
Engaging Men through Accountable Practice (EMAP)	Empowerment and participatory approach to reducing gender inequality	Community engagement: Weekly discussion groups creating male allies who promote gender equity and nonviolence	DRC	Men

None of the articles indicated that climate change was a factor in any of the interventions investigated or that climate change literacy was a component of any intervention-related education. Three of the WHO-recommended evidence-based strategies to reduce GBV were used in the 40 identified interventions: empowerment and participatory approaches to reduce gender inequality, changing gender-related social and cultural norms that support IPV and sexual violence, and school-based programs to prevent dating violence in secondary schools.

Empowerment and Participatory Approaches to Reduce Gender Inequality

The majority of interventions utilized the empowerment and participatory approaches (N = 28). These interventions fell into four main categories: community engagement (N = 16), microfinance (N = 2), microfinance plus programs (N = 8), and community education (N = 2). Microfinance plus programs combined gender equity education with microloans. For example, the IMAGE program implemented in South Africa is one of the most studied GBV reduction interventions (WHO, 2010). IMAGE targets the poorest women in rural areas and provides them with combined microfinance loans and skills-building sessions on IPV, HIV prevention, gender norms, cultural beliefs, and communication (Hargreaves et al., 2010; Ranganathan et al., 2021; WHO, 2010). IMAGE also seeks to develop broad community engagement among men and boys so that all are educated about issues of gender equity (WHO, 2010). Ultimately, IMAGE aims to improve women’s economic positions, their influence within the household, strengthen relationships, including reducing IPV, and reduce HIV transmission (Hargreaves et al., 2010; Ranganathan et al., 2021; WHO, 2010). A randomized-controlled trial found that IMAGE participants reported experiencing 55% fewer acts of IPV 12–24 months after completing the program compared to a control group (WHO, 2010).

Community engagement interventions included activities such as focus groups teaching about gender equity issues. For example, Stepping Stones is a training package that encourages communication and relationship skills within communities (Gibbs, Washington et al., 2020; WHO, 2010). Training sessions are conducted for single-sex groups of women and men (Gibbs, Washington et al., 2020; WHO, 2010). A randomized-controlled trial in South Africa found that a lower proportion of men who had participated in Stepping Stones committed physical or sexual IPV in the 2 years after they completed the program as compared with men in a control group (WHO, 2010).

SASA! is an “activist kit” aiming to mobilize communities to prevent IPV with a focus on the connection between HIV/AIDS and violence against women (Michaels-Igbokwe et al., 2016; WHO, 2010). The SASA! kit includes communication materials, training materials, and monitoring and assessment tools to support local activism, media, and advocacy activities. The intervention seeks to change gender norms and improve gender equity (Michaels-Igbokwe et al., 2016; WHO, 2010).

Change Social and Cultural Norms Related to Gender that Support IPV and Sexual Violence

The next most common type of intervention was to change social and cultural norms related to gender (N = 9). These interventions included community education (N = 4), community engagement (N = 3), and media (N = 2). These interventions included creating radio programs and videos to raise awareness about GBV that would be shared throughout the target population and providing information to community leaders so that they could include messages about GBV in their communications with communication members (Abeid et al., 2015; Gurman et al., 2014; Ismayilova et al., 2018). For example, one intervention, myPlan, developed a phone app to teach community members about GBV and provide the ability to report unhealthy behaviors in their relationships (Decker et al., 2020).

School-Based Programs to Prevent Dating Violence in Secondary Schools and Colleges

Finally, the last type of intervention utilized was school-based programs to prevent dating violence (N = 3). School-based programs included group learning sessions for adolescents in secondary school to learn how to develop healthy interpersonal relationships (Baiocchi et al., 2017; Decker et al., 2018; Edwards et al., 2022) and group sessions in universities to help young adult men unlearn unhealthy attitudes toward violence, masculinity, and relationships (de Villers et al., 2021). For example, IMPower is a 6-week program designed to provide life skills training to primary and secondary school girls. Lessons include negotiation skills to resolve conflict, skills to identify when a situation may be escalating, and self-defense techniques (Decker et al., 2018).

Discussion

GBV persists as a global health issue due, in part, to the increasingly unpredictable economic effects of climate change, particularly in regions where livelihoods are climate-dependent and natural disasters have a greater impact (Mearns et al., 2012; Wozniacka, 2021). There are substantial public health efforts to reduce GBV—in this literature review, we identified 40 unique interventions aimed at reducing GBV in Africa. The findings underscore the necessity of adopting a comprehensive strategy for interventions addressing GBV in Africa. In this literature review, we identified three key findings: (a) GBV interventions do not consider the impact of climate in their design, (b) only three of five strategies recommended by the WHO are being implemented to reduce GBV, and (c) many interventions identified are easily adaptable to incorporate climate-focused strategies.

Our first key finding found that no interventions aimed at reducing GBV in Africa consider the role of climate or climate change on violence. Climate change organizations and organizations dedicated to eliminating GBV are collaborating toward a common objective. The UN recognizes that addressing climate change and gender inequality are inextricably linked and intends to employ an approach that recognizes the role of gender and empowers women in its efforts to mitigate and adapt to climate change. The UN also acknowledges that climate change has a disproportionate effect on women, with increased economic stress leading to an increase in the incidence of GBV. In 2016, the UN reported a lack of progress in this area, despite having urged organizations working on climate change to resolve gender disparities in their programs. In response, the UN has committed $100 billion to initiatives that promote gender equality in climate change resilience efforts (UN Commission on the Status of Women, 2022). The existing body of evidence establishes a connection between climate change and GBV. Furthermore, the UN has emphasized addressing climate change and violence. It is worth noting, however, that interventions targeting GBV have yet to incorporate an explicit consideration of the ramifications of climate change. As the impacts of climate change become more severe, the limited availability of resources will further contribute to economic stress and perhaps escalate GBV (UN Commission on the Status of Women, 2022). Understanding the potential link between climate change and GBV is crucial for developing effective intervention strategies. By acknowledging the interplay between these two issues, policymakers and practitioners can better address the underlying causes of GBV and allocate resources accordingly. Additionally, incorporating climate change considerations into GBV interventions can help foster resilience within communities and mitigate the exacerbation of violence in times of environmental crisis.

