scholarly journals Perceived Needs and Barriers to Accessing Sexual Reproductive Health (SRH) Services Among the Ik Community, Kaabong District, Uganda

2021 ◽  
Vol 6 (4) ◽  
pp. 62
Author(s):  
Mukasa Samuel ◽  
Omona Kizito

Background: The Ik are minority group of people in Kaabong district, Uganda. They are the most marginalized. In addition, little is known about their perceived SRH needs and barriers to accessing SRH services.Objective: To determine perceived needs and barriers to accessing SRH services by the Ik community.Material and Methods: A cross-sectional analytical design with analytical was used, both quantitative and qualitative (mixed methods). Data was collected using key informant interviews, focus group discussions and semi-structured questionnaires. Sample of 345 participants selected randomly and purposively. Qualitative analysis was thematic whereas Statistical Package for Social Scientists (SPSS) was for quantitative analysis.Results: Perceived SRH needs of the Ik were; limited access to SRH information, lack of protection from gender-based violence and lack of access to comprehensive safe motherhood programs. Access to SRH services was limited mainly by poverty, limited range of available RH services, long distances to health facilities, poor attitudes of health workers, culture, poor road networks and language barriers. Individual factors; period in marriage (p=0.047), number of sex partners (p=0.041), type of house structure one lived in (p=0.039), economic activity (p=0.009) were significantly associated with access of SRH services.Conclusion: SRH needs of the Ik community is still wanting

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Olaoluwa Samson Agbaje ◽  
Chinenye Kalu Arua ◽  
Joshua Emeka Umeifekwem ◽  
Prince Christian Iheanachor Umoke ◽  
Chima Charles Igbokwe ◽  
...  

Abstract Background Exposure to workplace gender-based violence (GBV) can affect women's mental and physical health and work productivity in higher educational settings. Therefore, this study aimed to examine the prevalence of GBV (workplace incivility, bullying, sexual harassment), and associated factors among Nigerian university women. Methods The study was an institutional-based cross-sectional survey. The multi-stage sampling technique was used to select 339 female staff from public and private universities in Enugu, south-east Nigeria. Data was collected using the Workplace Incivility Scale (WIS), Modified Workplace Incivility Scale (MWIS), Negative Acts Questionnaire-Revised (NAQ-R), and Sexual Experiences Questionnaire (SEQ). Descriptive statistics, independent samples t-test, Pearson’s Chi-square test, univariate ANOVA, bivariate, and multivariable logistic regression analyses were conducted at 0.05 level of significance. Results The prevalence of workplace incivility, bullying, and sexual harassment (SH) was 63.8%, 53.5%, and 40.5%. The 12-month experience of the supervisor, coworker, and instigated incivilities was 67.4%, 58.8%, and 52.8%, respectively. Also, 47.5% of the participants initiated personal bullying, 62.5% experienced work-related bullying, and 42.2% experienced physical bullying. The 12-month experience of gender harassment, unwanted sexual attention, and sexual coercion were 36.5%, 25.6%, and 26.6%, respectively. Being aged 35–49 years (AOR 0.15; 95% CI (0.06, 0.40), and ≥ 50 years (AOR 0.04; 95% CI (0.01, 0.14) were associated with workplace incivility among female staff. Having a temporary appointment (AOR 7.79, 95% CI (2.26, 26.91) and casual/contract employment status (AOR 29.93, 95% CI (4.57, 192.2) were reported to be associated with workplace bullying. Having a doctoral degree (AOR 3.57, 95% CI (1.24, 10.34), temporary appointment (AOR 91.26, 95% CI (14.27, 583.4) and casual/contract employment status (AOR 73.81, 95% CI (7.26, 750.78) were associated with workplace SH. Conclusions The prevalence of GBV was high. There is an urgent need for workplace interventions to eliminate different forms of GBV and address associated factors to reduce the adverse mental, physical, and social health outcomes among university women.


2021 ◽  
Author(s):  
Ifeoma Bridget Udigwe ◽  
Chioma Phyllis Nnamani ◽  
Chioma Chetachukwu Ajator ◽  
Chioma Pauline Mbachu ◽  
Ogochukwu Chioma Ofiaeli ◽  
...  

