Addressing Reproductive Coercion in HEalth Settings - Kenya
| Status: | Not yet recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 15 - 49 |
| Updated: | 5/25/2018 |
| Start Date: | June 1, 2018 |
| End Date: | December 31, 2019 |
| Contact: | Jay G Silverman, PhD |
| Email: | jgsilverman@ucsd.edu |
| Phone: | 858-246-0066 |
ARCHES Kenya: Addressing Reproductive Coercion in HEalth Settings
The primary purpose of this research is to conduct a small matched cluster control trial of
an intervention designed to address reproductive coercion and unintended pregnancy (ARCHES -
Addressing Reproductive Coercion within Healthcare Settings) adapted to the Kenyan cultural
and family planning healthcare context (ARCHES Kenya) so as to provide initial data regarding
acceptability, feasibility and efficacy in this high-need LMIC context.
an intervention designed to address reproductive coercion and unintended pregnancy (ARCHES -
Addressing Reproductive Coercion within Healthcare Settings) adapted to the Kenyan cultural
and family planning healthcare context (ARCHES Kenya) so as to provide initial data regarding
acceptability, feasibility and efficacy in this high-need LMIC context.
The project consortium will implement the ARCHES Kenya model across 6 Family Health Options
Kenya clinics in Nairobi, Kenya. A matched-pair cluster control design including 600 female
FP clients ages 15-49 years (inclusive of 360 clients age 15-24 years) will be utilized to
evaluate this intervention. Baseline data will be collected prior to routine FP service
delivery, with a short exit survey conducted immediately following the clients' FP
appointment (ARCHES or standard FP counseling will be provided during this visit). Follow-up
data will be collected at 3 and 6-months post-intervention. Qualitative data will be
collected from intervention providers (n=12) regarding implementation via weekly technical
assistance sessions during the first three months, and then monthly, regarding acceptability
and feasibility of integrating ARCHES into routine FP counseling, including barriers and
facilitators to implementation, and any issues with maintaining fidelity to the ARCHES model.
Structured interviews with select providers (n=12) will also be conducted at 3-months
post-training to delve further into these issues. Structured interviews with intervention
participants reporting experience of RC in the past 3 months on the baseline survey (20
participants ages 15-24, 15 ages 25-49; total n=35) will be conducted at 3-months follow-up
to assess their experience of the intervention; perceived utility of the messages, care and
materials; barriers to utilizing messaging and materials; and suggestions for improvement.
Analyses specific to participants ages 15-24 will provide findings to guide consideration of
ARCHES as an effective strategy to improve reproductive health and reduce GBV among
adolescents in the region. The project consortium will engage Government of Kenya officials,
IPPF executive directors and IPPF member associations across the federation to pave the way
for the future roll out of this approach in other low and middle-income country (LMIC)
contexts.
Kenya clinics in Nairobi, Kenya. A matched-pair cluster control design including 600 female
FP clients ages 15-49 years (inclusive of 360 clients age 15-24 years) will be utilized to
evaluate this intervention. Baseline data will be collected prior to routine FP service
delivery, with a short exit survey conducted immediately following the clients' FP
appointment (ARCHES or standard FP counseling will be provided during this visit). Follow-up
data will be collected at 3 and 6-months post-intervention. Qualitative data will be
collected from intervention providers (n=12) regarding implementation via weekly technical
assistance sessions during the first three months, and then monthly, regarding acceptability
and feasibility of integrating ARCHES into routine FP counseling, including barriers and
facilitators to implementation, and any issues with maintaining fidelity to the ARCHES model.
Structured interviews with select providers (n=12) will also be conducted at 3-months
post-training to delve further into these issues. Structured interviews with intervention
participants reporting experience of RC in the past 3 months on the baseline survey (20
participants ages 15-24, 15 ages 25-49; total n=35) will be conducted at 3-months follow-up
to assess their experience of the intervention; perceived utility of the messages, care and
materials; barriers to utilizing messaging and materials; and suggestions for improvement.
Analyses specific to participants ages 15-24 will provide findings to guide consideration of
ARCHES as an effective strategy to improve reproductive health and reduce GBV among
adolescents in the region. The project consortium will engage Government of Kenya officials,
IPPF executive directors and IPPF member associations across the federation to pave the way
for the future roll out of this approach in other low and middle-income country (LMIC)
contexts.
Inclusion Criteria:
- FHOK client seeking voluntary FP services
- Aged 15-49 years
- Biologically Female
- Willing to complete baseline, exit, 3-month, and 6-month follow-up surveys
- Able to provide informed consent
- Able to communicate in either English or Swahili
Exclusion Criteria:
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