scholarly journals Effect of counselling on the family function of intimate partner violence victims attending antenatal clinic in a tertiary hospital in North Central Nigeria

2019 ◽  
Vol 61 (2) ◽  
pp. 52
Author(s):  
B. O. Akor ◽  
L. A. Moses ◽  
N. D. Baamlong ◽  
L. L. Shedul ◽  
A. S. Haruna ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Controlled Trial ◽  
Intimate Partner ◽  
P Value ◽  
Function Score ◽  
Post Intervention ◽  
Family Function ◽  
Significant Difference ◽  
The Family

Background and aim: Intimate partner violence (IPV) is a global problem. Family dysfunction is an integral characteristic of IPV homes. However, not much has been done regarding restoration of these families. The aim of this study was to explore the effect of counselling on the family function of pregnant IPV victims, with a view to recommending an appropriate interventional strategy.Methods: The study was a single-blinded randomised controlled trial of pregnant IPV victims. The Abuse Assessment Scale (AAS) was used to recruit 72 IPV victims who were randomised into the control and intervention arms of 36 each. Their sociodemographic data were collected. The family function of the victims was assessed using the SCORE-15 index of family function at the beginning the study. The intervention arm had three sessions of counselling lasting one to two hours fortnightly using the SOS DoC protocol. The family function was repeated post intervention. Data were analysed using SPSS version 20 and a p-value of 0.05 was considered significant.Results: The majority (82%) of the IPV victims had dysfunctional families. Baseline mean family function score across the groups showed no statistically significant difference. Post intervention, the mean family function score improved from 2.92 ± 0.92 to 2.16 ± 0.63 and this change was statistically significant (p 0.0001). In the control arm, the change from 2.48 ± 0.73 to 2.29 ± 0.82 was not statistically significant (p = 0.116). Conclusion: Short-term counselling significantly improved the family function of IPV victims.

scholarly journals Violence and depression among pregnant women in Egypt

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hanan M. Ghoneim ◽  
Mohamed Elprince ◽  
Tamer Yehia M. Ali ◽  
Waleed F. Gharieb ◽  
Amal A. Ahmed
Keyword(s):  
Intimate Partner Violence ◽  
Sexual Violence ◽  
Partner Violence ◽  
Strong Association ◽  
Depression Scale ◽  
Intimate Partner ◽  
University Hospital ◽  
P Value ◽  
Significant Difference ◽  
History Of

Abstract Background Depression is a serious mental health disorder that might affect women in the childbearing period. Incidences increase during pregnancy as well as after delivery. Its association with intimate partner violence (defined as physical, sexual, or psychological harm by a current or former partner) has been reported in many countries. Data about this sensitive issue are lacking in Egypt. The aim of the study was to determine the relation between intimate partner violence and depression during pregnancy. Methods This was a case control study conducted at the outpatient clinics in Suez Canal University hospital, from January 2019 to March 2020. The study included two groups, the study group included women exposed to violence during the current pregnancy and a control one included women with no history of violence. Both groups were recruited according to the predetermined inclusion criteria (women aged 18-45 years, continuous marital relationship, no history of depression in current or previous pregnancies, and singleton pregnancy). Women were asked to complete the Arabic validated NorVold Domestic Abuse Questionnaire (measuring four types of abuse: emotional, physical, sexual, and violence in the health care system, the last one being excluded). Depression was evaluated using the Arabic validated form of the Edinburgh Postnatal Depression Scale (comprises 10 questions that represent patients’ feelings in the last 7 days). The main outcome measure was to assess the association between intimate partner violence and depression. Results We recruited 158 women in each group. Both groups were matched in their demographic characters. Although emotional violence was reported prominently among women exposed to IPV 87.9% (139/158), it was not significantly reported in depressed women (P value 0.084). Physical and sexual violence were significantly reported among depressed women (P value 0.022 and 0.001, respectively). There was a significant difference between women exposed to violence and those who were not exposed to violence in the total depression scores (13.63 ± 5.47 and 10.65 ± 5.44, respectively with a p value < 0.001). Emotional (p value < 0.001) and sexual violence (mild and severe with p value of 0.026 and 0.002 respectively) had significant roles as risk factors for depression during pregnancy in single regression and after control of other confounders. Conclusion There was a strong association between intimate partner violence and depression during pregnancy.

