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  1. Home
  2. Zethembe: A Co-developed Couples Intervention For Young Heterosexual Couples In Informal Settlements In South Africa.
  1. Home
  2. Zethembe: A Co-developed Couples Intervention For Young Heterosexual Couples In Informal Settlements In South Africa.

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Zethembe: a co-developed couples intervention for young heterosexual couples in informal settlements in South Africa.

Andrew Gibbs1,2,3,4, Zama Khoza2,5, Sivuyile Khaula5

  • 1Department of Psychology, University of Exeter, Exeter, United Kingdom.

PLOS Global Public Health
|April 8, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Developing interventions for violence against women and girls in urban areas is challenging. A co-development process with young women created Zethembe Couples Care, focusing on communication and problem-solving skills.

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Area of Science:

  • Public Health
  • Community Psychology
  • Gender Studies

Background:

  • Interventions for violence against women and girls (VAWG) in urban informal settlements are scarce.
  • Young women's perspectives are crucial for effective intervention design.

Purpose of the Study:

  • To co-develop an intervention addressing VAWG in an urban informal settlement.
  • To explore the co-development process using participatory methods with young women.

Main Methods:

  • Employed the 6 Steps in Quality Intervention Development (6SQuID) approach.
  • Utilized participatory methods, engaging young women (18-25 years) and NGO partners.
  • Co-created and pre-tested the Zethembe Couples Care intervention.

Main Results:

  • The co-development process prioritized building trust and empowering young women's critical reflection.
  • The resulting Zethembe Couples Care intervention focuses on couple communication and problem-solving.
  • Young women's input shaped the intervention, though addressing structural drivers of violence was limited.

Conclusions:

  • Co-development is time-intensive but essential for culturally relevant interventions.
  • The Zethembe Couples Care intervention requires further piloting and formal evaluation.
  • Empowering young women can lead to interventions that address immediate relational dynamics but may need support for broader structural change.