scholarly journals The association between female genital fistula symptoms and gender-based violence

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Vandana Tripathi ◽  
Lindsay Mallick

Aims: This study examined the association between self-reported female genital fistula symptoms and experience of gender-based violence (GBV) among women interviewed in Demographic and Health Surveys (DHS) surveys. Methods: This study pooled data from 13 recent DHS surveys with both fistula and domestic violence modules. Multivariable logistic regressions controlled for maternal and demographic factors. Results: In this sample of 95,625 women, the prevalence of self-reported fistula symptoms ranges from 0.3% to 1.8% across countries. Among women reporting fistula symptoms,56% report past experience physical violence, more than among women with no symptoms (38%). Twice as many women with fistula symptoms report either lifetime (27%) or recent (16%) experience sexual violence than women not reporting symptoms (13% and 8%, respectively). Women whose first experience of sexual violence was from a non-partner have almost four times the odds of reporting fistula symptoms compared with those who never experienced sexual violence. Conclusions: These findings must be interpreted with caution given the inability to identify temporal and causal relationships through DHS data. However, the increased risk of violence among women with fistula symptoms suggests that fistula treatment programs should incorporate GBV screening, referral, and services into their pre-discharge care. 

2017 ◽  
Vol 41 (3) ◽  
pp. 368-388 ◽  
Author(s):  
Jennifer J. Mootz ◽  
Sally D. Stabb ◽  
Debra Mollen

The high prevalence of gender-based violence (GBV) in armed conflict has been documented in various national contexts, but less is known about the complex pathways that constitute the relation between the two. Employing a community-based collaborative approach, we constructed a community-informed socioecological conceptual model from a feminist perspective, detailing how armed conflict relates to GBV in a conflict-affected rural community in Northeastern Uganda. The research questions were as follows: (1) How does the community conceptualize GBV? and (2) How does armed conflict relate to GBV? Nine focus group discussions divided by gender, age, and profession and six key informant interviews were conducted. Participants’ ages ranged from 9 to 80 years ( n = 34 girls/women, n = 43 boys/men). Grounded theory was used in analysis. Participants conceptualized eight forms of and 22 interactive variables that contributed to GBV. Armed conflict affected physical violence/quarreling, sexual violence, early marriage, and land grabbing via a direct pathway and four indirect pathways initiated through looting of resources, militarization of the community, death of a parent(s) or husband, and sexual violence. The findings suggest that community, organizational, and policy-level interventions, which include attention to intersecting vulnerabilities for exposure to GBV in conflict-affected settings, should be prioritized. While tertiary psychological interventions with women and girls affected by GBV in these areas should not be eliminated, we suggest that policy makers and members of community and organizational efforts make systemic and structural changes. Online slides for instructors who want to use this article for teaching are available on PWQ 's website at http://journals.sagepub.com/page/pwq/suppl/index


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Violence against women is a pervasive human rights violation, which is still under-recognized despite some recent progress. From sexist ubiquitous online harassment, to physical and sexual violence that affects at least 1 in 3 women in her lifetime, this prevalent and large spectrum of violence constitutes a profound health problem. It affects women's physical and mental health, making its prevention one of the most far-reaching public health objectives. Public health research on this topic is lacking, and few large epidemiological surveys and cohorts collect data on this subject. However, research is much needed to bring to light the extent of the problem, and guide the development and implementation of effective interventions, policies, and prevention strategies. In this symposium we propose to shed light on some health effects of gender-based violence and discuss methodological issues associated with conducting research on violence against women. Through the presentation of four studies, we highlight challenges in the framing of research questions, and in defining exposure variables and collecting data in standard epidemiological studies. We also reflect on barriers and enablers we encountered and brainstorm action levers for pragmatic and ethical intervention studies. Between them, the four studies cover various types of violence and health outcomes, and touch on the involvement of several health and healthcare stakeholders. First, Barbier et al describe the prevalence of physical, sexual and psychological intimate partner violence against European women, as well as perpetrator's characteristics, using data from the European Union Agency for Fundamental Rights survey on violence against women. Second, Miani et al. reflect on the potential and limitations of using standard hospital records to measure violation of a woman's integrity during childbirth (e.g. obstetric violence) in Germany. Opportunities for intersectional analyses are also assessed. Third, El-Khoury et al. present results from the French Health barometer, a general population telephone survey, which recruited more than 25,000 adults aged18 to 75 in 2017. This first analysis quantifies sex-differences in the effect of sexual violence on suicide risk. Using adjusted mediation analyses, sexual victimisation was found to explain 49% and 40% of the increased risk women have compared to men in suicidal ideation and suicidal imagery respectively. Last, Hatem et al present preliminary results of a pilot study and the protocol of a future intervention study in the French “Maison des Femmes” (House of women), a center which provides medical, social and judicial support and care for women victim of violence. We discuss pragmatic and ethical concerns, difficulties and importance of such intervention studies. We conclude the session with a discussion with the audience, providing an opportunity for interdisciplinary dialogue and feedback on international experiences. Key messages Violence against women (VAW) is a widespread phenomenon taking many forms; similar to its effect on women’s health. VAW should be accounted for in all large epidemiological studies, using appropriate terms and measurement strategies.