scholarly journals Violence and depression among pregnant women in Egypt

2020 ◽  
Author(s):  
Hanan M. Ghoneim ◽  
Mohamed Elprince ◽  
Tamer Yehia M. Ali ◽  
Waleed Gharieb ◽  
Amal Ahmed
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Strong Association ◽  
Depression Scale ◽  
Intimate Partner ◽  
Mental Health Disorder ◽  
P Value ◽  
University Hospitals ◽  
Significant Difference ◽  
Economic State

Abstract Background: Depression is a serious mental health disorder that might affect women in the childbearing period. Incidences increase during pregnancy as well as after delivery. Its association with intimate partner violence has been reported in many countries. Data about this sensitive issue are lacking in Egypt. The aim of the study was to determine the relation between intimate partner violence and depression during pregnancy.Methods: This was a case control study conducted at the the outpatient clinics in Suez Canal University hospitals, from January 2019 to March 2020. The study included two groups, the study group included women exposed to violence during the current pregnancy and a control one included women with no history of violence. Women were asked to complete the Arabic validated NorVold Domestic Abuse Questionnaire. Depression was evaluated using the Arabic validated form of the Edinburgh Postnatal Depression Scale. The main outcome measure was to assess the association between intimate partner violence and depression.Results: Both groups were matched in their demographic characters. Emotional violence was the most common reported pattern among women exposed to intimate partner violence 87.9% (139/158). There was a significant difference between women exposed to violence and those who were not exposed to violence in the total depression scores (13.63 ± 5.47 and 10.65 ± 5.44, respectively with a p value <0.001). Emotional and sexual violence had significant roles as risk factors for depression during pregnancy in single regression or after control of other confounders. Conclusion: There was a strong association between intimate partner violence and depression during pregnancy with variable rates that differ according to the economic state of the countries.

scholarly journals Violence and Depression Among Pregnant Women in Egypt

2020 ◽  
Author(s):  
Hanan M. Ghoneim ◽  
mohamed elprince ◽  
Tamer Yehia M. Ali ◽  
waleed gharieb ◽  
amal ahmed
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Strong Association ◽  
Depression Scale ◽  
Intimate Partner ◽  
Mental Health Disorder ◽  
P Value ◽  
University Hospitals ◽  
Significant Difference ◽  
Economic State

Abstract Background: Depression is a serious mental health disorder that might affect women in the childbearing period. Incidences increase during pregnancy as well as after delivery. Its association with intimate partner violence has been reported in many countries. Data about this sensitive issue are lacking in Egypt. The aim of the study was to determine the relation between intimate partner violence and depression during pregnancy.Methods: This was a case control study conducted at the the outpatient clinics in Suez Canal University hospitals, from January 2019 to March 2020. The study included two groups, the study group included women exposed to violence during the current pregnancy and a control one included women with no history of violence. Women were asked to complete the Arabic validated NorVold Domestic Abuse Questionnaire. Depression was evaluated using the Arabic validated form of the Edinburgh Postnatal Depression Scale. The main outcome measure was to assess the association between intimate partner violence and depression.Results: Both groups were matched in their demographic characters. Emotional violence was the most common reported pattern among women exposed to intimate partner violence 87.9% (139/158). There was a significant difference between women exposed to violence and those who were not exposed to violence in the total depression scores (13.63 ± 5.47 and 10.65 ± 5.44, respectively with a p value <0.001). Emotional and sexual violence had significant roles as risk factors for depression during pregnancy in single regression or after control of other confounders.Conclusion: There was a strong association between intimate partner violence and depression during pregnancy with variable rates that differ according to the economic state of the countries.

scholarly journals Spatial distribution and determinants of intimate partner violence among reproductive-age women in Ethiopia: Spatial and Multilevel analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dessie Abebaw Angaw ◽  
Alemakef Wagnew Melesse ◽  
Bisrat Misganaw Geremew ◽  
Getayeneh Antehunegn Tesema
Keyword(s):  
Public Health ◽  
Intimate Partner Violence ◽  
Spatial Distribution ◽  
Multilevel Analysis ◽  
Partner Violence ◽  
Intimate Partner ◽  
Reproductive Age ◽  
P Value ◽  
Public Health Programs ◽  
Reproductive Age Women

