Fediša Modikologo: breaking the intergenerational cycle of violence against women and children. Theoretical framework and protocol for a prospective cohort study [version 1; peer review: 2 approved, 1 approved with reservations]

In South Africa, after two decades of national femicide surveillance, we know comparatively little about what places women who experience intimate partner violence (IPV) at risk of intimate partner femicide. Further we have not mapped the multi-generational health, social and economic impact of seve...

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Main Authors: Leane Ramsoomar, Rachel Jewkes, Samantha Willan, Jani Nothling, Esnat Chirwa, Venice Mbowane, Maureen Phakoe, Shibe Mhlongo, Louis Sibiya, Desiree Pass, Charntel Paile, Ishen Seocharan, Nataly Woollett, Laura Washington, Nwabisa Jama-Shai, Bianca Dekel, Pinky Mahlangu, Mercilene Machisa, Amanda Zembe, Boitumelo Seepamore, Tracy Glass, Nicola Christofides, Stanley Carries, Darshini Govindasamy, Naeemah Abrahams, Asiphe Ketelo
Format: Article
Language:English
Published: Wellcome 2025-03-01
Series:Wellcome Open Research
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Online Access:https://wellcomeopenresearch.org/articles/10-126/v1
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author Leane Ramsoomar
Rachel Jewkes
Samantha Willan
Jani Nothling
Esnat Chirwa
Venice Mbowane
Maureen Phakoe
Shibe Mhlongo
Louis Sibiya
Desiree Pass
Charntel Paile
Ishen Seocharan
Nataly Woollett
Laura Washington
Nwabisa Jama-Shai
Bianca Dekel
Pinky Mahlangu
Mercilene Machisa
Amanda Zembe
Boitumelo Seepamore
Tracy Glass
Nicola Christofides
Stanley Carries
Darshini Govindasamy
Naeemah Abrahams
Asiphe Ketelo
author_facet Leane Ramsoomar
Rachel Jewkes
Samantha Willan
Jani Nothling
Esnat Chirwa
Venice Mbowane
Maureen Phakoe
Shibe Mhlongo
Louis Sibiya
Desiree Pass
Charntel Paile
Ishen Seocharan
Nataly Woollett
Laura Washington
Nwabisa Jama-Shai
Bianca Dekel
Pinky Mahlangu
Mercilene Machisa
Amanda Zembe
Boitumelo Seepamore
Tracy Glass
Nicola Christofides
Stanley Carries
Darshini Govindasamy
Naeemah Abrahams
Asiphe Ketelo
author_sort Leane Ramsoomar
collection DOAJ
description In South Africa, after two decades of national femicide surveillance, we know comparatively little about what places women who experience intimate partner violence (IPV) at risk of intimate partner femicide. Further we have not mapped the multi-generational health, social and economic impact of severe IPV on women subjected to it, and their children, nor the consequences of help-seeking, nor described what helps, STET recovery trajectories. This study aims to deepen understanding of risk factors for femicide and the health, social and economic impacts of severe IPV on women and their families, including understanding risk and resilience to intergenerational cycling of violence. It further aims to describe how statutory and community measures operate to enable recovery and safety. Following pilot research, we developed a prospective questionnaire-based cohort study with three components, and plan for nested qualitative research. The primary cohort will enrol 12,000 women experiencing severe IPV, recruited using non-probabilistic methods (mostly referral from services and community members, and chain-recruitment). Following a baseline interview, participants will complete annual on-line surveys to track key outcomes for five years. The main questionnaire will measure exposure to range of different forms of IPV in the past year, lifetime trauma exposure history, childhood background, health, social and economic circumstances and help-seeking practices. A sub-cohort of the women (a 20% sub-sample), will be followed more intensively over 3 years. Among these, the children aged 6 years and over, of consenting mothers, will also be followed for three years. Deaths in the cohorts will be tracked through the National Population Register through participants’ national identity numbers. Mixed-methods verbal autopsies will be conducted with friends or family members of deceased participants. Results will guide femicide prevention nationally, and will build understanding of what is needed to prevent intergenerational cycling of violence and enable recovery of exposed women and children.
