scholarly journals Intimate partner violence and late entry into antenatal care in Ethiopia

2019 ◽  
Vol 32 (6) ◽  
pp. e530-e537 ◽  
Author(s):  
Bosena Tebeje Gashaw ◽  
Jeanette H. Magnus ◽  
Berit Schei
Keyword(s):  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Partner Violence ◽  
Intimate Partner ◽  
Late Entry

scholarly journals Intimate Partner Violence as a Predictor of Antenatal Care Services Utilization in Rwanda

2021 ◽  
Author(s):  
Claire Bahati ◽  
Josias Izabayo ◽  
Japhet Niyonsenga ◽  
Vincent Sezibera ◽  
Léon Mutesa
Keyword(s):  
Intimate Partner Violence ◽  
Confidence Interval ◽  
Antenatal Care ◽  
Partner Violence ◽  
Physical Violence ◽  
Negative Relationship ◽  
Intimate Partner ◽  
Reproductive Age ◽  
Services Utilization ◽  
The Impact

Abstract Background: Although compelling evidence shows that the experience of intimate partner violence (IPV) during pregnancy is detrimental to both physical and mental health of the victims and their offspring, studies on negative impact of IPV on antenatal care (ANC) services utilization are scarce. Methods: The aim of the current study was to determine the impact of IPV exposure on ANC services utilization indicators such as (i) initiation of care within the first three months of pregnancy, (ii) receipt of at least four ANC visits and (iii) receipt of care from skilled providers among reproductive age women in Rwanda. This study used the data from the 2014-15 Rwanda Demographic and Health Survey. Multiple logistic regression was used to estimate the effects of physical and sexual IPV on the antenatal care (ANC) services utilization indicators. Results: Among married women living with their partners with at least one child aged 5years or under (N=5116), 17% of them reported physical violence, 22.8% reported psychological violence and 9.2% reported sexual violence. We found that there was a significant negative relationship between physical IPV and both early ANC and sufficient ANC. Women who had experienced physical violence by their partners during the preced­ing 12 months were less likely to receive more than four ANC visits, (O.R) = 0.6151 confidence interval (CI) [0.417-0.908] and they were less likely to attend the first ANC visits within the first three months (O.R) =0.656 confidence interval (CI) = [0.445-0.967].Conclusion: In this study, the prevalence of IPV is still high and there is evidence that it does have significant impact on ANC. Therefore, the results provide support for continued efforts to reduce intimate partner violence, through the improvement of screening for IVP during ANC visits.

scholarly journals Ethiopian Health Care Workers’ Insights into and Responses to Intimate Partner Violence in Pregnancy—A Qualitative Study

2020 ◽  
Vol 17 (10) ◽  
pp. 3745
Author(s):  
Bosena Tebeje Gashaw ◽  
Berit Schei ◽  
Kari Nyheim Solbraekke ◽  
Jeanette H. Magnus
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Health Care Workers ◽  
Pregnancy Outcomes ◽  
Partner Violence ◽  
Intimate Partner ◽  
Adverse Impacts ◽  
Care Workers ◽  
In Pregnancy

Violence against women is a global pandemic, with the potential to spread through generations. Intimate partner violence has impacts on women’s sexual, reproductive, and psycho-social health. It can occur during pregnancy and adversely affect the health of both mother and child. Health care workers involved in antenatal care can have a unique role in identifying intimate partner violence and in intervening, preventing, and mitigating its consequences. In this study, the objective was to explore Ethiopian health care workers’ insights of and responses to intimate partner violence in pregnancy. Using an exploratory design, this qualitative study includes ten semi-structured interviews of health care workers representing different antenatal care centers in Jimma, Ethiopia. The content analyses of translated interview notes were conducted with Atlas.ti7 software, (Atlas.ti Scientific Software Development Gmbh, Berlin). The health care workers shared their insights of the consequences of intimate partner violence during pregnancy in addition to their experience with and responses to the victims. There was a limited understanding of the extent of the adverse impacts of intimate partner violence on pregnancy outcomes, as well as the potential long-term health implications. The informants described how they only gave medical treatment for obstetric complications or visible trauma during pregnancy. There was no formal referral to or linkages with other resources. Women’s empowerment and systemic changes in the health care, including training and capacity building, clear guidelines addressing management of intimate partner violence in pregnancy, and inclusion of intimate partner violence screening tools in the Ethiopian antenatal care chart/card, were recommended by the informants. The adverse impacts of intimate partner violence on pregnancy outcomes were poorly understood by the Ethiopian health care workers in this study. They offered limited assistance to the victims and recommended changes in the routine antenatal care (ANC) and health care systems. They identified various policy initiatives focusing on women’s empowerment to reduce intimate partner violence and its complications especially during pregnancy.

scholarly journals Impact of Intimate Partner violence on ever married women and utilization of antenatal care services in Tanzania

