ArticleReproductive health2020
Women's and girls' experiences of reproductive coercion and opportunities for intervention in family planning clinics in Nairobi, Kenya: a qualitative study.
Article in Reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 36 citations in OpenAlex.
- Effects of a clinic-based reproductive empowerment intervention on proximal outcomes of contraceptive use, self-efficacy, attitudes, and awareness and use of survivor services: a cluster-controlled trial in Nairobi, Kenya.Sexual and reproductive health matters · 2023Trial
- Rural-Urban Differences in the Association Between Reproductive Coercion and Postpartum Family Planning.Studies in family planning · 2026Article
- Strategies to address reproductive coercion and intimate partner violence in Nairobi family planning services: qualitative client and provider perspectives.Sexual and reproductive health matters · 2025Article
- Prevalence and correlates of reproductive coercion in the months before pregnancy: cross-sectional findings from pregnant women in Ethiopia.Reproductive health · 2025Article
- Short interpregnancy interval following reproductive coercion: A prospective cohort study of pregnant Ethiopian women.Pregnancy (Hoboken, N.J.) · 2025Article
- Provider-imposed restrictions on contraceptive use in Western Kenya.Contraception · 2025Article
- A Latent Class Analysis of Reproductive Coercion Experiences Based on Victim-Survivors' Acknowledgment and Disclosure Patterns.Journal of interpersonal violence · 2025Article
- Strengthening Kenya's public health response to reproductive coercion and intimate partner violence in family planning clinics: applying the FRAME + IS approach.Frontiers in reproductive health · 2025Article
- Women's self-help group participation and discussion of reproductive coercion: Associations with past experiences of violence among family planning clients in Kenya.PLOS global public health · 2025Article
- A qualitative exploration of reproductive coercion experiences and perceptions in four geo-culturally diverse sub-Saharan African settings.SSM. Qualitative research in health · 2024Article
- Intimate partner violence and postpartum healthcare access in Kenya: a cross-sectional study.BMC pregnancy and childbirth · 2024Article
- Assessing the impact of CHARM2, a family planning program on gender attitudes, intimate partner violence, reproductive coercion, and marital quality in India.PLOS global public health · 2024Article
- Why do most young women not take up contraceptives after post-abortion care? An ethnographic study on the effectiveness and quality of contraceptive counselling after PAC in Kilifi County, Kenya.Sexual and reproductive health matters · 2023Article
- Assessing the relationship between reproductive autonomy and contraceptive use in rural Malawi.Reproductive health · 2023Article
- Article
- How might we motivate uptake of the Dual Prevention Pill? Findings from human-centered design research with potential end users, male partners, and healthcare providers.Frontiers in reproductive health · 2023Article
- Qualitative Examination of the Role and Influence of Mothers-in-Law on Young Married Couples' Family Planning in Rural Maharashtra, India.Global health, science and practice · 2022Article
- "At Least I Didn't Get Raped": A Qualitative Exploration of IPV and Reproductive Coercion among Adolescent Girls Seeking Family Planning in Mexico.Journal of interpersonal violence · 2022Article
- Community views on short birth interval in Northern Uganda: a participatory grounded theory.Reproductive health · 2021Article
- Women's perceptions and experiences of reproductive coercion and abuse: a qualitative evidence synthesis.PloS one · 2021Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundReproductive coercion (RC), which includes contraceptive sabotage and pregnancy coercion, may help explain known associations between intimate partner violence (IPV) and poor reproductive health outcomes, such as unintended pregnancy. In Kenya, where 40% of ever-married women report IPV and 35% of ever-pregnant women report unintended pregnancy, these experiences are pervasive and co-occurring, yet little research exists on RC experiences among women and adolescent girls. This study seeks to qualitatively describe women's and girls' experiences of RC in Nairobi, Kenya and opportunities for clinical intervention.
methodsQualitative data were collected as part of the formative research for the adaptation of an evidence-based intervention to address reproductive coercion and IPV in clinical family planning counselling and provision in Nairobi, Kenya in April 2017. Focus group discussions (n = 4, 30 total participants) and in-depth interviews (n = 10) with family planning clients (ages 15-49) were conducted to identify specific forms of reproductive coercion, other partner-specific barriers to successful contraception use, and perceived opportunities for family planning providers to address RC among women and girls seeking family planning services. Additionally, data were collected via semi-structured interviews with family planning providers (n = 8) and clinic managers (n = 3) from family planning clinics. Data were coded according to structural and emergent themes, summarized, and illustrative quotes were identified to demonstrate sub-themes. Kenyan family planning providers and administrators informed interpretation.
resultsThe results of this study identified specific forms of pregnancy coercion and contraceptive sabotage to be common, and often severe, impeding the use of contraceptives among female family planning clients. This study offers important examples of women's strategies for preventing pregnancy despite experiencing reproductive coercion, as well as opportunities for family planning providers to support clients experiencing reproductive coercion in clinical settings.
conclusionsReproductive coercion is a critical barrier to modern contraceptive use in Kenya. Results from this study highlight opportunities for family planning providers to play a critical role in supporting women and girls in their use of contraception when reproductive coercion is present.
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