Prevalence and Characteristics of Intimate Partner Violence (IPV) Among Pregnant Women Seeking Antenatal Care, Solomon Islands (2016)

Background: Intimate partner violence is a global phenomenon with 30% of women having faced physical or sexual violence by a partner in their lifetime. Rural women with poor access to health services and counselling, often suffer in silence. Intimate partner violence during pregnancy has a negative effect on maternal and foetal outcomes. The aims of the study were to estimate the prevalence of intimate partner violence among pregnant women availing antenatal care services in a rural area of South India in current pregnancy and in the past 12 months, and to study the various socio-demographic factors associated with intimate partner violence.Methods: A cross sectional study was done among antenatal women availing services at a rural maternity hospital, using a questionnaire based on NFHS-3, to document physical, emotional and sexual domains of intimate partner violence.Results: Among 150 pregnant women aged 18-29 years, the prevalence of any form of intimate partner violence was 30.7% in the past 12 months before pregnancy (physical 10.7%, sexual 2%, and emotional 26%), and 2.7%. in current pregnancy. Lower educational status of husband and wife, history of alcohol consumption, tobacco usage and unplanned pregnancy were all significantly associated with increased intimate partner violence.Conclusions: Routine antenatal care provides an opportunity to screen women for intimate partner violence, especially those with risk factors like lower level of education, unplanned pregnancy as well as alcohol and tobacco consumption by the husband, which were found to be significantly associated with intimate partner violence in our study.

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Intimate partner violence and associated factors among pregnant women attending antenatal care service in Debre Markos town health facilities, Northwest Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0218722 ◽

2019 ◽

Vol 14 (7) ◽

pp. e0218722 ◽

Cited By ~ 4

Author(s):

Zelalem Nigussie Azene ◽

Hedija Yenus Yeshita ◽

Fantahun Ayenew Mekonnen

Keyword(s):

Intimate Partner Violence ◽

Antenatal Care ◽

Pregnant Women ◽

Partner Violence ◽

Associated Factors ◽

Care Service ◽

Intimate Partner ◽

Northwest Ethiopia ◽

Health Facilities ◽

Debre Markos

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Willing but Not Able: Patient and Provider Receptiveness to Addressing Intimate Partner Violence in Johannesburg Antenatal Clinics

Journal of Interpersonal Violence ◽

10.1177/0886260516651094 ◽

2016 ◽

Vol 34 (7) ◽

pp. 1331-1356 ◽

Cited By ~ 9

Author(s):

Abigail M. Hatcher ◽

Nataly Woollett ◽

Christina C. Pallitto ◽

Keneoue Mokoatle ◽

Heidi Stöckl ◽

...

Keyword(s):

Health Care ◽

Intimate Partner Violence ◽

Antenatal Care ◽

Pregnant Women ◽

South African ◽

Partner Violence ◽

Intimate Partner ◽

Team Approach ◽

Health Providers ◽

Referral Systems

Intimate partner violence (IPV) during pregnancy is associated with maternal and infant health. However, in South Africa, where 20% to 35% of pregnant women report experiencing IPV, antenatal care rarely addresses violence. Little research has explored how clinic staff, community members, or pregnant women themselves view IPV. We conducted formative, qualitative research with 48 participants in urban Johannesburg. Focus group discussions with pregnant women ( n = 13) alongside qualitative interviews with health providers ( n = 10), managers and researchers ( n = 10), non-governmental organizations ( n = 6), community leaders ( n = 4), and pregnant abused women ( n = 5) explored the context of IPV and health care response. Data were analyzed using a team approach to thematic coding in NVivo 10. We found that pregnant women in the urban Johannesburg setting experience multiple forms of IPV, but tend not to disclose violence to antenatal care providers. Providers are alert to physical injuries or severe outcomes from IPV, but miss subtler cues, such as emotional distress or signs of poor mental health. Providers are uncertain how to respond to IPV, and noted few existing tools, training, or referral systems. Nevertheless, providers were supportive of addressing IPV, as they noted this as a common condition in this setting. Providers and managers considered the safety and well-being of mother and infant to be a strong rationale for the identification of IPV. Pregnant women were receptive to being asked about violence in a kind and confidential way. Understaffing, insufficient training, and poorly developed referral systems were noted as important health system problems to address in future interventions. South African patients and providers are receptive to the identification of and response to IPV in antenatal care, but require tools and training to be able to safely address violence in the health care setting. Future interventions should consider the urban South African antenatal clinic a supportive, if under-resourced, entry point for improving the health of pregnant women experiencing violence.

