DEMOCRATIC REPUBLIC OF THE CONGO (DRC)

ARCHES in DRC

Problem: The DRC DHS 2013-14 reported that among ever-married women, 57% have ever experienced intimate partner violence (IPV). The DRC also ranks 179th in the world (out of 191 countries) in the gender equality index, affecting every aspect of a woman’s life and livelihood, including her reproductive decision-making. 

Overview: Based on Ipas’s successful adaptation of ARCHES in Bangladesh, Ipas and Ipas DRC integrated information on reproductive coercion (RC) and IPV (aligned with ARCHES content) into simple learning scenarios for users in the Nurse Nisa chatbot. Nurse Nisa is a WhatsApp-based chatbot designed to simulate a chat between a trained health provider and person seeking information. Nurse Nisa is programmed to address frequently asked questions about contraception and self-management of abortion with pills. Integrating ARCHES content into Nurse Nisa will bring information on RC and IPV to women who need it.

  • Purpose: To adapt ARCHES messages for use in Nurse Nisa, a WhatsApp-based chatbot.
  • Timeline and status: 2020-2023, complete
  • Context: WhatsApp-based chatbot used by community health workers and community members.
  • Primary goals: To bring ARCHES messages, including content on RC and IPV, and information on contraception and self-managed abortion to the community level.
  • Evaluation design: Evaluation was completed through chatbot analytics.
  • Adaptation: ARCHES messages on discreet use were incorporated into content on abortion and contraceptive methods. In addition, vignettes were developed to demonstrate RC, IPV, and healthy relationships.
  • Primary findings: The Nurse Nisa chatbot has sent over 165,000 content messages to interested users over the lifetime from pilot to scale-up, with each user viewing an average of 24 messages. When analyzing message volume, the gender-based violence (GBV) content adapted from ARCHES was found to be most engaging, accounting for 44.6% of message volume. The most popular GBV content for women was on healthy relationships, and the most popular content for men was on sexual violence. 
  • Lessons learned: Chatbots offer a low-cost opportunity for providing and maintaining high-quality evidence-based information with a personalized and private experience.
  • Partners and funding: Ipas core funding, special grant and assistance from Dimagi, Grand Challenges Canada