An Economic and Relationship-strengthening Intervention to Reduce Alcohol Use in Malawi
Mlambe: A Randomized Controlled Trial of an Economic and Relationship-Strengthening Intervention to Reduce Alcohol Use in Malawi
University of California, San Francisco
500 participants
Feb 14, 2025
INTERVENTIONAL
Conditions
Summary
With a full-scale randomized control trial, the investigators will evaluate the efficacy and cost effectiveness of Mlambe, an economic and relationship-strengthening intervention that provides incentivized saving accounts, financial literacy training, and relationship skills education to break the cycle of poverty around drinking, strengthen couple support and communication, and reduce heavy drinking among HIV-affected married couples with a partner who drinks alcohol in Malawi.
Eligibility
Inclusion Criteria4
- In a married or cohabitating union
- Have at least one partner with a positive AUDIT-C screen in prior 3 months
- Must also currently be on ART for at least 6 months
- Must have disclosed their HIV status to their partner
Exclusion Criteria1
- \) Severe intimate partner violence reported in previous 3 months and/or fear that safety would be at risk by participation in the study (reported at screening). Couples who participated in Mlambe's pilot study will also be excluded.
Interventions
A combined economic and relationship-strengthening intervention. Sessions consist of incentivized savings accounts, financial literacy training, and relationships skills building, including couple communication.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06367348