Cargando…
Protocol for a matched-pair cluster control trial of ARCHES (Addressing Reproductive Coercion in Health Settings) among women and girls seeking contraceptive services from community-based clinics in Nairobi, Kenya
BACKGROUND: Reproductive coercion (RC) and intimate partner violence (IPV) are prevalent forms of gender-based violence (GBV) associated with reduced female control over contraceptive use and subsequent unintended pregnancy. Although the World Health Organization has recommended the identification a...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251735/ https://www.ncbi.nlm.nih.gov/pubmed/32460786 http://dx.doi.org/10.1186/s12978-020-00916-9 |
_version_ | 1783539016616902656 |
---|---|
author | Uysal, Jasmine Carter, Nicole Johns, Nicole Boyce, Sabrina Liambila, Wilson Undie, Chi-Chi Muketo, Esther Adhiambo, Jill Gray, Kate Wendoh, Seri Silverman, Jay G. |
author_facet | Uysal, Jasmine Carter, Nicole Johns, Nicole Boyce, Sabrina Liambila, Wilson Undie, Chi-Chi Muketo, Esther Adhiambo, Jill Gray, Kate Wendoh, Seri Silverman, Jay G. |
author_sort | Uysal, Jasmine |
collection | PubMed |
description | BACKGROUND: Reproductive coercion (RC) and intimate partner violence (IPV) are prevalent forms of gender-based violence (GBV) associated with reduced female control over contraceptive use and subsequent unintended pregnancy. Although the World Health Organization has recommended the identification and support of GBV survivors within health services, few clinic-based models have been shown to reduce IPV or RC, particularly in low or middle-income countries (LMICs). To date, clinic-based GBV interventions have not been shown to reduce RC or unintended pregnancy in LMIC settings. INTERVENTION: ARCHES (Addressing Reproductive Coercion in Health Settings) is a single-session, clinic-based model delivered within routine contraceptive counseling that has been demonstrated to reduce RC in the United States. ARCHES was adapted to the Kenyan context via a participatory process to reduce GBV and unintended pregnancy among women and girls seeking contraceptive services in this setting. Core elements of ARCHES include enhanced contraceptive counseling that addresses RC, opportunity for patient disclosure of RC and IPV (and subsequent warm referral to local services), and provision of a palm-sized educational booklet. METHODS: A matched-pair cluster control trial is being conducted to assess whether the ARCHES intervention (treatment condition), as compared to standard-of-care contraceptive counseling (control condition), reduces RC and IPV, and improves contraceptive outcomes for woman and girls of reproductive age (15 to 49 years) seeking contraceptive services from community-based clinics in Nairobi, Kenya. All six clinics were assigned to intervention-control pairs based on similarities in patient volume and demographics, physical structure and neighborhood context. Survey data will be collected from patients immediately prior to their clinic visit (baseline, T1), immediately after their clinic visit (exit), and at 3- and 6-months post-visit (T2 and T3, respectively). DISCUSSION: This study is the first to assess the efficacy of an adaptation of the ARCHES model to reduce GBV and improve reproductive health outside of the U.S., and one of only a small number of controlled trials to assess reductions in GBV associated with a clinic-based program in an LMIC context. Evidence from this trial will inform health system efforts to reduce GBV, and to enhance female contraceptive control and reproductive health in Kenya and globally. TRIAL REGISTRATION: Registered May 23, 2018 - ClinicalTrials.gov, NCT03534401. Unique Protocol ID: 170084. |
format | Online Article Text |
id | pubmed-7251735 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-72517352020-06-04 Protocol for a matched-pair cluster control trial of ARCHES (Addressing Reproductive Coercion in Health Settings) among women and girls seeking contraceptive services from community-based clinics in Nairobi, Kenya Uysal, Jasmine Carter, Nicole Johns, Nicole Boyce, Sabrina Liambila, Wilson Undie, Chi-Chi Muketo, Esther Adhiambo, Jill Gray, Kate Wendoh, Seri Silverman, Jay G. Reprod Health Study Protocol BACKGROUND: Reproductive coercion (RC) and intimate partner violence (IPV) are prevalent forms of gender-based violence (GBV) associated with reduced female control over contraceptive use and subsequent unintended pregnancy. Although the World Health Organization has recommended the identification and support of GBV survivors within health services, few clinic-based models have been shown to reduce IPV or RC, particularly in low or middle-income countries (LMICs). To date, clinic-based GBV interventions have not been shown to reduce RC or unintended pregnancy in LMIC settings. INTERVENTION: ARCHES (Addressing Reproductive Coercion in Health Settings) is a single-session, clinic-based