Building a theory of change to guide fatherhood programming to prevent family violence: a comparison of two programs

Fatherhood programs have increasingly been recognized as a promising approach to prevent violence against women and children (VAWC), yet there remains limited synthesis across programs to clarify the core components that drive change. Most existing studies focus on individual program evaluations. Identifying shared principles or pathways can inform broader implementation and scale. To address this gap, this analysis identified program elements that effectively engage fathers to reduce VAWC by conducting a case analysis of two evidence-based fatherhood programs, Bandebereho and REAL (Responsible, Engaged, and Loving) Fathers, and presenting a joint Theory of Change (TOC). Programs were identified through a rapid review of evidence on fatherhood violence prevention programs and selected for their engagement of fathers, published evaluations with positive effects in reducing violence against women and children, adaptation and scale-up in a low resource setting, and having at least one available representative. Authors met regularly over 18-months conducting a desk review of program documentation, building understanding on program strategies and evidence, discussing similarities and differences between the programs, and identifying key elements. Analysis was collated in an excel matrix and utilized to create a pictorial TOC which was reviewed and validated by researchers and implementers from each program. The TOC highlights program principles, key stakeholders, training, program components, change catalysts, and intermediate outcomes on the pathway to impact. Despite being developed in unique contexts by different teams, programs displayed strikingly similar components and pathways of change leading to measured outcomes demonstrating positive impacts on prevention of violence against women and children. This TOC reflects evidence-based insights into the core components and pathways through which fatherhood programs may reduce violence against women and children. Although developed from two rigorously evaluated programs, the shared elements identified can serve as a foundation for future research and program development. This initial framework can help guide intervention design, implementation, monitoring and evaluation to promote effectiveness and sustainability in future violence prevention initiatives that engage fathers. Further testing and validation across diverse contexts are needed to assess the theories broader relevance.

Authors

Institutions

Publication Details

Journal
BMC Public Health
Published
2025-10-22
DOI
https://doi.org/10.1186/s12889-025-24883-7
Citations
1
Primary Topic
Intimate Partner and Family Violence
Type
article
Field-Weighted Citation Impact
2.17

Funders

Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Building a theory of change to guide fatherhood programming to prevent family violence: a comparison of two programs

Dickens Ojamuge, Rebecka Lundgren, Emmanuel Karamage, Kate Doyle et al.
1 citations
BMC Public Health
Intimate Partner and Family Violence
2.17
article

Building a theory of change to guide fatherhood programming to prevent family violence: a comparison of two programs

Dickens Ojamuge, Rebecka Lundgren, Emmanuel Karamage, Kate Doyle, Jasmine Uysal, Anjalee Kohli
article en
1 citations

Abstract

Fatherhood programs have increasingly been recognized as a promising approach to prevent violence against women and children (VAWC), yet there remains limited synthesis across programs to clarify the core components that drive change. Most existing studies focus on individual program evaluations. Identifying shared principles or pathways can inform broader implementation and scale. To address this gap, this analysis identified program elements that effectively engage fathers to reduce VAWC by conducting a case analysis of two evidence-based fatherhood programs, Bandebereho and REAL (Responsible, Engaged, and Loving) Fathers, and presenting a joint Theory of Change (TOC). Programs were identified through a rapid review of evidence on fatherhood violence prevention programs and selected for their engagement of fathers, published evaluations with positive effects in reducing violence against women and children, adaptation and scale-up in a low resource setting, and having at least one available representative. Authors met regularly over 18-months conducting a desk review of program documentation, building understanding on program strategies and evidence, discussing similarities and differences between the programs, and identifying key elements. Analysis was collated in an excel matrix and utilized to create a pictorial TOC which was reviewed and validated by researchers and implementers from each program. The TOC highlights program principles, key stakeholders, training, program components, change catalysts, and intermediate outcomes on the pathway to impact. Despite being developed in unique contexts by different teams, programs displayed strikingly similar components and pathways of change leading to measured outcomes demonstrating positive impacts on prevention of violence against women and children. This TOC reflects evidence-based insights into the core components and pathways through which fatherhood programs may reduce violence against women and children. Although developed from two rigorously evaluated programs, the shared elements identified can serve as a foundation for future research and program development. This initial framework can help guide intervention design, implementation, monitoring and evaluation to promote effectiveness and sustainability in future violence prevention initiatives that engage fathers. Further testing and validation across diverse contexts are needed to assess the theories broader relevance.

BMC Public HealthVol. 25(1)
Save the Children (US), Georgetown University (US), UC San Diego Health System (US), Directorate-General for Justice and Consumers (BE), University of California San Diego (US), Save the Children (BD), Center for Health and Gender Equity (US)
United States Agency for International Development, John D. and Catherine T. MacArthur Foundation, Georgetown University, Grand Challenges Canada, Ministerie van Buitenlandse Zaken
Openalex Percentile: Top 10%
Intimate Partner and Family Violence
2.17
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.