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

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
S M Yasir Arafat
Keyword(s):  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Partner Violence ◽  
Odds Ratio ◽  
Intimate Partner ◽  
Married Women ◽  
Sub Saharan Africa ◽  
Age Group ◽  
Care Services ◽  
The Impact

<p><strong>Background and Objectives:</strong> 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.</p><p><strong>Materials and Methods:</strong> 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.</p><p><strong>Results:</strong> 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&lt;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&lt;0.010).</p><p><strong>Conclusion:</strong> IPV 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.</p>

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. 

Socioeconomic Factors and Patterns of Intimate Partner Violence among Ever-Married Women in Uganda: Pathways and Actions for Multicomponent Violence Prevention Strategies

2021 ◽  
pp. 088626052110219
Author(s):  
Moses Okumu ◽  
Evalyne Orwenyo ◽  
Thabani Nyoni ◽  
Cecilia Mengo ◽  
Jordan J. Steiner ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Sexual Violence ◽  
Socioeconomic Factors ◽  
Partner Violence ◽  
Physical Violence ◽  
Wealth Index ◽  
Intimate Partner ◽  
Married Women ◽  
Sub Saharan Africa ◽  
Reference Category

Intimate partner violence (IPV) is a severe public health problem in sub-Saharan Africa (SSA) with harmful effects on the physical, psychological, and socioeconomic wellbeing of survivors and their families. In SSA, IPV is associated with mental health disorders, high-risk behaviors, and HIV vulnerability, especially among women. In Uganda, poor socioeconomic status increases women’s vulnerability to IPV. Yet there is limited evidence on the association between socioeconomic factors and IPV severity in Uganda. Our study used population-based data to (a) establish different patterns describing the severity of IPV experiences, (b) explore associations between socioeconomic factors and severity of IPV experiences among Ugandan ever-married women, and (c) examine direct and indirect pathways from socioeconomic factors to severity of IPV experiences. Data were drawn from the 2016 Uganda Demographic and Health Survey’s sample of 7,536 ever-married women aged 15–49 years. A latent class analysis examined distinct patterns of IPV severity among this sample, yielding a four-class solution: low violence ( n = 5,059; 67.1%); high physical violence, low sexual violence ( n = 1,501; 19.9%); high sexual violence, moderate physical violence ( n = 535; 7.1%); and high sexual and severe physical violence ( n = 441; 5.9%). Using the low violence group as the reference category, we conducted a multinomial logistic regression that found significant associations between secondary education (a OR 2.35, 95% CI: [1.06, 5.24]), poorest on the wealth index (a OR 2.00, 95% CI: [1.13, 3.54]), and severe IPV experiences. Decision-making (a OR 0.81, 95% CI: [0.68, 0.96]) played a protective role against membership in the high sexual and physical violence class compared to the reference category. Using path analysis, we found that labor force participation partially mediated the path from wealth index and education to IPV severity. Findings indicate the need for interventions that aim to keep girls in school and target schools, communities, and media platforms to address gender norms, economic vulnerability, and comprehensive screening for multiple forms of violence.

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 A Cross-Sectional Study to Explore Intimate Partner Violence and Barriers to Empowerment of Women in Armenia

2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Russell Kabir ◽  
Hafiz T. A. Khan
Keyword(s):  
Decision Making ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Social Issues ◽  
Cross Sectional Study ◽  
Intimate Partner ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

Background. Intimate partner violence is a major problem worldwide and it is one of the most social issues in Armenia. Empowerment is one of the important factors that helps women to break the cycle of violence by their husband/partner. The aim of this research is to explore the impact of intimate partner violence on empowerment of Armenian women of reproductive age group. Methods. This cross-sectional study used data Armenia Demography and Health Survey Data 2015-16. A total 6116 women were selected from 8749 households at both urban and rural places of Armenia for interview using multistage cluster sampling technique. Data analysis was performed using SPSS version 24. Results. The respondents aged between 35 and 49 years are more likely to face violence compared to other age group (p≤0.001). The respondents who have no decision-making power, about 89% of them, are experiencing intimate partner violence, whereas only 11% are facing intimate partner violence among those who have decision-making power (p≤0.001). The logistic regression analysis reveals that age of the respondents, number of children in the households, wealth index, and empowerment status are significantly associated with intimate partner violence. Conclusion. Intimate partner violence has significant impact on the empowerment of women in Armenia. This study revealed that women with no empowerment are more likely to experience intimate partner violence compared to those women who are empowered in Armenian society.

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.

scholarly journals Intimate partner violence as a predictor of antenatal care services utilization in Rwanda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Claire Bahati ◽  
Josias Izabayo ◽  
Japhet Niyonsenga ◽  
Vincent Sezibera ◽  
Léon Mutesa
Keyword(s):  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Partner Violence ◽  
Physical Violence ◽  
Negative Impact ◽  
Negative Relationship ◽  
Intimate Partner ◽  
Reproductive Age ◽  
Services Utilization ◽  
The Impact

Abstract Background Although compelling evidence shows that exposure to intimate partner violence (IPV) during pregnancy is detrimental to both physical and mental health of the victims and their fetuses, 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 3 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 ANC services utilization indicators. Results Among married women living with their partners with at least one child aged 5 years 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 = 0.61, CI = 0.417–0.908) and they were less likely to attend the first ANC visits within the first 3 months (O.R = 0.656, CI = 0.445–0.967). Conclusion In this study, the prevalence of IPV still remains 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 IPV during ANC visits.