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spelling doaj-art-e9e9ee7237e14f839b737e3197123a5e2025-08-20T03:31:44ZengWellcomeWellcome Open Research2398-502X2025-03-011010.12688/wellcomeopenres.23513.125934Fediša Modikologo: breaking the intergenerational cycle of violence against women and children. Theoretical framework and protocol for a prospective cohort study [version 1; peer review: 2 approved, 1 approved with reservations]Leane Ramsoomar0Rachel Jewkes1https://orcid.org/0000-0002-4330-6267Samantha Willan2https://orcid.org/0000-0001-8629-887XJani Nothling3Esnat Chirwa4Venice Mbowane5Maureen Phakoe6Shibe Mhlongo7Louis Sibiya8Desiree Pass9Charntel Paile10https://orcid.org/0009-0008-2927-6621Ishen Seocharan11Nataly Woollett12Laura Washington13Nwabisa Jama-Shai14Bianca Dekel15Pinky Mahlangu16Mercilene Machisa17https://orcid.org/0000-0001-7275-1100Amanda Zembe18Boitumelo Seepamore19https://orcid.org/0000-0001-8083-2613Tracy Glass20Nicola Christofides21Stanley Carries22Darshini Govindasamy23Naeemah Abrahams24Asiphe Ketelo25Gender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaBiostatistics Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaBiostatistics Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaSchool of Public Health, University of the Witwatersrand, Johannesburg, Gauteng, South AfricaProject Empower, Diakonia Centre, Durban, KwaZulu-Natal, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaOffice of the Executive Scientist, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaSchool of Social Applied Human Sciences (Social Work), University of KwaZulu-Natal, Durban, KwaZulu-Natal, South AfricaBurden of Disease Research Unit, South African Medical Research Council, Cape Town, South AfricaSchool of Public Health, University of the Witwatersrand, Johannesburg, Gauteng, South AfricaHealth Systems Research Unit, South African Medical Research Council, Durban, KwaZulul-Natal, South AfricaHealth Systems Research Unit, South African Medical Research Council, Durban, KwaZulul-Natal, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, 0002, South AfricaIn South Africa, after two decades of national femicide surveillance, we know comparatively little about what places women who experience intimate partner violence (IPV) at risk of intimate partner femicide. Further we have not mapped the multi-generational health, social and economic impact of severe IPV on women subjected to it, and their children, nor the consequences of help-seeking, nor described what helps, STET recovery trajectories. This study aims to deepen understanding of risk factors for femicide and the health, social and economic impacts of severe IPV on women and their families, including understanding risk and resilience to intergenerational cycling of violence. It further aims to describe how statutory and community measures operate to enable recovery and safety. Following pilot research, we developed a prospective questionnaire-based cohort study with three components, and plan for nested qualitative research. The primary cohort will enrol 12,000 women experiencing severe IPV, recruited using non-probabilistic methods (mostly referral from services and community members, and chain-recruitment). Following a baseline interview, participants will complete annual on-line surveys to track key outcomes for five years. The main questionnaire will measure exposure to range of different forms of IPV in the past year, lifetime trauma exposure history, childhood background, health, social and economic circumstances and help-seeking practices. A sub-cohort of the women (a 20% sub-sample), will be followed more intensively over 3 years. Among these, the children aged 6 years and over, of consenting mothers, will also be followed for three years. Deaths in the cohorts will be tracked through the National Population Register through participants’ national identity numbers. Mixed-methods verbal autopsies will be conducted with friends or family members of deceased participants. Results will guide femicide prevention nationally, and will build understanding of what is needed to prevent intergenerational cycling of violence and enable recovery of exposed women and children.https://wellcomeopenresearch.org/articles/10-126/v1Violence against women; violence against children; femicide; cohort; mental health; recovery; resilience; risk factors; eng
spellingShingle Leane Ramsoomar
Rachel Jewkes
Samantha Willan
Jani Nothling
Esnat Chirwa
Venice Mbowane
Maureen Phakoe
Shibe Mhlongo
Louis Sibiya
Desiree Pass
Charntel Paile
Ishen Seocharan
Nataly Woollett
Laura Washington
Nwabisa Jama-Shai
Bianca Dekel
Pinky Mahlangu
Mercilene Machisa
Amanda Zembe
Boitumelo Seepamore
Tracy Glass
Nicola Christofides
Stanley Carries
Darshini Govindasamy
Naeemah Abrahams
Asiphe Ketelo
Fediša Modikologo: breaking the intergenerational cycle of violence against women and children. Theoretical framework and protocol for a prospective cohort study [version 1; peer review: 2 approved, 1 approved with reservations]
Wellcome Open Research
Violence against women; violence against children; femicide; cohort; mental health; recovery; resilience; risk factors;
eng
title Fediša Modikologo: breaking the intergenerational cycle of violence against women and children. Theoretical framework and protocol for a prospective cohort study [version 1; peer review: 2 approved, 1 approved with reservations]
title_full Fediša Modikologo: breaking the intergenerational cycle of violence against women and children. Theoretical framework and protocol for a prospective cohort study [version 1; peer review: 2 approved, 1 approved with reservations]
title_fullStr Fediša Modikologo: breaking the intergenerational cycle of violence against women and children. Theoretical framework and protocol for a prospective cohort study [version 1; peer review: 2 approved, 1 approved with reservations]
title_full_unstemmed Fediša Modikologo: breaking the intergenerational cycle of violence against women and children. Theoretical framework and protocol for a prospective cohort study [version 1; peer review: 2 approved, 1 approved with reservations]
title_short Fediša Modikologo: breaking the intergenerational cycle of violence against women and children. Theoretical framework and protocol for a prospective cohort study [version 1; peer review: 2 approved, 1 approved with reservations]
title_sort fedisa modikologo breaking the intergenerational cycle of violence against women and children theoretical framework and protocol for a prospective cohort study version 1 peer review 2 approved 1 approved with reservations
topic Violence against women; violence against children; femicide; cohort; mental health; recovery; resilience; risk factors;
eng
url https://wellcomeopenresearch.org/articles/10-126/v1
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