Strengthening Kenya's public health response to reproductive coercion and intimate partner violence in family planning clinics: applying the FRAME + IS approach.

ABSTRACT:

Background

Reproductive coercion (RC) and intimate partner violence (IPV) undermine reproductive autonomy and are prevalent among women seeking family planning (FP) services. In response, Kenya's Ministry of Health (MOH) selected ARCHES (Addressing Reproductive Coercion in Health Settings), an evidence-based intervention (EBI) integrating universal education, screening, and support on RC and IPV during routine FP counseling, for national adaptation and scale-up within a hybrid implementation-effectiveness trial. Institutionalizing such interventions within public health systems requires careful adaptation to ensure contextual fit while preserving core functions.

Methods

We developed and applied FRAME + IS, a unified adaptation-tracking framework that integrates the FRAME and

SUBMITTER: Menzel J 

PROVIDER: S-EPMC12813199 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature