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AIDS Research and Treatment
Volume 2013, Article ID 736926, 10 pages
http://dx.doi.org/10.1155/2013/736926
Research Article

A Community-Supported Clinic-Based Program for Prevention of Violence against Pregnant Women in Rural Kenya

1Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
2University of California, San Francisco, San Francisco, CA 94105, USA
3Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg 2001, South Africa
4Kenya Medical Research Institute (KEMRI), P.O. Box 54840-00200, Nairobi, Kenya
5Università di Trieste, 34134 Trieste, Italy

Received 14 July 2012; Revised 18 March 2013; Accepted 27 March 2013

Academic Editor: Kelly Blanchard

Copyright © 2013 Janet M. Turan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Pregnant women are especially vulnerable to adverse outcomes related to HIV infection and gender-based violence (GBV). We aimed at developing a program for prevention and mitigation of the effects of GBV among pregnant women at an antenatal clinic in rural Kenya. Methods. Based on formative research with pregnant women, male partners, and service providers, we developed a GBV program including comprehensive clinic training, risk assessments in the clinic, referrals supported by community volunteers, and community mobilization. To evaluate the program, we analyzed data from risk assessment forms and conducted focus groups ( groups) and in-depth interviews ( ) with healthcare workers and community members. Results. A total of 134 pregnant women were assessed during a 5-month period: 49 (37%) reported violence and of those 53% accepted referrals to local support resources. Qualitative findings suggested that the program was acceptable and feasible, as it aided pregnant women in accessing GBV services and raised awareness of GBV. Community collaboration was crucial in this low-resource setting. Conclusion. Integrating GBV programs into rural antenatal clinics has potential to contribute to both primary and secondary GBV prevention. Following further evaluation, this model may be deemed applicable for rural communities in Kenya and elsewhere in East Africa.