{"ok":true,"nota":{"id":"1a5cebff4652a8fd","slug":"un-programa-en-clinicas-de-nairobi-redujo-la-coercion-reproductiva-per-1a5ceb","titulo":"Un programa en clínicas de Nairobi redujo la coerción reproductiva, pero no está claro si bajó la violencia","resumen":"Un ensayo en seis clínicas de Nairobi, Kenia, comparó clínicas que capacitaron a su personal en un programa contra la coerción reproductiva con clínicas que no lo hicieron. Midieron coerción, violencia de pareja y embarazos en mujeres que buscaban métodos anticonceptivos.","fuente":"medrxiv","fuenteNombre":"medRxiv · preprints","color":"#1f7a4d","autor":"Silverman, J., Uysal, J., Undie, C.-C., Liambila, W., McDougal, L., Pearson, E., Boyce, S., Johns, N., Wendoh, S.","url":"https://www.medrxiv.org/content/10.64898/2026.10.21.26366167v1?rss=1","imagen":"/hoy/portada/1a5cebff4652a8fd","tema":"salud","subtemas":["violencia de género","salud reproductiva","anticoncepción","kenia","capacitación del personal de salud"],"entidades":["Nairobi","Kenia","ARCHES"],"formato":"dato","entretenimiento":false,"pubTs":"2026-10-24T00:00:00.000Z","indexTs":"2026-10-24T16:15:25.143Z","hash":"1bf7494203775ccea83cbce872cbac1dbcb859e0f7207ccc26dd4106f6aba05a","tsa":{"time":"Oct 24 16:15:48 2026 GMT","provider":"freetsa.org","sobre":"sello"},"stats":{"views":0,"likes":0,"clicks":0,"dwell":0},"tipo":"normal","registro":"hallazgo","porQueImporta":"La coerción reproductiva, cuando una pareja impide usar anticonceptivos o fuerza un embarazo, es una forma de violencia que casi no aparece en las estadísticas. Este trabajo sugiere que una capacitación breve al personal de salud puede cambiar lo que pasa en la consulta. Para alguien de acá, la lección es que el sistema de salud puede ser una puerta para detectar violencia que no se ve desde afuera. Pero el diseño del estudio no fue aleatorio y los resultados sobre violencia física y sexual no son concluyentes, así que conviene leerlo con cautela.","quienFirma":"Institución no identificada en el extracto","confianza":"preprint","consulta":null},"sello":{"hash":"1bf7494203775ccea83cbce872cbac1dbcb859e0f7207ccc26dd4106f6aba05a","sello":"e69673f547d5856be339149a880b86b4df434d6691fa5bb7ab9f06fd6e68d949","beacon":{"drand":{"cadena":"8990e7a9aaed2ffed73dbd7092123d6f289930540d7651336225dc172e51b2ce","ronda":6580917,"aleatorio":"a7ae54c0fcfc9c8a83fe34d0f9320d7528705afd5812276babb4293af5018488","tiempo":"2026-10-24T16:15:30.000Z"},"nist":{"cadena":2,"pulso":1997652,"salida":"9FC650564FC506D017D213281A32AA6072901F0F4F8883A3D1F9DA96496268E453F30EEB00C0821C4D971088ECA97156340102106DF3CD979C769CA0CDF67C37","tiempo":"2026-10-24T16:15:00.000Z"},"noAntes":"2026-10-24T16:15:30.000Z"},"verificacion":{"drand":true,"nist":true},"tsa":{"time":"Oct 24 16:15:48 2026 GMT","provider":"freetsa.org","sobre":"sello"},"original":{"titulo":"Effects of a clinic-based reproductive empowerment intervention on reproductive coercion, intimate partner violence, and pregnancy outcomes: A cluster-controlled trial in Nairobi Kenya","descripcion":"Background: To address reproductive coercion and intimate partner violence, the ARCHES (Addressing Reproductive Coercion in Health Settings) intervention was adapted for clinics in Nairobi, Kenya and evaluated to assess impacts on reproductive coercion (primary outcome), physical and sexual intimate partner violence (primary outcomes) and incident pregnancy (secondary outcome). Methods: A parallel, non-blinded, non-randomized, cluster-controlled trial in six health clinics (1:1 allocation) was conducted. Clinics were allocated to receive ARCHES provider training or no additional training based on feasibility. Non-pregnant, non-sterilized female clients seeking family planning services were r","pubDate":"2026-10-24","url":"https://www.medrxiv.org/content/10.64898/2026.10.21.26366167v1?rss=1"},"indexado":"2026-10-24T16:15:25.143Z"}}