Abstract Background: Gender-based violence (GBV) increases during every type of emergency whether economic crises, conflicts or disease outbreak like in the case of Coronavirus Disease of 2019 (COVID-19) pandemic. This study aimed to determine the prevalence and types of GBV among secondary school students during the COVID-19 pandemic in Anambra State, South East, Nigeria.Methods: The study was a cross-sectional study, conducted among 403 secondary school student who were recruited consecutively after consent and assent were gotten. Self-administered semi-structured questionnaire was used to collect the data. Data was analysed using STATA version 16.0. The level of significance for test of association was set at p-value < 0.05Results: The prevalence of GBV was 63.28%, emotional/verbal abuse were the most prevalent type while sexual abuse was the least type (85.5% vs 8.2%). The highest perpetrator of the emotional/verbal abuse were their fellow students (64.8%). The relationship between GBV and impact of abuse was statistically significant for academic performance, alcohol and tobacco intake (p-values: 0.040, 0.010, 0.029 respectively)Conclusion: The prevalence of GBV is high among students during the COVID-19 pandemic, with the emotional/verbal type being the most prevalent type. GBV has an impact on their academic performance and social lives. We therefore recommend that stakeholders should have target programs to address the diverse effects of GBV on students especially with the pandemic.


BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022621 ◽  
Author(s):  
Zoé Mistrale Hendrickson ◽  
Anna M Leddy ◽  
Noya Galai ◽  
Jessie K Mbwambo ◽  
Samuel Likindikoki ◽  
...  

ObjectivesTo examine how work-related mobility among female sex workers (FSWs) is associated with gender-based violence (GBV) in Iringa, Tanzania.DesignCross-sectional analyses were conducted on baseline data gathered between October 2015 and April 2016 from FSWs participating in Project Shikamana, a community empowerment-based combination HIV prevention intervention.SettingParticipants were recruited for the baseline study using venue-based time-location sampling in two communities in Iringa, Tanzania.ParticipantsFSWs were eligible for participation if they were 18 years or older and had exchanged sex for money within the past month. Four-hundred ninety-six FSWs participated in the baseline survey.Primary and secondary outcome measuresAny recent experience of GBV was examined by recent work-related mobility among FSWs. Any recent experience of GBV was also disaggregated by severity for analyses. All bivariate and multivariate binary and multinomial logistic regressions adjusted for intraclass correlations among women recruited from the same venues.ResultsForty per cent of participants experienced recent physical or sexual violence, and 30% recently experienced severe physical or sexual violence. Thirty-three per cent of participants recently exchanged sex for money outside of their district or region, and 12% were both intraregionally and inter-regionally mobile for sex work. Intraregionally and inter-regionally mobile FSWs had 1.9 times greater odds of reporting recent GBV (adjusted OR: 1.89; 95% CI: 1.06 to 3.38; p=0.031) compared with non-mobile FSWs and a 2.5 times higher relative risk for recent experience of severe GBV relative to no recent GBV (relative risk ratio: 2.51; 95% CI: 1.33 to 4.74; p=0.005).ConclusionsMobility for sex work may increase FSWs’ exposure to GBV, particularly more severe GBV. The vulnerability of mobile FSWs to violence, particularly severe forms, demands inclusive services that are accessible to mobile FSWs.


2021 ◽  
Author(s):  
Wassachew Ashebir ◽  
Abiot Ayichew

Abstract Background: Sexual and gender based violence (SGBV) continues to be a concern of health, sexual and reproductive rights, sustainable peace and development issue that cuts across boundaries, cultural backgrounds and socio-economic groups to touch individuals of every sort around the world. SGBV remains one of the greatest inequalities of our time that takes life, violates the right they are entitled with, and seriously endangers women and girl’s mental and physical wellbeing, as well as sexual and economical security. This study aimed to assess the prevalence and associated factors of sexual and gender based violence among female high school students in Debre Markos Town, North West Ethiopia:. Methods: An institutionally based-cross-sectional study was conducted among 309 randomly selected female high school students in Debre Markos Town. Data was collected using self- administered questionnaire. Data was analyzed using multivariate logistic regression with odds ratio and 95% confidence interval to identify factors associated with sexual and gender based violence. Statistical significance was declared at p-value < 0.05.Results: The lifetime prevalence of GBV, sexual violence, and physical violence were found to be 47.0, 23.3, and 39.5%, respectively. The prevalence of sexual violence in the current academic year was 13.2%. Ever drink alcohol (AOR = 0.39; 95% CI: 0.18–0.86), have friends using substances (AOR = 0.26; 95% CI: 0.09–0.82), Grade level (AOR = 3.15; 95% CI: 1.32–7.48), witnessing parental conflict (AOR = 0.29; 95% CI: 0.17–0.52), ever discuss gender related issues (AOR = 2.23; 95% CI: 1.31–3.78) and living condition of students (AOR = 3.53; 95% CI: 1.55–8.07) were significantly associated with gender-based violence.Conclusion: The prevalence of sexual and gender-based-violence was high. This needs further intervention like awareness creation at school and community settings should be strengthened.


