Testing the Integration of Gender-based Violence First-line Response in Family Planning and Antenatal Care Services in Nigeria
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Jhpiego
- 入组人数
- 1,756
- 试验地点
- 40
- 主要终点
- Percentage of clients that report receiving a family planning method from healthcare provider
研究概览
简要总结
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.
详细描述
This study seeks to:
- 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.
- Explore factors influencing feasibility, acceptability and ability to implement GBV first-line response as part of FP and ANC services.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 49 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Woman of reproductive age (18 to 49 years) seeking FP or ANC services at study sites
- •Women who believe they are able to conceive (i.e. who have not undergone a tubal ligation, hysterectomy, or oophorectomy, or are menopausal) (for FP clients)
- •Have a male partner they currently have sex with
- •Have a mobile phone that can be safely used for re-contacting for follow-up surveys
- •Do not have any accompanying male partners or family members aged 5 or above present
排除标准
- •Any individuals that do not meet all of the above inclusion criteria or do not agree to participate in the study will be excluded from data collection.
- •In addition, individuals with impaired cognitive abilities (I.e. unable to make decisions/respond to questions on their own without assistance by someone else)will also be excluded from the data collection.
- •Finally, women who share a mobile phone with their partner/husband or another family member will also be excluded.
结局指标
主要结局
Percentage of clients that report receiving a family planning method from healthcare provider
时间窗: day of intervention
Change in percentage of clients disclosing exposure to intimate partner or sexual violence in past 3 months
时间窗: baseline to 3-months and 6-months post-intervention
Disclosure will be defined by a positive response to either of the following questions: * Has your current partner ever slapped you, punched you, hit or kicked you, or done anything else to hurt you physically? * Has your current male partner ever forced you to have sex or do something sexual when you didn't want to?
次要结局
- Change in self-reported use of safety measures to protect respondent or her child/children from violence(baseline to 3-months and 6-months post-intervention)
- Change in percentage of clients reporting experiences of reproductive coercion in 3 months prior to data collection(baseline to 3-months and 6-months post-intervention)
- Change in percentage of clients demonstrating family planning self efficacy, as measured by Contraceptive Self-Efficacy among women in sub-Saharan Africa (CSESSA) sub-scale(baseline to 3-months and 6-months post-intervention)
- Change in demonstrated self-efficacy to access IPV services(baseline to 3-months and 6-months post-intervention)