2018 ◽  
Vol 14 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Russell Kabir ◽  
Anwarul Azim Majumder ◽  
SM Yasir Arafat ◽  
Rocky Khan Chodwhury ◽  
Shireen Sultana ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Partner Violence ◽  
Odds Ratio ◽  
Intimate Partner ◽  
Adult Women ◽  
Age Group ◽  
Care Services ◽  
Main Challenge ◽  
The Impact

Background and Objectives:Sub Saharan Africa region is considered as one of the deprived regions of this world and women from this part of the world are suffering from intimate partner violence. This study was undertaken to assess the impact of intimate partner violence on utilization of antenatal care services among the ever married women.Materials and Methods:This is a descriptive cross-sectional study design. The data used in this research was extracted from the Tanzania Demographic Health Survey 2015-16. A total of 13, 266 women were interviewed.Results:The mean age of the respondents is 28.69 years. About 74% women visited antenatal care services more than 4 times. Logistic regression results indicate that the middle-aged adult women (35-49 years age group) were identified having lower odds (Odds ratio: 0.807, 95% CI: 0.693-0.940, P<0.001) than women in younger age group. Women who did not complete their secondary education were less likelihood to experience IPV (Odds ratio: 0.705, 95% CI: 0.540-0.922, P<0.010).Conclusion:Intimate partner violence is one main challenge to women’s health and wellbeing during pregnancy period. Proper implementation and community based interventions to support pregnant women to seek antenatal care services and to raise awareness regarding intimate partner violence are advocated. 

scholarly journals Opportunities and obstacles to screening pregnant women for intimate partner violence during antenatal care in Zimbabwe

2013 ◽  
Vol 15 (5) ◽  
pp. 511-524 ◽  
Author(s):  
Simukai Shamu ◽  
Naeemah Abrahams ◽  
Marleen Temmerman ◽  
Christina Zarowsky
Keyword(s):  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Partner Violence ◽  
Intimate Partner

“Keeping Up a Front”: Narratives About Intimate Partner Violence, Pregnancy, and Antenatal Care

2010 ◽  
Vol 16 (2) ◽  
pp. 189-206 ◽  
Author(s):  
Kerstin E. Edin ◽  
Lars Dahlgren ◽  
Ann Lalos ◽  
Ulf Högberg
Keyword(s):  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Partner Violence ◽  
Intimate Partner

scholarly journals Exploring antenatal care utilization and intimate partner violence in Benin - are lives at stake?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dina Idriss-Wheeler ◽  
Sanni Yaya
Keyword(s):  
Intimate Partner Violence ◽  
Maternal Health ◽  
Antenatal Care ◽  
Partner Violence ◽  
Service Providers ◽  
Multivariate Logistic Regression Analysis ◽  
Intimate Partner ◽  
Care Utilization ◽  
Positive Health ◽  
The Impact

Abstract Background The republic of Benin ranks in the bottom third of countries recently assessed for ANC coverage and its Ministry of Family and National Solidarity (2009) reported close to 70% of Beninese women suffered abuse at least once in their lifetime. Utilization of antenatal care (ANC) services is key to positive health outcomes for both mother and infant. This study examined the impact of intimate partner violence (IPV) on the utilization of ANC services in Benin using both the basic 4 visit model (ANC-4) and the updated WHO recommended 8-visit model (ANC-8). Methods Data used for this study were collected from the nationally representative 2017–2018 Benin Demographic Health Survey (BDHS) on ever-partnered women aged 15–49 who had completed both reproductive maternal health and domestic violence modules of the survey. Descriptive statistics and multivariate logistic regression analysis were performed to determine significant factors associated with ANC utilization in Benin. Results Over 40% of the women (n = 3084) reported experience of IPV in their lifetime. Findings revealed that women who ever experienced IPV (OR 0.753, 95% CI: 0.628–0.901; p = 0.002) had 25% less odds of accessing the basic four ANC visits. IPV was not found to be a factor in accessing at least eight ANC visits. With increasing number of children, there was less likelihood of accessing at least four and at least eight visits. Being in the richest quintile (OR 5.490, 95% CI 3.907–7.714; p < 0.000 for ANC-4; OR, 5.781, 95% CI: 3.208–10.41; p < 0.000), making decisions on household and health care (OR 1.279, 95% CI: 1.042–1.569 for ANC-4; OR, 1.724; 95% CI: 1.170–2.540; p = 0.006 for ANC-8), and getting paid cash for work increased the chances of utilizing ANC-four (OR 1.451, 95% CI: 1.122–1.876; 0.005) but not for ANC-eight. Belonging to the Muslim faith decreased the odds of ANC utilization compared to all other religions. Conclusion This work revealed key areas for maternal health policy makers and service providers in Benin to appropriately plan effective policies (i.e., alleviate poverty; equitable health services access; cultural sensitivity) and necessary interventions (i.e. ANC education, IPV prevention, paid employment, alcohol cessation) to increase utilization of ANC.

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