A framework for sexual and reproductive health assessment in intimate partner violence agencies

Intimate partner violence (IPV) is closely associated with adverse sexual and reproductive health (SRH) outcomes; yet most IPV service agencies offer limited SRH-related support. This study used a constructivist grounded theory approach to explore the perspectives of survivors and service providers on how SRH can be identified and addressed within agency settings. Data was collected through semi-structured focus groups and interviews with 29 participants, including survivors and direct service providers at IPV agencies in the Southwestern United States. Using coding and constant comparative analysis, conceptual categories were identified that describe the experiences of participants in IPV agencies and in accessing SRH care. These categories were used to construct a phased SRH assessment framework that integrates screening and assessment at multiple stages of service engagement. Grounded in survivor and provider perspectives, this framework offers a trauma-informed, practice-based resource to guide IPV agencies in strengthening SRH services and expanding cross-sector collaboration.