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. Author manuscript; available in PMC: 2014 Nov 1.
Published in final edited form as: AIDS Behav. 2013 Nov;17(9):3066–3080. doi: 10.1007/s10461-013-0586-x

Table 1.

Overview of RHANI Wives intervention

Session Timing Content focus Activities
Individual session 1 Week 1 Introductions and financial stresses and health For individual sessions 1&2 repeat:

  1. Thermometer with pictures—to identify and rate problems

  2. Cyclical figure she creates—to educate on intersection of financial stress, alcohol, IPV, and poor health (sexual health and sexual safety)— tailored to content of each topic and her personal risk situation

  3. Stories of women contending with spousal violence, husband’s risky drinking and husband’s extramarital sex and sexual violence/coercion—to reduce stigma and to increase disclosure and problem solving

  4. Problem-solving and action plans to reduce risk/stress related to key outcomes
Individual session 2 Week 1–2 Alcohol, IPV, financial stress, and poor health of family
Group session 1 Week 2–4 Group support and education on HIV and marital communication

  1. Play games (ice breakers) to establish group support

  2. Share stories that document women’s marital issues (alcohol, IPV, sexual infidelity) and discuss ways to solving those issues via marital communication

  3. Condom skills exercise—facilitator demonstrated
Individual session 3 Week 3–6 Alcohol, IPV and sexual violence, HIV and woman’s health, empowerment and safety

  1. Discussions based on group session information and implementation of problem solving & action plans [review group session for those who missed it]

  2. Check in on and update problem-solving and action plans to reduce risk/stress
Group session 2 Week 4–8 Group support and education on linkage to local services for HIV/STI, IPV and alcohol

  1. Play games to establish group support

  2. Share stories that document women’s marital issues (alcohol, IPV, sexual infidelity) and discuss ways to solve those issues via acquisition of local services—tailored to content of each topic.

  3. Condom skills exercise—participants practice

  4. Linkage to local social and health service programs
Individual session 4 Week 5–9 Alcohol, sexual violence, HIV & use of local support after program

  1. Discussions based on group session learnings and implementation of problem solving and action plans [review group session if missed.]

  2. Check in on and update problem-solving and action plans to reduce risk/stress