Development and Application of Individual and National Opportunity to the Experience of Intimate Partner Violence among Married Women in the Global South

2021 ◽  
pp. 002242782110499
Author(s):  
Brittany E. Hayes
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Ecological Model ◽  
National Level ◽  
Global South ◽  
Intimate Partner ◽  
Married Women ◽  
Demographic And Health Surveys ◽  
Individual Level ◽  
The Impact

Objectives: Building on the ecological model, multicontextual opportunity theory, and southern criminology, the study developed individual- and country-level indicators of opportunity to understand the experience of intimate partner violence (IPV) among married women in the Global South. Opportunity-related indicators considered the impact of globalization and variability across nations categorized as part of the Global South. Methods: Relying on data from the Demographic and Health Surveys and open-source country indicators, mixed effects logistic regression examined opportunity-related indicators on a sample of married women ( N  =  239,554) from the Global South ( N  =  41). Results: Exposure to motivated offenders was associated with higher odds of IPV. Individual-level vulnerability was associated with higher odds of IPV. Isolation and interviews that were interrupted, indicators of guardianship, were associated with higher odds of IPV while the number of people in the household was associated with lower odds. More Parliamentary seats held by women was associated with higher odds of IPV. Nine cross-level interactions were significant. Conclusions: National-level factors moderated the influence of individual-level opportunity, reinforcing the Global South is not monolithic. The traveling of IPV programing from the Global North to the Global South is likely ineffective. Programs must consider how context shapes individual experiences.

scholarly journals Intimate partner violence among pregnant teenagers in Lira district, northern Uganda: a cross-sectional study

2020 ◽  
Vol 14 (4) ◽  
pp. 1-11
Author(s):  
Anna Grace Auma ◽  
Elizabeth Ayebare ◽  
Connie Olwit ◽  
Grace Ndeezi ◽  
Victoria Nankabirwa ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Partner Violence ◽  
Odds Ratio ◽  
Cross Sectional Study ◽  
Intimate Partner ◽  
Northern Uganda ◽  
Cross Sectional ◽  
Factors Associated ◽  
Violence During Pregnancy

Background/aims Intimate partner violence during pregnancy is associated with adverse health outcomes for mothers and their unborn babies. Whereas the literature on intimate partner violence in the general population is extensive, little is known about this type of violence among pregnant teenagers, especially in resource-limited settings. This study aimed to determine the prevalence and factors associated with intimate partner violence among pregnant teenagers attending antenatal care clinics in Lira District, northern Uganda. Methods This was a cross-sectional study of 310 pregnant teenagers attending antenatal care clinics at the Lira Regional Referral Hospital and Ogur Health Center IV. Eligible teenagers were recruited consecutively until the required sample size was accrued. Data were collected using a structured questionnaire. Intimate partner violence was determined using the Revised Conflict Tactile Scale 2. Logistic regression analysis was performed to identify factors associated with violence during pregnancy, while considering potential confounding factors. Results The overall prevalence of intimate partner violence among pregnant teenagers was 40.6%. The prevalence of psychological violence was 37.1%, sexual assault was 29%, and physical violence was 24.8%. Partner alcohol intake (odds ratio=5.00, P=0.000); polygamy (odds ratio=2.80, P=0.001) and the inability of the teenage mother to make major decisions in the home (odds ratio=2.42, P=0.006) were independently associated with intimate partner violence during pregnancy. Conclusions Approximately 4 in 10 pregnant teenagers in Lira district, northern Uganda experienced intimate partner violence. This is higher than has been reported in the general population of pregnant women in Uganda. Intimate partner violence screening and counselling should be part of the routine antenatal care package.

Mapping of Intimate Partner Violence: Evidence From a National Population Survey

2021 ◽  
pp. 088626052199795
Author(s):  
Muluken Dessalegn Muluneh ◽  
Lyn Francis ◽  
Kingsley Agho ◽  
Virginia Stulz
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Physical Violence ◽  
Hot Spot ◽  
Intimate Partner ◽  
Married Women ◽  
Drinking Behaviour ◽  
Sampling Weights ◽  
Increased Risk ◽  
The Impact

Evidence on the relative importance of geographical distribution and associated factors with intimate partner violence (IPV) can inform regional and national health programs on women’s health. Four thousand seven hundred and twenty married women aged 15-49 years were interviewed in 2016 about IPV and this data was extracted from the Ethiopian Demographic Health Survey (EDHS) in 2020. The sample was selected by a two-staged cluster survey of women. The analysis was conducted using logistic regression that adjusted for clustering and sampling weights. Moreover, weighted proportions of IPV were exported to ArcGIS to conduct autocorrelations to assess the clustering of IPV. Amongst the 4469 married women who were 15 to 49 years of age included in the analysis, 34% (95% CI, 31.4%-36.3%) experienced IPV, 23.5% ( 95% CI, 21.5%-25.7%) experienced physical violence, 10.1% (95% CI, 8.7%- 11.7 %) experienced sexual violence and 24% (95% CI, 21.7%-26.4 %) experienced emotional violence. Partners’ controlling behaviour [AOR: 3.94; 95% CI, 3.03- 5.12], partner’s alcohol consumption [AOR: 2.59; 95% CI, 1.80- 3.71], partner educational qualifications [AOR: 2.16; 95% CI, 1.26- 3.71], a woman birthing more than five children [AOR: 1.70; 95% CI, 1.12- 2.56] and a history of the woman’s father being physically violent towards her mother [AOR: 1.99; 95% CI, 1.52- 2.59] were associated with an increased risk of IPV amongst married women in Ethiopia. Western and Central Oromia, Western Amhara, Gambella and Central Tigray and Hararri were identified as hot spot areas in Ethiopia (p<0.001). In this study, there was a significant geographic clustering of IPV in Ethiopia. Controlling and drinking behaviour and partners’ unemployment status were identified as important factors for married women experiencing IPV. Hence, there is a need for a context- driven evidence-based design intervention to reduce the impact of IPV.

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