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The Association Between Intimate Partner Violence and Signs of Depression During Pregnancy in Kilimanjaro Region, Northern Tanzania

Journal of Interpersonal Violence ◽

10.1177/0886260517724256 ◽

2017 ◽

Vol 35 (23-24) ◽

pp. 5797-5811 ◽

Cited By ~ 4

Author(s):

Rachel Manongi ◽

Jane Rogathi ◽

Geofrey Sigalla ◽

Declare Mushi ◽

Vibeke Rasch ◽

...

Keyword(s):

Intimate Partner Violence ◽

Antenatal Care ◽

Pregnant Women ◽

Partner Violence ◽

Physical Violence ◽

Previous History ◽

Intimate Partner ◽

Urban Setting ◽

World Health ◽

Northern Tanzania

Intimate partner violence (IPV) against pregnant women is common with severe health consequences to women and their babies. The aim of the present study is to measure the association between IPV and signs of depression among pregnant women attending antenatal care in a semi-urban setting in northern Tanzania. A cross-sectional study was conducted from March 1, 2014, to May 30, 2015, among pregnant women attending routine antenatal care in Moshi Municipality, Tanzania. During their third trimester, self-reported exposure to IPV was assessed using a validated structured questionnaire adopted from the World Health Organization’s (WHO) Multi-Country Study on Women’s Health and Domestic Violence. Signs of depression were assessed using Edinburg Postpartum Depression Scale. A total of 1,116 pregnant women were included in the analysis. A total number of 433 (38.8%) reported to be exposed to at least one type of violence during their pregnancy, and 128 (11.5%) presented with signs of depression. The most common type of violence experienced was emotional violence (30.7%), followed by sexual violence (19.0%) and physical violence (10.0%). Exposure to at least one type of violence was the strongest predictor for depression (adjusted odds ratio [AOR] = 5.06; 95% confidence interval [CI] = [3.25, 7.86]), followed by women who reported their primary source of emotional support was individuals not related to their family as compared with support obtained from their male partner/husband (AOR = 2.25; 95% CI = [1.26, 4.02]). Positive HIV/AIDS status (AOR = 2.27; 95% CI = [1.01, 5.14]) and previous history of depression (AOR = 1.62; 95% CI = [1.00, 2.64]). After adjusting for other predictors and types of violence, physical violence was the strongest predictor for signs of depression (AOR = 4.42; 95% CI = [2.65, 7.37]). Signs of depression were commonly observed among pregnant women and strongly associated with exposure to any type of IPV. The present findings indicate an urgent need for screening depression and IPV to mitigate the adverse health outcomes related to both IPV and depression during pregnancy.

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Intimate partner violence among pregnant women attending antenatal care services in the rural Gambia

PLoS ONE ◽

10.1371/journal.pone.0255723 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0255723

Author(s):

Joseph W. Jatta ◽

Ararso Baru ◽

Olufunmilayo I. Fawole ◽

Oladosu A. Ojengbede

Keyword(s):