2017 ◽  
Vol 15 (2) ◽  
pp. 44-48 ◽  
Author(s):  
Shrawan Kumar Chaudhary ◽  
Pushpa Chaudhary

Introduction: Gender Based Violence (GBV) is prevalent and exists to some extent in virtually all societies throughout the world. Evidence shows consistent negative effect of violence on health of women particularly. This hidden disease is perceived as a social issue and not a health issue and is often overlooked by health care providers. Methodology: This study was a Cross Sectional descriptive study conducted at national Academy of Medical Science affiliated Paropaker Women's and Maternity Hospital, Kathmandu enrolling 950 pregnant women from the emergency admission room who were interviewed using structured questionnaire from mid march to the end August in the year 2007. Result and discussion: Among 950 women suffered from gender based violence (33.36%). One hundred and fifty women faced psychological violence (47.31%), seventy two clients faced physical violence (22.71%), and forty two women faced sexual violence (13.24%) and rest of them faced all types of violence. Violence was reported during the current pregnancy (41.32%). Husbands were perpetrator of violence for almost on third of women (34.06%), followed by mother in low (18.29%). Joint violence by family members was quit common (28.1%). Perpetrator outside family was responsible for approximately 20% of cases. Domestic violence was extremely common accounting for more than four fifty of cases (81.38%). Among sexual violence, (45.45%) women were victim of marital rape. Alcoholism as one of the common reason for wife battering, observed in this study in Maternity Hospital which is still prevalent in Nepal. Often, verbal abuse is an excuse for imposing discipline in the family. Women's economic and emotional dependence on husband could be responsible for the vulnerable status in family. Health seeking behavior following violence was found to be extremely low in this study suggestion gender based violence as a privet matter.


2021 ◽  
Author(s):  
Alemu Basazin Mingude ◽  
Tadesse Mamo Dejene

Abstract Background: Gender-based violence (GBV) is a common reproductive health problem especially in developing countries. It is still the first research priority area in Africa that is identified by World Health Organization. The main aim of this study was to identify the prevalence and determinants of Gender Based Violence among Baso high school female students in Debre Berhan town, Ethiopia.Methods: An institutional based cross-sectional study was conducted in Debre Berhan, Ethiopia. A total of 350 female students were selected by stratified sampling technique. Self-administered structured questionnaire was used to collect the data. Each independent variable was fitted separately into bivariate logistic analysis and Variables with p-values less than 0.25 in bivariable model were fitted into multivariate logistic regression analysis to evaluate the degree of association with gender-based violence. The significance level was obtained with 95% CI and p-value < 0.05.Result: The prevalence of GBV during the lock down was 124 (36.2%; 95% CI: 0.31, 0.41), and the lifetime prevalence of GBV was 162(47.2%; 95% CI: 0.42, 0.53). The prevalence of life time sexual violence and physical violence were found to be 96 (27.99%; 95% CI: 0.23, 0.33), and 130 (37.99%; 95% CI: 0.33, 0.43), respectively. Sexual violence and physical violence during the lockdown were found to be 73 (21.28), and 61(17.78%), respectively. Respondents educational performance (AOR = 4.52; 95% CI: 1.82,11.3), monthly pocket money received from their parents (AOR = 2.97; 95% CI: 1.56,5.64), free discussion about reproductive issue(AOR = 2.72; 95% CI: 1.42,5.21), and experience of sexual intercourse(AOR = 13.22; 95% CI: 4.80, 36.37) were found to be determinants of gender based violence.Conclusion and recommendation: Gender Based Violence is still a significant sexual and reproductive health issue in Ethiopia. Governmental and non-governmental organizations should give due attention for this problem. Moreover, further large-scale studies are needed to estimate the national figure of GBV and to identify route causes.