Abstract Background Intimate partner violence is a serious global public health problem particularly in low-and middle-income countries such as Ethiopia where women's empowerment is limited. Despite the high prevalence of intimate partner violence in Ethiopia, there is limited evidence on the spatial distribution and determinants of intimate partner violence among reproductive-age women. Exploring the spatial distribution of intimate partner violence is crucial to identify hotspot areas of intimate partner violence to design targeted health care interventions. Therefore, this study aimed to investigate the spatial distribution and determinants of intimate partner violence among reproductive-age women in Ethiopia. Methods A secondary data analysis was done based on the 2016 Ethiopian Demographic and Health Survey (EDHS) data. A total weighted sample of 6090 reproductive-age women were included in the study. The spatial scan statistical analysis was done to identify the significant hotspot areas of intimate partner violence. A multilevel binary logistic regression analysis was fitted to identify significant determinants of intimate partner violence. Deviance, Intra-cluster Correlation Coefficient (ICC), Median Odds Ratio, and Proportional Change in Variance (PCV) were used for model comparison as well as for checking model fitness. Variables with a p-value less than 0.2 were considered in the multivariable analysis. In the multivariable multilevel analysis, the Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were reported to declare statistical significance and strength of association between intimate partner violence and independent variables. Results The spatial analysis revealed that the spatial distribution of intimate partner violence was significantly varied across the country (Moran’s I = 0.1007, p-value < 0.0001). The SaTScan analysis identified a total of 192 significant clusters, of these 181 were primary clusters located in the Benishangul-Gumuz, Gambella, northwest Amhara, and west Oromia regions. In the multivariable multilevel analysis; women aged 45–49 years (AOR = 2.79, 95% CI 1.52–5.10), women attained secondary education (AOR = 0.61, 95% CI 0.38–0.98), women in the richest household (AOR = 0.58, 95% CI 0.35–0.97), > 10 family size (AOR = 3.85, 95% CI 1.41–10.54), and high community women empowerment (AOR = 0.66, 95% CI 0.49–0.8)) were significantly associated with intimate partner violence. Conclusions Intimate partner violence among reproductive-age women had significant spatial variation across the country. Women's age, education status, family size, community women empowerment, and wealth status were found significant determinants of intimate partner violence. Therefore, public health programs should design targeted interventions in identified hot spot areas to reduce the incidence of intimate partner violence. Besides, health programmers should scale up public health programs designed to enhance women's autonomy to reduce the incidence of intimate partner violence and its consequences.

scholarly journals Cost-effectiveness analysis of an intimate partner violence prevention intervention targeting men, women and couples in rural Ethiopia: evidence from the Unite for a Better Life randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042365
Author(s):  
Jessica Leight ◽  
Negussie Deyessa ◽  
Vandana Sharma
Keyword(s):  
Intimate Partner Violence ◽  
Cost Effectiveness ◽  
Randomised Controlled Trial ◽  
Partner Violence ◽  
Controlled Trial ◽  
Intimate Partner ◽  
Community Level ◽  
Secondary Outcome ◽  
Randomised Controlled ◽  
The Cost

ObjectivesExperience of intimate partner violence (IPV) is associated with adverse health and psychosocial outcomes for women. However, rigorous economic evaluations of interventions targeting IPV prevention are rare. This paper analyses the cost-effectiveness of Unite for a Better Life (UBL), a gender-transformative intervention designed to prevent IPV and HIV risk behaviours among men, women and couples.DesignWe use an economic evaluation nested within a large-scale cluster randomised controlled trial, analysing financial and economic costs tracked contemporaneously.SettingUBL was implemented in rural southern Ethiopia between 2013 and 2015.ParticipantsThe randomised controlled trial included 6770 households in 64 villages.InterventionsUBL is an intervention delivered within the context of the Ethiopian coffee ceremony, a culturally established forum for community discussion, and designed to assist participants to build skills for healthy, non-violent, equitable relationships.Primary and secondary outcome measuresThis paper reports on the unit cost and cost-effectiveness of the interventions implemented. Cost-effectiveness is measured as the cost per case of past-year physical and/or sexual IPV averted.ResultsThe estimated annualised cost of developing and implementing UBL was 2015 US$296 772, or approximately 2015 US$74 per individual directly participating in the intervention and 2015 US$5 per person annually for each community-level beneficiary (woman of reproductive age in intervention communities). The estimated cost per case of past-year physical and/or sexual IPV averted was 2015 US$2726 for the sample of direct beneficiaries, and 2015 US$194 for the sample of all community-level beneficiaries.ConclusionsUBL is an effective and cost-effective intervention for the prevention of IPV in a low and middle-income country setting. Further research should explore strategies to quantify the positive effects of the intervention across other domains.Trial registration numberNCT02311699 (ClinicalTrials.gov); AEARCTR-0000211 (AEA Registry)

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