Abstract
COVID-19 heightened women’s exposure to gender-based and intimate partner violence, especially in low-income and middle-income countries. We tested whether edutainment interventions shown to successfully combat gender-based and intimate partner violence when delivered in person can be effectively delivered using social (WhatsApp and Facebook) and traditional (TV) media. To do so, we randomized the mode of implementation of an intervention conducted by an Egyptian women’s rights organization seeking to support women amid COVID-19 social distancing. We found WhatsApp to be more effective in delivering the intervention than Facebook but no credible evidence of differences across outcomes between social media and TV dissemination. Our findings show little credible evidence that these campaigns affected women’s attitudes towards gender or marital equality or on the justifiability of violence. However, the campaign did increase women’s knowledge, hypothetical use and reported use of available resources.
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Data availability
All the data used in this research, including de-identified baseline and endline survey data, server data on server visits, YouTube channel views, and supplementary Google Mobility data (https://www.google.com/covid19/mobility/), are available in the Harvard Dataverse repository, https://dataverse.harvard.edu/dataset.xhtml?persistentId=doi:10.7910/DVN/VFFZRM. These include the de-identified original and derived datasets.
Code availability
All the code developed by the authors using the statistical software R for data construction and analysis (that is, to generate figures, tables and other summary statistics) is available in the Harvard Dataverse repository: https://dataverse.harvard.edu/dataset.xhtml?persistentId=doi:10.7910/DVN/VFFZRM.
References
Impact Report: COVID-19 and Domestic Violence Trends (National Commission on COVID-19 and Criminal Justice, 2021); https://covid19.counciloncj.org/2021/02/23/impact-report-covid-19-and-domestic-violence-trends/
Berniell, I. & Facchini, G. COVID-19 lockdown and domestic violence: evidence from internet-search behavior in 11 countries. Eur. Econ. Rev 136, 103775 (2021).
Rivera, C., Hsu, Y., Esbry, F. P. & Dugarova, E. What Does Coronavirus Mean for Women (United Nations Development Programme, 2020); https://www.undp.org/blogs/what-does-coronavirus-mean-women
Gender Implications of COVID-19 Outbreaks in Development and Humanitarian Settings (CARE, 2020); https://www.care.org/wp-content/uploads/2020/07/gendered_implications_of_covid-19_-_full_paper.pdf
Usta, J., Murr, H. & El-Jarrah, R. COVID-19 lockdown and the increased violence against women: understanding domestic violence during a pandemic. Violence Gend. 3, 133–139, (2021).
Krug, E. G., Mercy, J. A., Dahlberg, L. L. & Zwi, A. B. The world report on violence and health. Lancet 360, 1083–1088 (2002).
Devries, K. M. et al. The global prevalence of intimate partner violence against women. Science 340, 1527–1528 (2013).
Levy, R. & Mattsson, M. The effects of social movements: evidence from #MeToo. SSRN https://doi.org/10.2139/ssrn.3496903 (2023).
Semahegn, A. et al. Are interventions focused on gender-norms effective in preventing domestic violence against women in low and lower-middle income countries? A systematic review and meta-analysis. Reprod. Health 16, 93 (2019).
Bourey, C., Williams, W., Bernstein, E. E. & Stephenson, R. Systematic review of structural interventions for intimate partner violence in low- and middle-income countries: organizing evidence for prevention. BMC Public Health 15, 1165 (2015).
Buller, A. M. et al. A mixed-method review of cash transfers and intimate partner violence in low- and middle-income countries. World Bank Res. Obs. 33, 218–258 (2018).
Tankard, M. E., Paluck, E. L. & Prentice, D. A. The effect of a savings intervention on women’s intimate partner violence victimization: heterogeneous findings from a randomized controlled trial in Colombia. BMC Women’s Health 19, 17 (2019).
Abramsky, T. et al. Ecological pathways to prevention: how does the SASA! community mobilisation model work to prevent physical intimate partner violence against women? BMC Public Health 16, 339 (2016).
Wagman, J. A. et al. Effectiveness of an integrated intimate partner violence and HIV prevention intervention in Rakai, Uganda: analysis of an intervention in an existing cluster randomised cohort. Lancet Glob. Health 3, e23–e33 (2015).
Sharma, V., Leight, J., Verani, F., Tewolde, S. & Deyessa, N. Effectiveness of a culturally appropriate intervention to prevent intimate partner violence and HIV transmission among men, women, and couples in rural Ethiopia: findings from a cluster-randomized controlled trial. PLoS Med. 17, e1003274 (2020).
