Tests Mlambe to reduce heavy drinking in married couples in Malawi affected by HIV
Tests Mlambe, a savings and relationship program, in HIV-affected married couples where one partner drinks.
Plain-language title generated from the registry record
Registry title: An Economic and Relationship-strengthening Intervention to Reduce Alcohol Use in Malawi
Key facts
- Where
- Zomba, MalawiSee the site
Where in Malawi
- Invest in Knowledge Initiative (IKI)Zomba, MalawiTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- University of California, San Francisco
- Trial code
- NCT06367348
- Record updated
- 14 May 2026
- Original description
With a full-scale randomized control trial, the investigators will evaluate the efficacy and cost effectiveness of Mlambe, an economic and relationship-strengthening intervention that provides incentivized saving accounts, financial literacy training, and relationship skills education to break the cycle of poverty around drinking, strengthen couple support and communication, and reduce heavy drinking among HIV-affected married couples with a partner who drinks alcohol in Malawi.Read full original descriptionShow less
Mlambe: A Randomized Controlled Trial of an Economic and Relationship-Strengthening Intervention to Reduce Alcohol Use in Malawi
With a full-scale randomized control trial, the investigators will evaluate the efficacy and cost effectiveness of Mlambe, an economic and relationship-strengthening intervention that provides incentivized saving accounts, financial literacy training, and relationship skills education to break the cycle of poverty around drinking, strengthen couple support and communication, and reduce heavy drinking among HIV-affected married couples with a partner who drinks alcohol in Malawi.
Inclusion: In a married or cohabitating union; Have at least one partner with a positive AUDIT-C screen in prior 3 months; Must also currently be on ART for at least 6 months; Must have disclosed their HIV status to their partner.
Exclusion: Severe intimate partner violence reported in previous 3 months and/or fear that safety would be at risk by participation in the study (reported at screening). Couples who participated in Mlambe's pilot study will also be excluded.