In 2010, the WHO identified that there was little evidence on effective interventions to reduce GBV (WHO, 2010). In a report that year, the WHO issued a call to action for increased research on GBV prevention. The WHO recommended types of interventions that had some evidence of success and provided a framework for developing future interventions with monitoring and evaluation programs (WHO, 2010). These interventions include: school-based programs to prevent dating violence, empowerment and participatory approaches to reduce gender inequality, home visitation programs to prevent GBV, programs to reduce access to alcohol, and changing social and cultural norms related to gender that support GBV and sexual violence (WHO, 2010). The second key finding of this review identified that only three of these five recommended strategies are being implemented. The vast majority utilized empowerment and participatory approaches (N = 28) followed by changing social and cultural norms related to gender (N = 9) and school-based programs to prevent dating violence (N = 3). This identifies a gap in strategies as well as additional opportunities for GBV prevention. Organizations that work in GBV prevention may consider utilizing additional strategies recommended by the WHO including home visitation programs to prevent GBV and programs to reduce access to alcohol. These are two strategies with evidence of success (WHO, 2010) that are not currently used in GBV prevention work.

The WHO recommends that organizations continuously evaluate and update their GBV interventions based on current conditions within the target population and geographic location (WHO, 2010). Education about and consideration of climate change align with the WHO’s recommendations, but organizations currently lack the necessary information and knowledge to incorporate these additions into their interventions.

The third key finding was that many interventions could be modified without much effort to include climate-specific measures. Many of the interventions promoted economic independence (N = 10). When financial interventions are agricultural-based, a severe weather event can destroy the means of subsistence. Thus, they may need additional funds from the intervention’s sponsor to avoid falling back into the same or worse position as before the intervention was implemented. Africa, a region prone to climate change’s negative impacts, has a low climate change literacy rate, with only 6 out of 10 people aware of the issue (Alenda-Demoutiez, 2022; Selormey et al., 2019; Simpson et al., 2021). The majority of the population believes that weather events, such as droughts and floods, have worsened over the past decade for agricultural commodities. Despite this view, climate-change-aware individuals do not necessarily believe that these increasingly severe weather events are related to climate change (Alenda-Demoutiez, 2022; Selormey et al., 2019). This analysis focuses on two suggestions for moving forward. First, economic-based GBV interventions that target agricultural activities should incorporate economic independence programs that do not rely on agriculture during extreme weather events. Second, GBV prevention strategies should incorporate climate change education into their interventions. This integration would not only enhance the understanding of the impacts of climate change on vulnerable communities but also empower individuals to take action toward mitigating its effects. Incorporating the impact of climate change on the target population and location can improve the effectiveness of GBV interventions by assisting individuals in building climate resilience, preventing families from falling back into poverty, and reducing the stress that often contributes to an increase in GBV.

Conclusion

This systematic review has some limitations, which should be considered when interpreting the results. First, only English-language articles were included in the review, and thus, we are missing interventions that may have been published in non-English journals. Moreover, many interventions may exist that have not been published in peer-reviewed journals and, therefore, were not included in this systematic review. Second, the scope of this work was to conduct a descriptive analysis of intervention strategies, and thus, we did not evaluate the methodology or effectiveness of each intervention. Future research could evaluate the effectiveness of individual GBV interventions.

The findings from this study underscore the necessity of adopting a comprehensive strategy for interventions addressing GBV in Africa. GBV is produced by sociocultural vulnerabilities, and one of the things that trigger those vulnerabilities is climate change. The concept of intersectionality, upon which this assessment is based, is worth exploring in future research. This approach should duly consider the impact of climate change on the occurrence and perpetration of violent acts. Integrating climate-focused tactics into pre-existing interventions makes it possible to tackle the root causes of GBV more comprehensively and develop more effective interventions. Moreover, it is imperative to conduct additional studies to understand the potential ramifications of climate change on GBV rates and create specific solutions that effectively tackle this pressing concern.

Footnotes

Declaration of Conflicting Interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Funding

The author(s) received no financial support for the research, authorship, and/or publication of this article.

ORCID iDs

Elizabeth M Allen

Leso Munala

Author Biographies

Elizabeth Allen, PhD MPH, is an Associate Professor at St. Catherine University. She is an environmental epidemiologist with a focus on community engaged research to advance health equity and justice. Dr. Allen collaborates with students, international non-governmental organizations, and a global network of scholars. Her current work focuses on the impact of climate change on intimate partner violence.

Leso Munala, PhD, MSW, an Associate Professor at St. Catherine University in the Department of Global Public Health. Her research investigates violence against women in East Africa. This includes establishing legislation and interventions for survivors of sexual violence, eradicating harmful cultural practices, enhancing the quality of post-rape care services and climate change’s impact on intimate partner violence.

Jody Ward-Rannow, JD, MPH, is an attorney and graduate of St. Catherine University from the Department of Global Public Health. She is interested in policy development and advocacy around the intersectionality of climate change and gender-based violence.

References

*Abeid

Muganyizi

Mpembeni

Darj

Axemo

(2015). A community-based intervention for improving health-seeking behavior among sexual violence survivors: A controlled before and after design study in rural Tanzania. Global Health Action, 8, 28608. https://doi.org/10.3402/gha.v8.28608

*Abramsky

Devries

Kiss

Francisco

Nakuti

Musuya

Kyegombe

Starmann

Kaye

Michau

Watts

(2012). A community mobilisation intervention to prevent violence against women and reduce HIV/AIDS risk in Kampala, Uganda (the SASA! Study): Study protocol for a cluster randomised controlled trial. Trials, 13, 96. https://doi.org/10.1186/1745-6215-13-96

*Abramsky

Devries

Kiss

Nakuti

Kyegombe

Starmann

Cundill

Francisco

Kaye

Musuya

Michau

Watts

(2014). Findings from the SASA! Study: A cluster randomized controlled trial to assess the impact of a community mobilization intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda. BMC Medicine, 12, 122. https://doi.org/10.1186/s12916-014-0122-5

*Abramsky

Devries

K. M.

Michau

Nakuti

Musuya

Kiss

Kyegombe

Watts

(2016). Ecological pathways to prevention: How does the SASA! community mobilisation model work to prevent physical intimate partner violence against women? BMC Public Health, 16, 339. https://doi.org/10.1186/s12889-016-3018-9

