Evidence map›Paper›PMID 41151831›Full record

Trial reportBMJ global health2025

Effectiveness of a clinic-based counselling intervention on risk of experiencing intimate partner violence and reproductive coercion: a matched-pair cluster-controlled trial in Ebonyi and Sokoto, Nigeria.

Myra Betron, Emily Bryce, Sylverius Obafemi, Samaila Yusuf, Hannatu Abdullahi, Emeka Ifemenam, Nneka Dikeocha, Adamu Maiakwai, Bello Kabir, Chioma Oduenyi

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05331508 (Testing the Integration of Gender-based Violence First-line Response in Family Planning and Antenatal Care Services in Nigeria), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05331508 nacompletednot on this map

Testing the Integration of Gender-based Violence First-line Response in Family Planning and Antenatal Care Services in Nigeria

TypeinterventionalSponsorJhpiegoRan2022 to 2023Enrolled1,756ConditionsGender-based Violence, Reproductive Coercion, Intimate Partner ViolenceArmsgender-based violence screening, first-line support (LIVES) and reproductive coercion empowerment counseling (ARCHES)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Myra BetronInternational Health, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0002-1307-2949
Emily BryceJhpiego- An Affiliate of Johns Hopkins University, Baltimore, Maryland, USA emilyebryce@gmail.com.
Sylverius ObafemiJhpiego- An Affiliate of Johns Hopkins University, Abuja, Nigeria.
Samaila YusufJhpiego- An Affiliate of Johns Hopkins University, Abuja, Nigeria.
Hannatu AbdullahiJhpiego- An Affiliate of Johns Hopkins University, Abuja, Nigeria.
Emeka IfemenamJhpiego- An Affiliate of Johns Hopkins University, Abuja, Nigeria.
Nneka DikeochaJhpiego- An Affiliate of Johns Hopkins University, Abuja, Nigeria.
Adamu MaiakwaiJhpiego- An Affiliate of Johns Hopkins University, Abuja, Nigeria.
Bello KabirJhpiego- An Affiliate of Johns Hopkins University, Abuja, Nigeria.
Chioma OduenyiJhpiego- An Affiliate of Johns Hopkins University, Abuja, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite the high rates of intimate partner violence (IPV) globally and the negative impact of IPV and reproductive coercion (RC) on reproductive and maternal health outcomes, few clinic-based interventions to address IPV and RC in clinical contexts have demonstrated effectiveness. The WHO's LIVES (Listen, Inquire, Validate, Enhance safety, Support), and the Addressing Reproductive Coercion in the Health Setting (ARCHES) intervention have been tested with mixed effects. Our study tested the effectiveness of a combination of LIVES and ARCHES within family planning (FP) and antenatal care (ANC) services at public health facilities in Ebonyi and Sokoto, Nigeria.

methodsThe study used a quasi-experimental, matched-pair, cluster-controlled design to assess the effectiveness of LIVES and ARCHES interventions including empathetic listening and care, safety planning and referrals to other specialised services. The outcomes of experience of IPV, RC and modern contraceptive use (for FP cohort) were measured pre-intervention (baseline) and 9 months post-intervention for participants in 20 intervention clinics compared with participants in 20 comparison clinics. Multilevel models with a random intercept for health-facility and adjusted for individual level variables were used to estimate the intervention effect (time × intervention) on the outcomes.

results1617 clients were enrolled in the study. Comparing the intervention participants to the comparison participants, between baseline and endline, there was a relative decrease in exposure to IPV (beta=0.54 (95% CI 0.30 to 0.98)) and RC (beta=0.51(95% CI 0.28 to 0.94)) in the last 6 months. There was no difference in the modern contraceptive use comparing FP cohort participants at intervention clinics to comparison participants over time.

conclusionIntegration of IPV and RC screening and first-line response in FP and ANC services can reduce risk of violence in women not already experiencing it as well as reduce risk of reoccurrence. TRIAL REGISTRATION NUMBER: NCT05331508.

Indexed as

CoercionCounselingFamily Planning ServicesIntimate Partner ViolenceAdolescentAdultFemaleHumansNigeriaPregnancyPrenatal CareYoung AdultClinical trialGlobal HealthHealth services researchIntervention studyMaternal health

Identifiers

PMID41151831
PMCPMC12570921

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.