Introduction
NAIROBI
In 2020, one in four women of reproductive age in low- or middle-income countries (LMIC), as defined by the World Bank,RC is a form of violence, a violation of an individual’s right to control their own bodyIn Kenya, approximately one in four women have unmet need for contraceptivesThe Addressing Reproductive Coercion in Health Settings (ARCHES) intervention was designed to help women and girls control their reproductive autonomy despite facing opposition or violence, by training existing contraceptive providers to offer education, screening and referral on RC and IPV universally to female patients within standard contraceptive counselling services.This paper describes results from the cluster-controlled trial evaluating the effect of ARCHES-enhanced contraceptive counselling as adapted to private clinics in Nairobi, Kenya on proximal outcomes, including contraceptive use, awareness and use of IPV survivor services, and attitudes justifying RC and IPV. We hypothesised that ARCHES would increase (1) contraceptive uptake and use; (2) self-efficacy to use contraceptives in the face of RC; (3) covert use of contraceptives; (4) awareness and use of local IPV support services; and (5) reduce attitudes justifying IPV and RC, as compared to standard-of-care contraceptive counselling. Effects on distal outcomes, including IPV, RC and pregnancy are reported elsewhere [forthcoming].