2021 ◽  
Vol 9 (2) ◽  
pp. 101
Author(s):  
Dian Febriyanti ◽  
Pratiwi Retnaningdyah

The aim of this article is to analyze the types of violence against women depicted in Eka Kurniawan’s Vengeance Is Mine, All Others Pay Cash also to reveal the process of several female characters from being disempowered (after received violence by men) to empowering themselves. Those are global and common issues that society would face every day. This study uses thematic analysis on the basis of Gender-based Violence (GBV) to categorize the type of violence based on a theory of feminist by Beauvoir and also using Naila Kabeer’s perspective to reveal that violence affect women in empower and disempower ways. The female characters that receive violence are Scarlet Blush, Iteung, Young Widow, and Jelita. The types of violence that occurred are sexual violence, physical violence, verbal violence, and psychological violence. However, the result of women’s empowerment only causes Iteung itself, she is the only one who can survive and be empowered after fighting against patriarchal culture, while Scarlet Blush is the opposite.


2017 ◽  
Vol 55 (2) ◽  
pp. 172-188 ◽  
Author(s):  
Katrin List

AbstractDue to their age and lifestyle, female students in general are at an increased risk of various forms of sexual violence. Particular sociocultural contexts also form the background of gender-based violence in professional and academic structures. Yet despite institutional and legal efforts to protect (potential) survivors of sexual violence from primary (and secondary) victimization, persistent assaults demonstrate the reluctance of organizations and individuals to fully accept women’s experiences as being physically and psychologically harmful. Based on quantitative and qualitative data obtained in the context of the European research project “Gender-Based Violence, Stalking and Fear of Crime”,1 this article presents a comparative analysis of the prevalence of sexual violence, feelings of safety (or a lack thereof) and the reasons for (non-)disclosure for five European countries. A dataset of about 21,000 responses from German, British, Italian, Spanish and Polish students indicates that sexualized violence is a major problem at universities and that it has yet to be recognized as such. This – added to the fact that it is generally suppressed or concealed by universities – makes it society’s problem as well. The article discusses widespread social myths about victims and perpetrators, the role of the new media in victimization, and the issues of universities’ responsibility for their students (through institutional policy and specific responses to incidents of gender-based violence). The results presented here demonstrate the contradictory perceptions that students have in regard to their experiences and the nature of sexualized violence in an academic environment.


2020 ◽  
pp. 088626052098330
Author(s):  
Elyse J. Thulin ◽  
Andrew Lustig ◽  
Violette Perrotte ◽  
Marx Lwabanya ◽  
Tyler Evans

Conflict settings are often the context of some of the highest rates of sexual and gender-based violence (SGBV). Although women are disproportionately the victims of SGBV, they are not the only victims. Indirect impacts of SGBV also impact men, families, and communities. Examining SGBV as only a woman’s concern reinforces the hegemonic gender-binary view that SGBV somehow does not include men, who can be direct victims of SGBV, family members of female victims of SGBV, and/or perpetrators of SGBV. This qualitative study seeks to fill a gap by exploring the impact of SGBV on individuals, families, and communities, and potential options to ameliorate those issues. Data were collected in 2019 from community-based discussions in South Kivu, Democratic Republic of Congo. Women described being direct victims of SGBV, as well as the burden of being at constant alert to the possible threat of violence. Men talked more about SGBV being perpetrated against women, and the indirect effect on men’s perception of their social husband and/or father role to protect and provide for their family. Taken together, women and men describe three types of violence: sexual violence by an unknown assailant who is often associated the rebel groups or the military; sexual violence from a known assailant within one’s community; and sexual or physical violence within intimate partnerships (i.e., intimate partner violence). Women focused more on community-based solutions to reduce their exposure to violence, while men discussed the government’s responsibility to end the long-standing conflict that has severely disrupted lives. Practically, these findings support the need to specify different types of SGBV, and the opportunity to tailor interventions by type.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Alemu Basazin Mingude ◽  
Tadesse Mamo Dejene

