SHARE (Safe Homes and Respect for Everyone) — Rakai, Uganda's Community-Mobilisation Trial on Partner Violence and HIV

SHARE (Safe Homes and Respect for Everyone) was nested in the Rakai Community Cohort Study in Uganda and combined two components: a five-phase community mobilisation process (assessment, awareness-raising, network building, integrated action, consolidation) run by trained counsellors, educators, community volunteers and counselling aides, and a screening and brief intervention for women attending HIV counselling and testing, focused on safe disclosure and risk reduction.
The quasi-experimental evaluation enrolled 11,448 people aged 15–49 (5,337 in four intervention clusters, 6,111 in seven control clusters) between 2005 and 2009. At the second follow-up, women's past-year physical IPV was 12% in intervention vs 16% in control clusters (aPRR 0.79, 95% CI 0.67–0.92) and sexual IPV 10% vs 13% (aPRR 0.80, 0.67–0.97). Overall HIV incidence was 0.87 vs 1.15 per 100 person-years (aIRR 0.67, 0.46–0.97).
The evidence has clear limits: only four of eleven clusters were allocated to the intervention for funding reasons, causing baseline imbalances; retention was about 75% and differed between arms; IPV was self-reported; emotional IPV did not differ and male-reported perpetration showed no effect; and the HIV difference was not maintained after the programme ended (2010–11). It is best read as a promising, integrated GBV–HIV model whose durability is unproven.

Read the full analysis: https://doaj.org/article/553dec643be3442182ebf342d6774627