*Abramsky

Devries

K. M.

Michau

Nakuti

Musuya

Kyegombe

Watts

(2016). The impact of SASA!, a community mobilisation intervention, on women’s experiences of intimate partner violence: Secondary findings from a cluster randomised trial in Kampala, Uganda. J Epidemiol Community Health, 70(8), 818–825. https://doi.org/10.1136/jech-2015-206665

*Abramsky

Kapinga

Mshana

Lees

Hansen

C. H.

Hashim

Stöckl

Kapiga

Harvey

(2020). Couples data from north-western Tanzania: Insights from a survey of male partners of women enrolled in the MAISHA cluster randomized trial of an intimate partner violence prevention intervention. PLoS One, 15(10), e0240112. https://doi.org/10.1371/journal.pone.0240112

*Addo-Lartey

A. A.

Ogum Alangea

Sikweyiya

Chirwa

E. D.

Coker-Appiah

Jewkes

Adanu

R. M. K.

(2019). Rural response system to prevent violence against women: Methodology for a community randomised controlled trial in the central region of Ghana. Global Health Action, 12(1), 1612604. https://doi.org/10.1080/16549716.2019.1612604

Alenda-Demoutiez

(2022). Climate change literacy in Africa: The main role of experiences. International Journal of Environmental Studies, 79(6), 981–997.

Allen

E. M.

Munala

Henderson

J. R.

(2021). Kenyan women bearing the cost of climate change. International Journal of Environmental Research and Public Health, 18(23), 12697. https://doi.org/10.3390/ijerph182312697

10.

*Baiocchi

Omondi

Langat

Boothroyd

D. B.

Sinclair

Pavia

Mulinge

Githua

Golden

N. H.

Sarnquist

(2017). A behavior-based intervention that prevents sexual assault: The results of a matched-pairs, cluster-randomized study in Nairobi, Kenya. Prevention Science, 18(7), 818–827. https://doi.org/10.1007/s11121-016-0701-0

11.

Birch-Jeffrey

(2019, August 7). Women pastoralists feel the heat of climate change. Africa Renewal. https://www.un.org/africarenewal/magazine/august-november-2019/women-pastoralists-feel-heat-climate-change#:~:text=But%20for%20women%20pastoralists%E2%80%94livestock

12.

CARE International. Rapid Gender Analysis Cyclone Pam, Vanuatu. CARE International. https://care.ca/wp-content/uploads/2018/12/RGA-Cyclone-Pam-Vanuatu-7-April-2015.pdf (accessed 15 April 2023).

13.

Cartier

K. M. S.

(2021, January 25). Climate Change Uproots Global Agriculture. Eos; AGU. https://eos.org/features/climate-change-uproots-global-agriculture

14.

Castañeda Camey

Sabater

Owren

Boyer

A. E

. (2020). In Wen.

(Ed.), Gender-based violence and environment linkages: The violence of inequality. Gland, Switzerland: International Union for Conservation of Nature (IUCN). https://portals.iucn.org/library/sites/library/files/documents/2020-002-En.pdf

15.

*Chadwick

(2016). Creating social norm change to prevent VAW and HIV: A programmatic perspective from Uganda. Reproductive Health Matters, 24(47), 153–154. https://doi.org/10.1016/j.rhm.2016.05.006

16.

*Chatterji

Heise

Gibbs

Dunkle

(2020). Exploring differential impacts of interventions to reduce and prevent intimate partner violence (IPV) on sub-groups of women and men: A case study using impact evaluations from Rwanda and South Africa. SSM-population Health, 11, 100635. https://doi.org/10.1016/j.ssmph.2020.100635

17.

*Chatterji

Stern

Dunkle

Heise

(2020). Community activism as a strategy to reduce intimate partner violence (IPV) in rural Rwanda: Results of a community randomised trial. Journal of Global Health, 10(1), 010406. https://doi.org/10.7189/jogh.10.010406

18.

*Christofides

N. J.

Hatcher

A. M.

Pino

Rebombo

McBride

R. S.

Anderson

Peacock

(2018). A cluster randomised controlled trial to determine the effect of community mobilisation and advocacy on men’s use of violence in periurban South Africa: Study protocol. BMJ Open, 8(3), e017579. https://doi.org/10.1136/bmjopen-2017-017579

19.

*Christofides

N. J.

Hatcher

A. M.

Rebombo

McBride

R.-S.

Munshi

Pino

Abdelatif

Peacock

Levin

Jewkes

R. K.

(2020). Effectiveness of a multi-level intervention to reduce men’s perpetration of intimate partner violence: A cluster randomised controlled trial. Trials, 21(1), 359. https://doi.org/10.1186/s13063-020-4185-7

20.

Covidence. (2023). Covidence systematic review software, Veritas Health Innovation, 2019. https://www.covidence.org (accessed 3 January 2023).

21.

Cwienk

(2020, February 27). Climate change leads to more violence against women, girls. Environment. Retrieved November, 2021, from https://www.dw.com/en/women-climate-change-sexual-violence-iucn/a-52449269

22.

D’Alessandro

S. P.

Caballero

Lichte

Simpkin

(2015). Kenya Agricultural Sector Risk Assessment. https://documents1.worldbank.org/curated/en/294711467992513646/pdf/97887-REVISED-WP-P148139-PUBLIC-Box393257B-Kenya-Agricultural-Sector-Risk-Assessment.pdf

23.

Davis

Silver

(2019, December 26). No sex for fish: How women in a fishing village are fighting for power. NPR. Retrieved November 2021, from https://www.npr.org/sections/goatsandsoda/2019/12/26/789129312/no-sex-for-fish-how-women-in-a-fishing-village-are-fighting-for-power

24.

*de Villiers

Duma

Abrahams

. (2021). “As young men we have a role to play in preventing sexual violence”: Development and relevance of the men with conscience intervention to prevent sexual violence. PLoS One, 16(1), e0244550. https://doi.org/10.1371/journal.pone.0244550

25.

*Decker

M. R.

Wood

S. N.

Hameeduddin

Kennedy

S. R.

Perrin

Tallam

Akumu

Wanjiru

Asira

Frankel

Omondi

Case

Clough

Otieno

Mwiti

Glass

(2020). Safety decision-making and planning mobile app for intimate partner violence prevention and response: Randomised controlled trial in Kenya. BMJ Global Health, 5(7), e002091. https://doi.org/10.1136/bmjgh-2019-002091

26.

