NCT05331508

Testing Gender-based Violence Response in Family Planning and Antenatal Care Services in Nigeria

Testing the Integration of Gender-based Violence First-line Response in Family Planning and Antenatal Care Services in Nigeria

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,756 (actual)
• Sponsor: Jhpiego · Academic / Other
• Sex: Female
• Age: 18 Years – 49 Years
• Healthy volunteers: Accepted

Summary

To pilot and evaluate the integration of first-line response to gender- based violence (GBV), particularly intimate partner violence (IPV), sexual violence and reproductive coercion, within family planning (FP) and antenatal care (ANC) services at public health facilities in Ebonyi and Sokoto states in Nigeria. GBV first-line response in the health setting includes screening , empowerment counseling, safety planning, and support to connect to additional services needed.

Detailed description

This study seeks to: 1\. Assess effectiveness of an integrated service delivery model (integration of GBV first-line response and empowerment counseling in standard of care FP or ANC services) in reducing on-going experience of intimate partner violence (IPV) and increasing utilization of modern contraceptive methods among clients. 1a. Assess effectiveness of the intervention in reducing IPV, increasing utilization of modern contraceptive methods, and improving safety and self-efficacy among clients seeking interval FP services. 1b. Assess effectiveness of the intervention in reducing IPV and improving safety and self-efficacy to seek GBV care among clients seeking ANC services. 2\. Explore factors influencing feasibility, acceptability and ability to implement GBV first-line response as part of FP and ANC services.

Conditions

• Gender-based Violence
• Reproductive Coercion
• Intimate Partner Violence

Interventions

Type	Name	Description
BEHAVIORAL	gender-based violence screening, first-line support (LIVES) and reproductive coercion empowerment counseling (ARCHES)	Providers will (1) introduce routine client screening for GBV, including intimate partner violence, sexual violence, and reproductive coercion using a standardized screening form, in FP and ANC services,(2) for individuals disclosing GBV, provide first-line response-empathetic counseling, including listening, inquiring about experiences sensitively, and validating experiences, helping clients develop safety plans, and providing support; (3) regardless of disclosure of GBV, provide counseling and information, education and communication (IEC) materials on IPV, including reproductive coercion, and FP options, to both FP and ANC clients.

Timeline

• Start date: 2022-04-06
• Primary completion: 2023-04-30
• Completion: 2023-06-30
• First posted: 2022-04-15
• Last updated: 2023-08-07

Locations

40 sites across 1 country: Nigeria