model delivered within routine contraceptive counseling that has been demonstrated to reduce RC in the United States. ARCHES was adapted to the Kenyan context via a participatory process to reduce GBV and unintended pregnancy among women and girls seeking contraceptive services in this setting. Core elements of ARCHES include enhanced contraceptive counseling that addresses RC, opportunity for patient disclosure of RC and IPV (and subsequent warm referral to local services), and provision of a palm-sized educational booklet. METHODS: A matched-pair cluster control trial is being conducted to assess whether the ARCHES intervention (treatment condition), as compared to standard-of-care contraceptive counseling (control condition), reduces RC and IPV, and improves contraceptive outcomes for woman and girls of reproductive age (15 to 49 years) seeking contraceptive services from community-based clinics in Nairobi, Kenya. All six clinics were assigned to intervention-control pairs based on similarities in patient volume and demographics, physical structure and neighborhood context. Survey data will be collected from patients immediately prior to their clinic visit (baseline, T1), immediately after their clinic visit (exit), and at 3- and 6-months post-visit (T2 and T3, respectively). DISCUSSION: This study is the first to assess the efficacy of an adaptation of the ARCHES model to reduce GBV and improve reproductive health outside of the U.S., and one of only a small number of controlled trials to assess reductions in GBV associated with a clinic-based program in an LMIC context. Evidence from this trial will inform health system efforts to reduce GBV, and to enhance female contraceptive control and reproductive health in Kenya and globally. TRIAL REGISTRATION: Registered May 23, 2018 - ClinicalTrials.gov, NCT03534401. Unique Protocol ID: 170084. BioMed Central 2020-05-27 /pmc/articles/PMC7251735/ /pubmed/32460786 http://dx.doi.org/10.1186/s12978-020-00916-9 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Uysal, Jasmine Carter, Nicole Johns, Nicole Boyce, Sabrina Liambila, Wilson Undie, Chi-Chi Muketo, Esther Adhiambo, Jill Gray, Kate Wendoh, Seri Silverman, Jay G. Protocol for a matched-pair cluster control trial of ARCHES (Addressing Reproductive Coercion in Health Settings) among women and girls seeking contraceptive services from community-based clinics in Nairobi, Kenya |
title | Protocol for a matched-pair cluster control trial of ARCHES (Addressing Reproductive Coercion in Health Settings) among women and girls seeking contraceptive services from community-based clinics in Nairobi, Kenya |
title_full | Protocol for a matched-pair cluster control trial of ARCHES (Addressing Reproductive Coercion in Health Settings) among women and girls seeking contraceptive services from community-based clinics in Nairobi, Kenya |
title_fullStr | Protocol for a matched-pair cluster control trial of ARCHES (Addressing Reproductive Coercion in Health Settings) among women and girls seeking contraceptive services from community-based clinics in Nairobi, Kenya |
title_full_unstemmed | Protocol for a matched-pair cluster control trial of ARCHES (Addressing Reproductive Coercion in Health Settings) among women and girls seeking contraceptive services from community-based clinics in Nairobi, Kenya |
title_short | Protocol for a matched-pair cluster control trial of ARCHES (Addressing Reproductive Coercion in Health Settings) among women and girls seeking contraceptive services from community-based clinics in Nairobi, Kenya |
title_sort | protocol for a matched-pair cluster control trial of arches (addressing reproductive coercion in health settings) among women and girls seeking contraceptive services from community-based clinics in nairobi, kenya |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251735/ https://www.ncbi.nlm.nih.gov/pubmed/32460786 http://dx.doi.org/10.1186/s12978-020-00916-9 |
work_keys_str_mv | AT uysaljasmine protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya AT carternicole protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya AT johnsnicole protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya AT boycesabrina protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya AT liambilawilson protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya AT undiechichi protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya AT muketoesther protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya AT adhiambojill protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya AT graykate protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya AT wendohseri protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya AT silvermanjayg protocolforamatchedpairclustercontroltrialofarchesaddressingreproductivecoercioninhealthsettingsamongwomenandgirlsseekingcontraceptiveservicesfromcommunitybasedclinicsinnairobikenya |