*Decker

M. R.

Wood

S. N.

Ndinda

Yenokyan

Sinclair

Maksud

Ross

Omondi

Ndirangu

(2018). Sexual violence among adolescent girls and young women in Malawi: A cluster-randomized controlled implementation trial of empowerment self-defense training. BMC Public Health, 18(1), 1341. https://doi.org/10.1186/s12889-018-6220-0

27.

*Doyle

Levtov

R. G.

Barker

Bastian

G. G.

Bingenheimer

J. B.

Kazimbaya

Nzabonimpa

Pulerwitz

Sayinzoga

Sharma

Shattuck

(2018). Gender-transformative Bandebereho couples’ intervention to promote male engagement in reproductive and maternal health and violence prevention in Rwanda: Findings from a randomized controlled trial. PLoS One, 13(4), e0192756. https://doi.org/10.1371/journal.pone.0192756

28.

*Dunkle

Stern

Chatterji

Heise

(2020). Effective prevention of intimate partner violence through couples training: A randomised controlled trial of Indashyikirwa in Rwanda. BMJ Global Health, 5(12), e002439. https://doi.org/10.1136/bmjgh-2020-002439

29.

*Edwards

K. M.

Changilwa

Waterman

Bikeri

Mweru

Khayanje

Obel

(2022). A promising approach to preventing gender-based violence and HIV among slum-dwelling youth in Nairobi, Kenya. Violence Against Women, 28(6–7), 1379–1397. https://doi.org/10.1177/10778012211014562

30.

Elwell

Williams

(2016). If You Care About the Environment, You Should Care About Gender. World Resources Institute. https://www.wri.org/blog/2016/03/if-you-care-about-environment-you-should-care about-gender

31.

*Ferrari

Torres-Rueda

Chirwa

Gibbs

Orangi

Barasa

Tawiah

Dwommoh Prah

R. K.

Hitimana

Daviaud

Kapapa

Dunkle

Heise

Stern

Chatterji

Omondi

Ogum Alangea

Karmaliani

Maqbool Ahmed Khuwaja

, . . .Vassall

(2022). Prevention of violence against women and girls: A cost-effectiveness study across 6 low- and middle-income countries. PLoS Medicine, 19(3), e1003827. https://doi.org/10.1371/journal.pmed.1003827

32.

*Fine

S. L.

Kane

J. C.

Murray

S. M.

Skavenski

Paul

Murray

L. K.

(2021). Moderator effects in a randomized controlled trial of the Common Elements Treatment Approach (CETA) for intimate partner violence and hazardous alcohol use in Zambia. Drug and Alcohol Dependence, 228, 108995. https://doi.org/10.1016/j.drugalcdep.2021.108995

33.

Gearhart

Perez-Patron

Hammond

T.A.

, et al. (2018). The impact of natural disasters on domestic violence: An analysis of reports of simple assault in Florida (1999–2007). Gender and Violence, 5(2). https://doi.org/10.1089/vio.2017.0077

34.

Gevers

Musuya

Bukuluki

(2019, December 9). Why climate change fuels violence against women. Retrieved February, 2022, from https://apolitical.co/solution-articles/en/why-climate-change-fuels-violence-against-women

35.

*Gibbs

Abdelatif

Washington

Chirwa

Willan

Shai

Sikweyiya

Jewkes

(2020). Differential impact on men in an IPV prevention intervention: A post hoc analysis using latent class analysis of the Stepping Stones and Creating Futures intervention in South Africa. Social Science & Medicine, 265, 113538. https://doi.org/10.1016/j.socscimed.2020.113538

36.

*Gibbs

Dunkle

Mhlongo

Chirwa

Hatcher

Christofides

N. J.

Jewkes

(2020). Which men change in intimate partner violence prevention interventions? A trajectory analysis in Rwanda and South Africa. BMJ Global Health, 5(5), e002199. https://doi.org/10.1136/bmjgh-2019-002199

37.

*Gibbs

Mkhwanazi

Sikweyiya

(2022). Stepping stones and creating futures: A group-based approach to addressing violence against women through working with men. Journal of Clinical Psychology, 78(1), 26–37. https://doi.org/10.1002/jclp.23293

38.

*Gibbs

Washington

Abdelatif

Chirwa

Willan

Shai

Sikweyiya

Mkhwanazi

Ntini

Jewkes

(2020). Stepping stones and creating futures intervention to prevent intimate partner violence among young people: Cluster randomized controlled trial. Journal of Adolescent Health, 66(3), 323–335. https://doi.org/10.1016/j.jadohealth.2019.10.004

39.

*Glass

Perrin

Clough

Desgroppes

Kaburu

F. N.

Melton

Rink

Read-Hamilton

Marsh

(2018). Evaluating the communities care program: Best practice for rigorous research to evaluate gender based violence prevention and response programs in humanitarian settings. Conflict and Health, 12, 5. https://doi.org/10.1186/s13031-018-0138-0

40.

*Glass

Perrin

Marsh

Clough

Desgroppes

Kaburu

Ross

Read-Hamilton

(2019). Effectiveness of the Communities Care programme on change in social norms associated with gender-based violence (GBV) with residents in intervention compared with control districts in Mogadishu, Somalia. BMJ Open, 9(3), e023819. https://doi.org/10.1136/bmjopen-2018-023819

41.

Goedde

Ooko-Ombaka

Pais

(2019). Winning in Africa’s agricultural market. https://www.mckinsey.com/~/media/McKinsey/Industries/Agriculture/Our%20Insights/Winning%20in%20Africas%20agricultural%20market/Winning-in-Africas-agricultural-market.pdf

42.

*Green

E. P.

Blattman

Jamison

Annan

(2015). Women’s entrepreneurship and intimate partner violence: A cluster randomized trial of microenterprise assistance and partner participation in post-conflict Uganda (SSM-D-14-01580R1). Social Science & Medicine, 133, 177–188. https://doi.org/10.1016/j.socscimed.2015.03.042

43.

*Greene

M. C.

Likindikoki

Rees

Bonz

Kaysen

Misinzo

Njau

Kiluwa

Turner

Ventevogel

Mbwambo

J. K. K.

Tol

W. A.

(2021). Evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial. PLoS One, 16(6), e0252982. https://doi.org/10.1371/journal.pone.0252982

44.