Guermazi, B. Digital Transformation in the Time of COVID-19: The Case of MENA (World Bank, 2020).
Jensen, R. & Oster, E. The power of TV: cable television and women’s status in India. Q. J. Econ. 124, 1057–1094 (2009).
La Ferrara, E., Chong, A. & Duryea, S. Soap operas and fertility: evidence from Brazil. Am. Econ. J. Appl. Econ. 4, 1–31 (2012).
Bandura, A. Social cognitive theory in cultural context. Appl. Psychol. 51, 269–290 (2002).
Singhal, A. & Rogers, E. Entertainment-Education: A Communication Strategy for Social Change (Routledge, 2012).
Tankard, M. E. & Paluck, E. L. Norm perception as a vehicle for social change. Soc. Issues Policy Rev. 10, 181–211 (2016).
Blair, G., Littman, R. & Paluck, E. L. Motivating the adoption of new community-minded behaviors: an empirical test in Nigeria. Sci. Adv. 5, eaau5175 (2019).
Banerjee, A., Ferrara, E. L. & Orozco, V. Entertainment, education, and attitudes toward domestic violence. AEA Pap. Proc. 109, 133–137 (2019).
Paluck, E. L. & Green, D. P. Deference, dissent, and dispute resolution: an experimental intervention using mass media to change norms and behavior in Rwanda. Am. Polit. Sci. Rev. 103.4 622–644 (2009).
Arias, E. How does media influence social norms? Experimental evidence on the role of common knowledge. Polit. Sci. Res. Methods 7, 561–578 (2019).
Cooper, J., Green, D. P. & Wilke, A. M. Reducing violence against women in Uganda through video dramas: a survey experiment to illuminate causal mechanisms. AEA Papers and Proceedings 110, 615–619 (2020).
Green, D. P., Wilke, A. M. & Cooper, J. Countering violence against women by encouraging disclosure: a mass media experiment in rural Uganda. Comp. Polit. Stud. 53, 2283–2320 (2020).
Melo, P. et al. WhatsApp Monitor: a fact-checking system for WhatsApp. Proceedings of the International AAAI Conference on Web and Social Media 13, 676–677 (2019).
Bowles, J., Larreguy, H. & Liu, S. Countering misinformation via WhatsApp: preliminary evidence from the COVID-19 pandemic in Zimbabwe. PLoS ONE 15, e0240005 (2020).
Enrcíquez, J., Larreguy, H., Marshall, J. & Simpser, A. Mass political information on social media: Facebook ads, electoral saturation, and electoral accountability in Mexico. SSRN https://doi.org/10.2139/ssrn.3897408 (2022).
Global Gender Gap Report 2021 (World Economic Forum, 2021); http://www3.weforum.org/docs/WEF_GGGR_2021.pdf
Yount, K. M. Women’s conformity as resistance to intimate partner violence in Assiut, Egypt. Sex Roles 64, 43–58 (2011).
Ambrosetti, E., Abu Amara, N. & Condon, S. Gender-based violence in Egypt: analyzing impacts of political reforms, social, and demographic change. Violence Against Women 19, 400–421 (2013).
Mamdouh, H. et al. Prevalence and risk factors for spousal violence among women attending health care centres in Alexandria, Egypt. East. Mediterr. Health J. 18, 1118–1126 (2012).
Egypt Demographic and Health Survey 2014: Key Findings (Egypt Ministry of Health and Population and ICF International, 2014); https://dhsprogram.com/pubs/pdf/SR223/SR223.pdf
Women and COVID-19 Pandemic in Egypt (UN Women, 2020); https://link.springer.com/article/10.1186/s12905-022-01674-5
Yount, K. M. & Li, L. Women’s ‘justification’ of domestic violence in Egypt. J. Marriage Fam. 71, 1125–1140 (2009).
Hawcroft, C. et al. Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis. BMC Public Health 19, 315 (2019).
Banerjee, A., Kumar, S., Pande, R. & Su, F. Do informed voters make better choices? Experimental evidence from urban India. Unpublished Manuscript (2011); https://bpb-us-w2.wpmucdn.com/campuspress.yale.edu/dist/7/2986/files/2019/06/do_informed_voters_make_better_choices.pdf
Digital 2022: Egypt (We Are Social and Kepios, 2022); https://datareportal.com/reports/digital-2022-egypt
Data Analysis Tool—Arab Barometer (Arab Barometer, 2023); https://www.arabbarometer.org/survey-data/data-analysis-tool/
Chwe, M. S.-Y. Culture, circles, and commercials: publicity, common knowledge, and social coordination. Ration. Soc. 10, 47–75 (1998).
