UMAI-WINGS: Evaluating <span style="mso-fareast-font-family: DengXian; mso-fareast-theme-font: minor-fareast; mso-fareast-language: ZH-CN;">the Effectiveness <span style="mso-fareast-font-family: DengXian; mso-fareast-theme-font: minor-fareast; mso-fareast-language: ZH-CN;">of Implementing Mhealth IPV Prevention Intervention <span style="mso-fareast-font-family: DengXian; mso-fareast-theme-font: minor-fareast; mso-fareast-language: ZH-CN;">in Reducing Intimate Partner Violence Among Women <span style="mso-fareast-font-family: DengXian; mso-fareast-theme-font: minor-fareast; mso-fareast-language: ZH-CN;">from Key Affected Populations <span style="mso-fareast-font-family: DengXian; mso-fareast-theme-font: minor-fareast; mso-fareast-language: ZH-CN;">in Kazakhstan Using <span style="mso-fareast-font-family: DengXian; mso-fareast-theme-font: minor-fareast; mso-fareast-language: ZH-CN;">a Community-Based Approach

Women from key affected populations (KAPs) including women who use drugs, women who engage in sex work, and women living with HIV/AIDs in Kazakhstan experience extremely high rates of intimate partner violence (IPV) and encounter a myriad of barriers in accessing IPV services. This community-based implementation trial aimed to evaluate the acceptability, safety, and effectiveness of delivering an evidence-based self-guided mHealth IPV brief intervention tool (UMAI-WINGS) to women from KAPs in Kazakhstan using an innovative community-coordinated response model. This study enrolled 508 women from KAPs, including 306 women from the intervention community, Almaty City, and 200 women from Almaty Oblast, the waitlist control community. The primary outcomes of experiencing any physical, sexual, or psychological IPV in the past 6 months were assessed at baseline and 6 months post-intervention (N=458). After adjusting for baseline, the IPV outcome and other covariates, intervention community participants were 22.1% less likely to report psychological IPV, 23.6% less likely to report sexual IPV, and 43.9% less likely to report physical IPV at the 6-month follow-up, compared to the waitlist control community participants. These findings suggest that a community-based approach to delivering UMAI-WINGS was acceptable, safe, and effective in reducing IPV among women from KAPs in Kazakhstan.