*Greene

M. C.

Rees

Likindikoki

Bonz

A. G.

Joscelyne

Kaysen

Nixon

R. D. V.

Njau

Tankink

M. T. A.

Tiwari

Ventevogel

Mbwambo

J. K. K.

Tol

W. A.

(2019). Developing an integrated intervention to address intimate partner violence and psychological distress in Congolese refugee women in Tanzania. Conflict and Health, 13, 38. https://doi.org/10.1186/s13031-019-0222-0

45.

*Greene

M. C.

Scognamiglio

Likindikoki

S. L.

Misinzo

Njau

Bonz

Ventevogel

Mbwambo

J. K. K.

Tol

W. A.

(2022). Examining implementation of an intervention to reduce psychological distress and intimate partner violence in a refugee camp setting. Global Public Health, 17(11), 2868–2882. https://doi.org/10.1080/17441692.2022.2029926

46.

*Gupta

Falb

K. L.

Lehmann

Kpebo

Xuan

Hossain

Zimmerman

Watts

Annan

(2013). Gender norms and economic empowerment intervention to reduce intimate partner violence against women in rural Côte d’Ivoire: A randomized controlled pilot study. BMC International Health and Human Rights, 13, 46. https://doi.org/10.1186/1472-698X-13-46

47.

*Gurman

T. A.

Trappler

R. M.

Acosta

McCray

P. A.

Cooper

C. M.

Goodsmith

(2014). “By seeing with our own eyes, it can remain in our mind”: Qualitative evaluation findings suggest the ability of participatory video to reduce gender-based violence in conflict-affected settings. Health Education Research, 29(4), 690–701. https://doi.org/10.1093/her/cyu018

48.

*Halim

Steven Mzilangwe

Reich

Badi

Simmons

Servidone

Bingham Holmes

2nd Kawemama

Messersmith

L. J.

(2019). Together to end violence against women in Tanzania: Results of a pilot cluster randomized controlled trial to evaluate preliminary effectiveness of interpersonal and community level interventions to address intimate partner violence. Global Public Health, 14(12), 1653–1668. https://doi.org/10.1080/17441692.2019.1609062

49.

*Hargreaves

Hatcher

Strange

Phetla

Busza

Kim

Watts

Morison

Porter

Pronyk

Bonell

(2010). Process evaluation of the intervention with microfinance for AIDS and gender equity (IMAGE) in rural South Africa. Health Education Research, 25(1), 27–40. https://doi.org/10.1093/her/cyp054

50.

*Harvey

Abramsky

Mshana

Hansen

C. H.

Mtolela

G. J.

Madaha

Hashim

Kapinga

Watts

Lees

Kapiga

(2021). A cluster randomised controlled trial to evaluate the impact of a gender transformative intervention on intimate partner violence against women in newly formed neighbourhood groups in Tanzania. BMJ Global Health, 6(7), e004555. https://doi.org/10.1136/bmjgh-2020-004555

51.

*Harvey

Lees

Mshana

Pilger

Hansen

Kapiga

Watts

(2018). A cluster randomized controlled trial to assess the impact on intimate partner violence of a 10-session participatory gender training curriculum delivered to women taking part in a group-based microfinance loan scheme in Tanzania (MAISHA CRT01): Study protocol. BMC Womens Health, 18(1), 55. https://doi.org/10.1186/s12905-018-0546-8

52.

*Hatcher

A. M.

McBride

R.-S.

Rebombo

Munshi

Khumalo

Christofides

(2020). Process evaluation of a community mobilization intervention for preventing men’s partner violence use in peri-urban South Africa. Evaluation and Program Planning, 78, 101727. https://doi.org/10.1016/j.evalprogplan.2019.101727

53.

*Hossain

Zimmerman

Kiss

Abramsky

Kone

Bakayoko-Topolska

Annan

Lehmann

Watts

(2014). Working with men to prevent intimate partner violence in a conflict-affected setting: A pilot cluster randomized controlled trial in rural Côte d’Ivoire. BMC Public Health, 14, 339. https://doi.org/10.1186/1471-2458-14-339

54.

*Ismayilova

Karimli

Gaveras

Tô-Camier

Sanson

Chaffin

Nanema

(2018). An integrated approach to increasing women’s empowerment and reducing domestic violence: Results of a cluster-randomized controlled trial in a West African Country. Psychology of Violence, 8(4), 448–459. https://doi.org/10.1037/vio0000136

55.

*Jan

Ferrari

Watts

C. H.

Hargreaves

J. R.

Kim

J. C.

Phetla

Morison

L. A.

Porter

J. D.

Barnett

Pronyk

P. M.

(2011). Economic evaluation of a combined microfinance and gender training intervention for the prevention of intimate partner violence in rural South Africa. Health Policy and Planning, 26(5), 366–372. https://doi.org/10.1093/heapol/czq071

56.

*Jansen

Nsabimana

Kagaba

Mutabaruka

Rutembesa

Slegh

Mihigo

Mahwa

Ruratotoye

Haile

(2022). A clustered randomized controlled trial to assess whether Living Peace Intervention (LPint) reduces domestic violence and its consequences among families of targeted men in Eastern Democratic Republic of the Congo (DRC): Design and methods. Evaluation and Program Planning, 95, 102154. https://doi.org/10.1016/j.evalprogplan.2022.102154

57.

*John

N. A.

Adebayo

Boychuk

N. A.

OlaOlorun

(2022). Intimate partner violence (IPV) prevention using a cross-sectoral couple-based intervention: Results from a cluster randomised control trial in Ibadan, Nigeria. BMJ Global Health, 7(2), e007192. https://doi.org/10.1136/bmjgh-2021-007192

58.

*Kajula

Balvanz

Kilonzo

M. N.

Mwikoko

Yamanis

Mulawa

Kajuna

Hill

Conserve

Reyes

H. L. M.

Leatherman

Singh

Maman

(2016). Vijana Vijiweni II: A cluster-randomized trial to evaluate the efficacy of a microfinance and peer health leadership intervention for HIV and intimate partner violence prevention among social networks of young men in Dar es Salaam. BMC Public Health, 16, 113. https://doi.org/10.1186/s12889-016-2774-x

59.