Intimate Partner Violence ◽

Logistic Regression ◽

Antenatal Care ◽

Pregnant Women ◽

Partner Violence ◽

Intimate Partner ◽

The Gambia ◽

Premature Delivery ◽

Multivariate Logistic Regression ◽

Care Services

Background Intimate partner violence (IPV) refers to any behavior by either a current or ex-intimate partner or would-be rejected lover that causes physical, sexual, or psychological harm. It is the most common form of violence in women’s lives. According to a World Health Organization report, about 1 in 3 women worldwide experience at least one form of IPV from an intimate partner at some point in her life. In the Gambia, about 62% of pregnant women experience at least one form of violence from an intimate partner. IPV has severe physical and mental health consequences on a woman ranging from minor bodily injury to death. It also increases the risk of low birth weight, premature delivery, and neonatal death. Methods A health facility-based cross-sectional study design was carried out to assess the magnitude and factors associated with intimate partner violence among pregnant women seeking antenatal care in the rural Gambia. The study enrolled 373 pregnant women, and a multi-stage sampling technique was used to select the respondents. An interviewer-administered structured questionnaire was used to obtain information from the study participants. The collected data were analyzed using SPSS Ver.22. Bivariate and multivariate logistic regression were used to determine the association between dependent and independent variables. Odds ratio with 95% confidence interval (CI) was computed to determine the presence and strength of associated factors with IPV. Result The study reveals that the prevalence of IPV in The Gambia is 67%, with psychological violence (43%) being the most common form of IPV reported by the respondents. The multivariate logistic regression result reveals that being aged 35 years or older [AOR 5.1(95% CI 1.5–17.8)], the experience of parents quarreling during childhood [AOR 1.7(95% CI 1.0–2.75)], and having cigarette smoking partners [AOR 2.3 (95% CI 1.10–4.6)] were significantly associated with IPV during pregnancy. Conclusion This study has demonstrated that all forms of IPV in rural Gambia are frequent. Women older than 35 years, had experienced parents quarreling, had a partner who smoked, and a partner who fight with others were more likely report IPV compared to other pregnant women in the study. We recommend that IPV screening should be included as an integral part of routine antenatal care services in The Gambia. Community-based interventions that include indigenous leaders, religious leaders, and other key stakeholders are crucial to create awareness on all forms of IPV and address the risk factors found to influence the occurrence of IPV in rural Gambia.

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Association of Childhood Physical and Sexual Abuse with Intimate Partner Violence, Poor General Health and Depressive Symptoms among Pregnant Women

PLoS ONE ◽

10.1371/journal.pone.0116609 ◽

2015 ◽

Vol 10 (1) ◽

pp. e0116609 ◽

Cited By ~ 70

Author(s):

Yasmin V. Barrios ◽

Bizu Gelaye ◽

Qiuyue Zhong ◽

Christina Nicolaidis ◽

Marta B. Rondon ◽

...

Keyword(s):

Sexual Abuse ◽

Intimate Partner Violence ◽

Depressive Symptoms ◽

Pregnant Women ◽

Partner Violence ◽

General Health ◽

Intimate Partner ◽

Poor General Health ◽

Physical And Sexual Abuse

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Erratum to “Deciding to tell: Qualitative configurational analysis of decisions to disclose experience of intimate partner violence in antenatal care” [Soc. Sci. Med. 154C (2016) 45–53]

Social Science & Medicine ◽

10.1016/j.socscimed.2016.05.041 ◽

2016 ◽

Vol 162 ◽

pp. 227-228

Author(s):

Jo Spangaro ◽

Jane Koziol-McLain ◽

Anthony Zwi ◽

Alison Rutherford ◽

Mary-Anne Frail ◽

...

Keyword(s):

Intimate Partner Violence ◽

Antenatal Care ◽

Partner Violence ◽

Intimate Partner ◽

Configurational Analysis

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Intimate partner violence (IPV): The validity of an IPV screening instrument utilized among pregnant women in Tanzania and Vietnam

PLoS ONE ◽

10.1371/journal.pone.0190856 ◽

2018 ◽

Vol 13 (2) ◽

pp. e0190856 ◽

Cited By ~ 1

Author(s):

Vibeke Rasch ◽

Toan Ngo Van ◽

Hanh Thi Thuy Nguyen ◽

Rachel Manongi ◽

Declare Mushi ◽

...

Keyword(s):

Intimate Partner Violence ◽

Pregnant Women ◽

Partner Violence ◽

Intimate Partner ◽

Screening Instrument

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

10.21203/rs.3.rs-517631/v1 ◽

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.

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