OUR WORK AND IMPACT
ARCHES (Addressing Reproductive Coercion in HEalth Settings) Kenya
ARCHES (Addressing Reproductive Coercion in HEalth Settings) is a brief clinic-based model delivered within routine FP counseling by existing providers to reduce reproductive coercion (RC) and intimate partner violence (IPV) and improve the reproductive health and autonomy of women and girls (see ARCHES logic model to right). ARCHES was first designed and tested in the United States by Dr. Silverman and a team of researchers and advocates from the University of Pittsburgh, Johns Hopkins University, Michigan State University, and Futures Without Violence. Evidence from two U.S. randomized controlled trials involving >4000 women and girls indicate that this brief intervention leads to reductions in experiences of RC, and increased utilization of IPV services. Dr. Silverman is currently leading the adaptation and evaluation of ARCHES via a longitudinal cluster-controlled trial in community-based clinics in Nairobi, Kenya in partnership with the International Planned Parenthood Federation (IPPF), Family Health Options Kenya (FHOK), and Population Council. ARCHES Kenya is the first demonstration of the model in a low to middle-income country setting. Results will be used to inform scaling of ARCHES in Kenya and adaptation in the region. Click here to learn more about the ARCHES Kenya project and see preliminary results from the three-month pilot.