*Kajula

L. J.

Kilonzo

M. N.

Conserve

D. F.

Mwikoko

Kajuna

Balvanz

Yamanis

T. J.

Mulawa

M. I.

Hill

L. M.

Mbwambo

J. K.

Maman

(2019). Engaging young men as community health leaders in an STI and intimate partner violence prevention trial in Dar es Salaam, Tanzania. Global Social Welfare, 6(4), 259–266. https://doi.org/10.1007/s40609-018-00134-z

60.

*Kane

J. C.

Glass

Bolton

P. A.

Mayeya

Paul

Mwenge

Murray

L. K.

(2021). Two-year treatment effects of the common elements treatment approach (CETA) for reducing intimate partner violence and unhealthy alcohol use in Zambia. Global Mental Health, 8, e4. https://doi.org/10.1017/gmh.2021.2

61.

*Kane

J. C.

Skavenski Van Wyk

Murray

S. M.

Bolton

Melendez

Danielson

C. K.

Chimponda

Munthali

Murray

L. K.

(2017). Testing the effectiveness of a transdiagnostic treatment approach in reducing violence and alcohol abuse among families in Zambia: Study protocol of the Violence and Alcohol Treatment (VATU) trial. Global Mental Health, 4, e18. https://doi.org/10.1017/gmh.2017.10

62.

*Kapiga

Harvey

Mshana

Hansen

C. H.

Mtolela

G. J.

Madaha

Hashim

Kapinga

Mosha

Abramsky

Lees

Watts

(2019). A social empowerment intervention to prevent intimate partner violence against women in a microfinance scheme in Tanzania: Findings from the MAISHA cluster randomised controlled trial. Lancet Global Health, 7(10), e1423–e1434. https://doi.org/10.1016/S2214-109X(19)30316-X

63.

*Keller

Mboya

B. O.

Sinclair

Githua

O. W.

Mulinge

Bergholz

Paiva

Golden

N. H.

Kapphahn

(2017). A 6-week school curriculum improves boys’ attitudes and behaviors related to gender-based violence in Kenya. Journal of Interpersonal Violence, 32(4), 535–557. https://doi.org/10.1177/0886260515586367

64.

*Kilburn

K. N.

Pettifor

Edwards

J. K.

Selin

Twine

MacPhail

Wagner

Hughes

J. P.

Wang

Kahn

(2018). Conditional cash transfers and the reduction in partner violence for young women: An investigation of causal pathways using evidence from a randomized experiment in South Africa (HPTN 068). Journal of the International AIDS Society, 21, e25043. https://doi.org/10.1002/jia2.25043

65.

*Knight

Ranganathan

Abramsky

Polzer-Ngwato

Muvhango

Molebatsi

Stöckl

Lees

Watts

(2020). Intervention with microfinance for AIDS and gender equity (IMAGE): Women’s engagement with the scaled-up IMAGE programme and experience of intimate partner violence in rural South Africa. Prevention Science, 21(2), 268–281. https://doi.org/10.1007/s11121-019-01070-w

66.

*Koris

Steven

Akika

Puls

Okoro

Bitrus

Seff

Deitch

Stark

(2022). Opportunities and challenges in preventing violence against adolescent girls through gender transformative, whole-family support programming in Northeast Nigeria. Conflict and Health, 16(1), 26. https://doi.org/10.1186/s13031-022-00458-w

67.

*Kyegombe

Starmann

Devries

K. M.

Michau

Nakuti

Musuya

Watts

Heise

(2014). “SASA! is the medicine that treats violence”. Qualitative findings on how a community mobilisation intervention to prevent violence against women created change in Kampala, Uganda. Global Health Action, 7, 25082. https://doi.org/10.3402/gha.v7.25082

68.

*Le Roux

Corboz

Scott

Sandilands

Lele

U. B.

Bezzolato

Jewkes

. (2020). Engaging with faith groups to prevent VAWG in conflict-affected communities: Results from two community surveys in the DRC. BMC International Health and Human Rights, 20(1), 27. https://doi.org/10.1186/s12914-020-00246-8

69.

*Lees

Kyegombe

Diatta

Zogrone

Roy

Hidrobo

(2021). Intimate partner relationships and gender norms in mali: The scope of cash transfers targeted to men to reduce intimate partner violence. Violence Against Women, 27(3–4), 447–469. https://doi.org/10.1177/1077801219897853

70.

*Lees

Marchant

Desmond

(2021). Addressing intimate partner violence using gender-transformative approaches at a community level in rural Tanzania: The UZIKWASA program. Journal of Interpersonal Violence, 36(13–14), NP7791–NP7812. https://doi.org/10.1177/0886260519831373

71.

*Lees

Marchant

Selestine

Mshana

Kapiga

Harvey

(2021). The transformative effects of a participatory social empowerment intervention in the MAISHA intimate partner violence trial in Tanzania. Culture, Health & Sexuality, 23(10), 1313–1328. https://doi.org/10.1080/13691058.2020.1779347

72.

*Leight

Deyessa

Sharma

(2021). Cost-effectiveness analysis of an intimate partner violence prevention intervention targeting men, women and couples in rural Ethiopia: Evidence from the Unite for a Better Life randomised controlled trial. BMJ Open, 11(3), e042365. https://doi.org/10.1136/bmjopen-2020-042365

73.

*Leight

Deyessa

Verani

Tewolde

Sharma

(2021). Community-level spillover effects of an intervention to prevent intimate partner violence and HIV transmission in rural Ethiopia. BMJ Global Health, 6(1), e004075. https://doi.org/10.1136/bmjgh-2020-004075

74.

*Maman

Kajula

Balvanz

Kilonzo

Mulawa

Yamanis

(2016). Leveraging strong social ties among young men in Dar es Salaam: A pilot intervention of microfinance and peer leadership for HIV and gender-based violence prevention. Global Public Health, 11(10), 1202–1215. https://doi.org/10.1080/17441692.2015.1094105

75.

*Maman

Mulawa

M. I.

Balvanz

McNaughton Reyes

H. L.

Kilonzo

M. N.

Yamanis

T. J.

Singh

Kajula

L. J.

(2020). Results from a cluster-randomized trial to evaluate a microfinance and peer health leadership intervention to prevent HIV and intimate partner violence among social networks of Tanzanian men. PLoS One, 15(3), e0230371. https://doi.org/10.1371/journal.pone.0230371

76.