2020 ◽  
Vol 2 (1) ◽  
pp. 27-39
Author(s):  
Stephanie Asher ◽  
Nitasha Nagaraj ◽  
Amita Vyas

Rates of gender-based violence remain high during college in India, a time of adolescent malleability where gender norms, gender perspectives, and responses to violence are open to change. Few gender-based violence interventions focus on college students and even fewer on bystander intervention as a preventative approach - a concept novel to India. This cross-sectional study reached 603 college students in India to examine current gender norms and perspectives, bystander intervention behaviours, and discussion of gender-based violence on campuses. Statistically significant differences were found between male and female college students in all scenarios of bystander intervention response and frequency of discussion of gender-based violence. Multinomial logistic regression analysis showed significant differences in those who had never seen violence or had a positive bystander intervention response, compared to those who responded negatively. Given the findings, targeting college students appears a promising approach to change the narrative of gender-based violence and norms in India.


2019 ◽  
Author(s):  
Keneth Opiro ◽  
Francis Pebolo Pebalo ◽  
Neil Scolding ◽  
Charlotte Hardy

Abstract Abstract Background Sexual and gender-based violence (SGBV), including rape and child sexual abuse, remains a significant challenge in post-conflict northern Uganda, including within refugee settlements. Many victims have never sought help from health-related services. Consequently, the scale of the problem is unknown, and SGBV victims’ injuries, both psychological and physical, remain undetected and unaddressed. We hypothesized that health workers in rural Reproductive Health Services could provide a valuable resource for SGBV screening and subsequent referral for support. Methods Our project had three elements. First, Reproductive Health Service workers were trained in the knowledge and skills needed to screen for and identify women who had experienced SGBV, using a questionnaire-based approach. Second, the screening questionnaire was used by reproductive health workers over a 3-month period, and the data analysed to explore the scale and nature of the problem. Third, victims detected were offered referral as appropriate to hospital services and/or the ActionAid SURGE (Strengthening Uganda’s Response to Gender Equality) shelter in Gulu. Results 1656 women were screened. 778 (47%) had a history of SGBV, including 123 victims of rape and 505 victims of non-sexual violence. 1,254 (76%) had been directly or indirectly affected by conflict experiences; 1066 had lived in IDP camps. 145 (9%) were referred at their request to Gulu SGBV Shelter under SURGE. Of these, 25 attended the shelter and received assistance, and a further 20 received telephone counselling. Conclusion Undetected SGBV remains a problem in post-conflict northern Uganda. Reproductive Health Service workers, following specific training, can effectively screen for and identify otherwise unreported and unassisted cases of SGBV. Future work will explore scaling up to include screening in hospital A&E departments, incorporate approaches to screening for male victims, and the impact of taking both screening and support services to rural communities through local clinics with mobile teams.


2020 ◽  
pp. 088626052094814
Author(s):  
Carlijn Willeke Wieten ◽  
Pheak Chhoun ◽  
Sovannary Tuot ◽  
Carinne Brody ◽  
Siyan Yi

Women working in the entertainment industry are confronted with various forms of gender-based violence (GBV). However, their vulnerability remains understudied, particularly in resource-limited settings. This study aims to examine the prevalence of GBV among female entertainment workers (FEWs) in Cambodia and identify factors associated with victimization. We conducted a cross-sectional study in November 2018 for the impact evaluation of a randomized controlled trial. We used a stratified random sampling method to recruit 600 FEWs from different entertainment venues in the capital city and three other provinces. Female data collectors administered a structured questionnaire, and we performed multiple logistic regression analyses. Of the total, 60.5% had experienced a form of GBV during their lifetime; of whom, 37.5% experienced the GBV in the past 6 months. The prevalence of emotional abuse, forced substance use, physical abuse, and forced sex was 51.5%, 25.0%, 20.6%, and 2.9%, respectively. Forced substance use and forced sex were mainly perpetrated by clients, physical abuse by intimate partners, and emotional abuse by others such as entertainment establishment owners or managers. FEWs victimized by clients (relative risk ratio [RRR] = 0.19, 95% confidence interval [CI] = [0.07, 0.53]) and others (RRR = 0.11, 95% CI = [0.03, 0.44]) were less likely to be married compared with victims of intimate partner violence. Factors associated with sexual harassment were working in beer gardens (adjusted odds ratio [aOR] = 2.39, 95% CI = [1.20, 4.73]) and restaurants/cafés (aOR = 1.65, 95% CI = [1.01, 2.69]), and having higher acceptance of violence against women (aOR = 1.12, 95% CI = [1.01, 1.24]). FEWs in Cambodia experience high levels and unique forms of GBV as they are confronted with different types of perpetrators. Interventions need to be tailored to fit the specific needs of FEWs. Interventions aimed at reducing client-perpetrated violence should specifically focus on forced substance use and forced sex, while physical abuse by intimate partners should also be addressed.


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