Charnysh, V., Lucas, C. & Singh, P. The ties that bind: national identity salience and pro-social behavior toward the ethnic other. Comp. Polit. Stud. 48, 267–300 (2015).
Masoud, T., Jamal, A. & Nugent, E. Using the Qur’ān to empower Arab women? Theory and experimental evidence from Egypt. Comp. Polit. Stud. 49, 1555–1598 (2016).
Inglehart, R. et al. Rising Tide: Gender Equality and Cultural Change around the World (Cambridge Univ. Press, 2003).
Newman, N., Fletcher, R., Kalogeropoulos, A. & Nielsen, R. Reuters Institute Digital News Report 2019 (Reuters Institute, 2019).
Bursztyn, L., González, A. L. & Yanagizawa-Drott, D. Misperceived social norms: women working outside the home in Saudi Arabia. Am. Econ. Rev. 110, 2997–3029 (2020).
Rabin, R. F., Jennings, J. M., Campbell, J. C. & Bair-Merritt, M. H. Intimate partner violence screening tools: a systematic review. Am. J. Prev. Med. 36, 439–445 (2009).
Abramsky, T. et al. Findings from the SASA! study: a cluster randomized controlled trial to assess the impact of a community mobilization intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda. BMC Med. 12, 122 (2014).
Acknowledgements
N. Muhab provided invaluable assistance in the design and implementation of the project. Z. Asal, S. Eid and H. Hegazy provided excellent research assistance. A. El-Kayaty, J. Marshall, A. Nagy, M. Shalaby, and conference, seminar and workshop participants at the American Political Science Association 2021 Conference, the Institute for Advanced Study in Toulouse, the Joint Initiative for Latin American Experimental Economics, MIT’s Political Experiments Research Lab and Global Diversity Lab, and Toulouse School of Economics provided useful feedback. H.L. acknowledges funding from the French Agence Nationale de la Recherche under the Investissement d’Avenir programme ANR-17-EURE-0010. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.
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F.C., H.L. and E.P.-M. developed and designed the experiment and oversaw and conducted the data collection. F.C., H.L., E.P.-M. and M.Q. devised the statistical analyses. E.P.-M. and M.Q. wrote the analysis code. M.Q. performed the statistical analyses. All authors wrote the manuscript, provided revisions and finalized the text.
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Extended data
Extended Data Fig. 1 Survey responses by Egyptian Governorate.
The graph shows the distribution of survey responses by governorate, with Cairo having the highest frequency of responses at 2341. The median governorates are Luxor and Bahera, with 37 and 42 responses, respectively. Matrouh had the lowest number of responses, with only one respondent. The survey data was collected and analyzed by our team. Adapted from the Humanitarian Data Exchange under a CC BY 4.0 licence.
Extended Data Fig. 2 Number of treatment web pages visited per web page user across treatments.
Panel (a) shows the total number of visits to the server hosting videos and YouTube videos for the 14 pages/videos delivered. Panel (b) shows the number of visits for the Facebook treatment group, panel (c) for the WhatsApp individual treatment group, and panel (d) for the WhatsApp group pages. For more detailed results, refer to Extended Data Tables 4 and 5.
Extended Data Fig. 3 Video landing web page visits for Facebook and WhatsApp Individual treatment before and after participants assigned to the Facebook treatment were shifted to the WhatsApp Individual treatment.
Difference-in-differences analysis of the impact of transitioning the Facebook treatment group from receiving videos on Facebook to receiving videos via WhatsApp. The left panel shows the distribution shift in the total number of video views before and after the transition for the Facebook treatment group. The right panel compares the same distribution shift for the WhatsApp individual treatment group. Analyzing the distribution shift helps us understand the relative effectiveness of Facebook vis-a-vis WhatsApp.
Extended Data Fig. 4 Mobility in Egypt during the intervention.
We plot the daily percent change in mobility relative to the prior to the COVID-19 pandemic across different industries (panel (a) is Retail and recreation, panel (b) grocery and pharmacy, panel (c) parks, panel (d) transit stations, panel (e) workplaces, and panel (f) residential) in Egypt during the first year of the COVID-19 pandemic. Vertical lines demarcate the intervention, which ran from July 10, 2020, to September 05, 2020. All data comes from Google Mobility public data.
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Christia, F., Larreguy, H., Parker-Magyar, E. et al. Empowering women facing gender-based violence amid COVID-19 through media campaigns. Nat Hum Behav 7, 1740–1752 (2023). https://doi.org/10.1038/s41562-023-01665-y
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DOI: https://doi.org/10.1038/s41562-023-01665-y