*Mannell

Seyed-Raeisy

Burgess

Campbell

(2018). The implications of community responses to intimate partner violence in Rwanda. PLoS One, 13(5), e0196584. https://doi.org/10.1371/journal.pone.0196584

77.

Mares

(2013). Climate change and levels of violence in socially disadvantaged neighborhood groups. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 90(4), 768–783. https://doi.org/10.1007/s11524-013-9791-1

78.

Mearns

Norton

Demetriades

Esplen

(2012). The gender disensions of poverty and climate change adaptation. In Social dimensions of climate change: Equity and vulnerability in a warming world (pp. 133–143). World Bank. https://books.google.com/books?hl=en&lr=&id=07FAyBQVxCMC&oi=fnd&pg=PA133&dq=climate+change+domestic+violence&ots=0AQ0YIN5r3&sig=DJJlON0EtiRdDAigKLrTYUr6vP4#v=onepage&q=climate%20change%20domestic%20violence&f=false

79.

*Michaels-Igbokwe

Abramsky

Devries

Michau

Musuya

Watts

(2016). Cost and cost-effectiveness analysis of a community mobilisation intervention to reduce intimate partner violence in Kampala, Uganda. BMC Public Health, 16, 196. https://doi.org/10.1186/s12889-016-2883-6

80.

*Murray

L. K.

Kane

J. C.

Glass

Skavenski van Wyk

Melendez

Paul

Kmett Danielson

Murray

S. M.

Mayeya

Simenda

Bolton

(2020). Effectiveness of the Common Elements Treatment Approach (CETA) in reducing intimate partner violence and hazardous alcohol use in Zambia (VATU): A randomized controlled trial. PLoS Medicine, 17(4), e1003056. https://doi.org/10.1371/journal.pmed.1003056

81.

*Murray

S. M.

Skavenski Van Wyk

Metz

Mulemba

S. M.

Mwenge

M. M.

Kane

J. C.

Alto

Venturo-Conerly

K. E.

Wasil

A. R.

Fine

S. L.

Murray

L. K.

(2021). A qualitative exploration of mechanisms of intimate partner violence reduction for Zambian couples receiving the Common Elements Treatment Approach (CETA) intervention. Social Science & Medicine, 268, 113458. https://doi.org/10.1016/j.socscimed.2020.113458

82.

*Ogum Alangea

Addo-Lartey

A. A.

Chirwa

E. D.

Sikweyiya

Coker-Appiah

Jewkes

Adanu

R. M. K

. (2020). Evaluation of the rural response system intervention to prevent violence against women: Findings from a community-randomised controlled trial in the Central Region of Ghana. Global Health Action, 13(1), 1711336. https://doi.org/10.1080/16549716.2019.1711336

83.

Page

M. J.

McKenzie

J. E.

Bossuyt

P. M.

Boutron

Hoffmann

T. C.

Mulrow

C. D.

Shamseer

Tetzlaff

J. M.

Akl

E. A.

Brennan

S. E.

Chou

(2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

84.

Pope

J. O.

Brown

Fung

Hanlon

H. M.

Neal

Palin

E. J.

Reid

(2022) Investigation of future climate change over the British Isles using weather patterns. Climate Dynamics, 58, 2405–2419. https://doi.org/10.1007/s00382-021-06031-0

85.

*Pulerwitz

Hughes

Mehta

Kidanu

Verani

Tewolde

(2015). Changing gender norms and reducing intimate partner violence: Results from a quasi-experimental intervention study with young men in Ethiopia. American Journal of Public Health, 105(1), 132–137. https://doi.org/10.2105/AJPH.2014.302214

86.

*Ranganathan

Knight

Abramsky

Muvhango

Polzer Ngwato

Mbobelatsi

Ferrari

Watts

Stöckl

(2021). Associations between women’s economic and social empowerment and intimate partner violence: Findings from a microfinance plus program in rural North West Province, South Africa. Journal of Interpersonal Violence, 36(15–16), 7747–7775. https://doi.org/10.1177/0886260519836952

87.

*Ranganathan

Stern

Knight

Muvhango

Molebatsi

Polzer-Ngwato

Lees

Stöckl

(2022). Women’s economic status, male authority patterns and intimate partner violence: A qualitative study in rural North West Province, South Africa. Culture, Health & Sexuality, 24(5), 717–734. https://doi.org/10.1080/13691058.2021.1880639

88.

Rezaeian

. (2013). The association between natural disasters and violence: A systematic review of the literature and a call for more epidemiological studies. Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences, 18(12), 1103–1107.

89.

*Sarnquist

C. C.

Ouma

Lang’at

Lubanga

Sinclair

Baiocchi

M. T.

Cornfield

D. N.

(2021). The effect of combining business training, microfinance, and support group participation on economic status and intimate partner violence in an unplanned settlement of Nairobi, Kenya. Journal of Interpersonal Violence, 36(7–8), 3903–3921. https://doi.org/10.1177/0886260518779067

90.

Sanz-Barbero

Linares

Vives-Cases

González

J. L.

López-Ossorio

J. J.

Díaz

(2018). Heat wave and the risk of intimate partner violence. Science of the Total Environment, 644, 413–419. https://doi.org/10.1016/j.scitotenv.2018.06.368

91.

Selormey

Zupork Dome

Osse

Logan

(2019). Change ahead experience and awareness of climate change in Africa (Afrobarometer Policy Paper No. 60). Afrobarometer.

92.

*Sharma

Leight

Verani

Tewolde

Deyessa

(2020). Effectiveness of a culturally appropriate intervention to prevent intimate partner violence and HIV transmission among men, women, and couples in rural Ethiopia: Findings from a cluster-randomized controlled trial. PLoS Medicine, 17(8), e1003274. https://doi.org/10.1371/journal.pmed.1003274

93.

Simpson

N. P.

Andrews

T. M.

Krönke

Lennard

Odoulami

R. C.

Ouweneel

Steynor

Trisos

C. H.

(2021). Climate change literacy in Africa. Nature Climate Change, 11(11), 937–944.

94.

*Stark

Asghar

Seff

Tesfay Gessesse

Ward

Assazenew Baysa

Neiman

Falb

K. L.

(2018). Preventing violence against refugee adolescent girls: Findings from a cluster randomised controlled trial in Ethiopia. BMJ Global Health, 3(5), e000825. https://doi.org/10.1136/bmjgh-2018-000825

95.