Abstract Background Gender-based violence (GBV) is a common reproductive health problem, especially in developing countries. It is still the first research priority area in Africa that is identified by World Health Organization. The main aim of this study was to identify the prevalence and determinants of Gender Based Violence among Baso high school female students in Debre Berhan town, Ethiopia. Methods An institutional based cross-sectional study was conducted in Debre Berhan, Ethiopia. A total of 350 female students were selected by stratified sampling technique. A self-administered structured questionnaire was used to collect the data. Each independent variable was fitted separately into bivariate logistic analysis, and Variables with p-values less than 0.25 in bivariable model were fitted into multivariate logistic regression analysis to evaluate the degree of association with gender-based violence. The significance level was obtained with 95% CI and p-value < 0.05. Result The prevalence of GBV during the lock- down was 36.2% (95% CI 0.3, 0.4), and the lifetime prevalence of GBV was 47.2% (95% CI 0.4, 0.5). The prevalence of life time sexual violence and physical violence were found to be 27.99% (95% CI 0.2, 0.3), and 37.99% (95% CI 0.3, 0.4), respectively. Sexual violence and physical violence during the lockdown were found to be 21.3% and 17.8%, respectively. Respondents educational performance (AOR = 4.5; 95% CI 1.8, 11.3), monthly pocket money received from their parents (AOR = 3; 95% CI 1.6, 5.6), free discussion about reproductive issue (AOR = 2.7; 95% CI 1.4, 5.2), and experience of sexual intercourse (AOR = 13.2; 95% CI 4.8, 36.4) were found to be associated factors of gender based violence. Conclusion and recommendation Gender Based Violence is still a significant sexual and reproductive health issue in Ethiopia. Governmental and non-governmental organizations should give due attention to this problem. Moreover, further large-scale studies are needed to estimate the national figure of GBV and to identify route causes.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Habtamu Gebrehana Belay ◽  
Tewachew Muche Liyeh ◽  
Habtamu Abie Tassew ◽  
Abeba Belay Ayalew ◽  
Yitayal Ayalew Goshu ◽  
...  

Background. Gender-based violence (GBV) is a major public health issue that affects the health and well-being of millions of young people worldwide each year. Gender-based violence was prevalent throughout Sub-Saharan Africa. However, research in Africa is extremely diverse. Objective. The purpose of this study is to determine the extent and risk factors of gender-based violence among night female students in Bahir Dar, Ethiopia. Methods. This cross-sectional study was conducted among 788 elementary and high school night female students in Bahir Dar from October 15 to November 15, 2019. Data was gathered using self-administered questionnaires. A binary and multiple logistic regression model was used to identify factors associated with gender-based and sexual violence. An adjusted odds ratio (AOR) with a 95 percent confidence interval (CI) was calculated to determine the level of significance. Results. The overall lifetime prevalence of gender-based violence (sexual, physical, and emotional violence) was 71.1% with a 95% CI of 67.8%-74.1%. The lifetime prevalence of sexual violence, physical violence, and emotional violence was 49.1%, 57.5%, and 41.6%, respectively. Rural childhood residence (AOR: 3.37, 95% CI: (2.17-5.54)), low school performance (AOR: 3.44, 95% CI: (2.13-5.56)), lack of sexual and reproductive health conversation experience (AOR: 3.68, 95% CI: (2.07-6.54)), poor family control (AOR: 5.62, 95% CI: (3.25-9.71)), and being sexually active (AOR: 3.79, 95% CI: (2.35-6.12)) increased significantly the risk of gender-based violence. The risk factors for sexual violence were young people living with both parents (AOR: 0.28, 95% CI: (0.19-0.41)), peer pressure (AOR: 5.73, 95% CI: (4.11-7.98)), and family support (AOR: 0.31, 95% CI: (0.22-0.43)). Conclusion. In the study area, the lifetime prevalence of sexual violence, physical violence, and emotional violence was high. As a result, it is recommended that policymakers, district officials, schools, and other stakeholders pay attention to and act on gender-based values.


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