*Starmann

Collumbien

Kyegombe

Devries

Michau

Musuya

Watts

Heise

(2017). Exploring couples’ processes of change in the context of SASA!, a violence against women and HIV prevention intervention in Uganda. Prevention Science, 18(2), 233–244. https://doi.org/10.1007/s11121-016-0716-6

96.

*Starmann

Heise

Kyegombe

Devries

Abramsky

Michau

Musuya

Watts

Collumbien

(2018). Examining diffusion to understand the how of SASA!, a violence against women and HIV prevention intervention in Uganda. BMC Public Health, 18(1), 616. https://doi.org/10.1186/s12889-018-5508-4

97.

*Stern

Heise

(2019). Sexual coercion, consent and negotiation: Processes of change amongst couples participating in the Indashyikirwa programme in Rwanda. Culture, Health & Sexuality, 21(8), 867–882. https://doi.org/10.1080/13691058.2018.1521991

98.

*Stern

Martins

Stefanik

Uwimpuhwe

Yaker

(2018). Lessons learned from implementing Indashyikirwa in Rwanda- an adaptation of the SASA! approach to prevent and respond to intimate partner violence. Evaluation and Program Planning, 71, 58–67. https://doi.org/10.1016/j.evalprogplan.2018.08.005

99.

*Stern

Willan

Gibbs

Myrttinen

Washington

Sikweyiya

Addo-Lartey

Mastonshoeva

Jewkes

(2021). Pathways of change: Qualitative evaluations of intimate partner violence prevention programmes in Ghana, Rwanda, South Africa and Tajikistan. Culture, Health & Sexuality, 23(12), 1700–1716. https://doi.org/10.1080/13691058.2020.1801843

100.

*Tol

W. A.

Greene

M. C.

Likindikoki

Misinzo

Ventevogel

Bonz

A. G.

Bass

J. K.

Mbwambo

J. K. K.

(2017). An integrated intervention to reduce intimate partner violence and psychological distress with refugees in low-resource settings: Study protocol for the Nguvu cluster randomized trial. BMC Psychiatry, 17(1), 186. https://doi.org/10.1186/s12888-017-1338-7

101.

*Turan

J. M.

Hatcher

A. M.

Odero

Onono

Kodero

Romito

Mangone

Bukusi

E. A.

(2013). A Community-supported clinic-based program for prevention of violence against pregnant women in Rural Kenya. AIDS Research and Treatment, 2013, 736926. https://doi.org/10.1155/2013/736926

102.

UN Commission on the Status of Women. (2022), Report of the secretary general: Achieving gender equality and the empowerment of all women and girls in the context of climate change, environmental and disaster risk reduction policies and programmes. The United Nations.

103.

UNFPA. (2021b). Child marriage and environmental crises: An evidence brief. UNFPA. https://esaro.unfpa.org/sites/default/files/pub-pdf/child_marriage_and_environmental_crises_an_evidence_brief_final.pdf

104.

USAID. Agriculture and food security: Kenya. Retrieved August 6, 2020, from https://www.usaid.gov/kenya/agriculture-and-food-security

105.

US EPA. (2016, August 2). Climate change indicators: Weather and climate. Climate Change Indicators; United States Environmental Protection Agency. https://www.epa.gov/climate-indicators/weather-climate

106.

*Vaillant

Koussoubé

Roth

Pierotti

Hossain

Falb

K. L.

(2020). Engaging men to transform inequitable gender attitudes and prevent intimate partner violence: A cluster randomised controlled trial in North and South Kivu, Democratic Republic of Congo. BMJ Global Health, 5(5), e002223. https://doi.org/10.1136/bmjgh-2019-002223

107.

*Wagman

J. A.

Gray

R. H.

Campbell

J. C.

Thoma

Ndyanabo

Ssekasanvu

Nalugoda

Kagaayi

Nakigozi

Serwadda

Brahmbhatt

(2015). Effectiveness of an integrated intimate partner violence and HIV prevention intervention in Rakai, Uganda: Analysis of an intervention in an existing cluster randomised cohort. Lancet Global Health, 3(1), e23–e33. https://doi.org/10.1016/S2214-109X(14)70344-4

108.

*Wagman

J. A.

Gray

R. H.

Nakyanjo

McClendon

K. A.

Bonnevie

Namatovu

Kigozi

Kagaayi

Wawer

M. J.

Nalugoda

(2018). Process evaluation of the SHARE intervention for preventing intimate partner violence and HIV infection in Rakai, Uganda. Evaluation and Program Planning, 67, 129–137. https://doi.org/10.1016/j.evalprogplan.2017.12.009

109.

*Wagman

J. A.

King

E. J.

Namatovu

Kiwanuka

Kairania

Semanda

J. B.

Nalugoda

Serwadda

Wawer

M. J.

Gray

Brahmbhatt

(2016). Combined intimate partner violence and HIV/AIDS prevention in rural Uganda: Design of the SHARE intervention strategy. Health Care for Women International, 37(3), 362–385. https://doi.org/10.1080/07399332.2015.1061526

110.

*Wagman

J. A.

Namatovu

Nalugoda

Kiwanuka

Nakigozi

Gray

Wawer

M. J.

Serwadda

(2012). A public health approach to intimate partner violence prevention in Uganda: The SHARE Project. Violence Against Women, 18(12), 1390–1412. https://doi.org/10.1177/1077801212474874

111.

*Wagman

J. A.

Paul

Namatovu

Ssekubugu

Nalugoda

(2016). Ethical challenges of randomized violence intervention trials: Examining the SHARE intervention in Rakai, Uganda. Psychology of Violence, 6(3), 442–451. https://doi.org/10.1037/vio0000037

112.

*Wight

Sekiwunga

Namutebi

Zalwango

Siu

G. E.

(2022). A Ugandan parenting programme to prevent gender-based violence: Description and formative evaluation. Research on Social Work Practice, 32(4), 448–464. https://doi.org/10.1177/10497315211056246

113.

World Health Organization/London School of Hygiene and Tropical Medicine. (2010). Preventing intimate partner and sexual violence against women: Taking action and generating evidence. World Health Organization.

114.

Wozniacka

(2021, October 5). Climate anxiety takes a growing toll on farmers. Civil Eats. https://civileats.com/2021/10/05/climate-anxiety-takes-a-growing-toll-on-farmers/