Intimate partner violence among pregnant women in Uganda

Epuitai, Joshua; Udho, Samson; Auma, Anna Grace; Nabirye, Rose Chalo

doi:10.12968/ajmw.2018.0027

Cited by 9 publications

(23 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Intimate partner violence (40.6%) among pregnant teenagers in two health units in Lira district, northern Uganda is higher than the national prevalence (27.8%) among pregnant women (Epuitai et al, 2019) and the global prevalence of 30% among women in the general population (Jewkes et al, 2017). However, the prevalence of intimate partner violence in this study was lower (40.6%) compared to findings reported by several other studies.…”

Section: Discussioncontrasting

confidence: 84%

“…The Kish Leslie formula was used to calculate the sample size (Straus, 2004). An intimate partner violence prevalence of 27.8% among pregnant women in Eastern Uganda, as reported by Epuitai et al (2019), was used for sample size estimation, assuming 80% power and 95% confidence intervals. This gave a sample size of 310 women.…”

Section: Population and Samplingmentioning

confidence: 99%

“…Violence against women, especially intimate partner violence, is a major public health concern, with a global estimate of one in three women experiencing either physical and/or sexual violence in their lifetime (García-Moreno et al, 2013). In sub-Saharan Africa, the prevalence of intimate partner violence during pregnancy remains high at 35%, while in Uganda, a study in 2019 found the prevalence of intimate partner violence among pregnant women was 27.8% (Shamu et al, 2013;Epuitai et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Auma

Ayebare

Olwit

et al. 2020

African Journal of Midwifery and Women's Health

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Section: Discussioncontrasting

confidence: 84%

Section: Population and Samplingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Auma

Ayebare

Olwit

et al. 2020

African Journal of Midwifery and Women's Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…In Nigeria, a study reported a 20% decrease in overall IPV prevalence (0.8%) during the first 6 weeks postpartum compared to the time during pregnancy (20.8%). Further four studies reported prevalence estimates of IPV during pregnancy and postpartum without providing any comparable estimates before and after childbirth ( 46 , 61 , 70 , 106 ) ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Only six studies investigated bidirectionality of IPV. In the studies focused on bidirectional IPV, two of these studies were during pregnancy ( 37 , 89 ), one study was during the postpartum period ( 46 ), and three studies were during both pregnancy and the postpartum period ( 42 , 58 , 66 ) ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Intimate Partner Violence Among Intimate Partners During the Perinatal Period: A Narrative Literature Review

et al. 2021

View full text Add to dashboard Cite

Intimate partner violence (IPV) affects individuals and families from all backgrounds, regardless of their ethnicity, socio-economic status, sexual orientation, or religion. Pregnancy and childbirth could be a time of vulnerability to violence because of changes in physical, emotional, social, and economic demands and needs. Prevalence of IPV against women during the perinatal period is increasingly researched and documented. However, evidence on IPV prevalence among intimate partners as well as on the course of IPV over the perinatal period is scarce. The purpose of this review was to provide a narrative synthesis of the existing literature regarding the prevalence estimates of IPV among intimate partners over the perinatal period. Through this review, we also gained better insight into associated factors, as well as the various forms of IPV. Of the 766 studies assessing prevalence estimates identified, 86 were included, where 80 studies focused on unidirectional IPV (i.e., perpetrated by men against women) and six studies investigated bidirectional IPV (i.e., IPV perpetrated by both partners). Most of the included studies reported lower overall prevalence rates for unidirectional IPV postpartum (range: 2–58%) compared to pregnancy (range: 1.5–66.9%). Psychological violence was found to be the most prevalent form of violence during the entire perinatal period. Studies on bidirectional IPV mostly reported women's perpetration to be almost as high as that of their partner or even higher, yet their findings need to be interpreted with caution. In addition, our results also highlighted the associated factors of IPV among partners, in which they were assimilated into a multi-level ecological model and were analyzed through an intersectional framework. Based on our findings, IPV is found to be highly prevalent during the entire perinatal period and in populations suffering from social inequalities. Further research exploring not only the occurrence, but also the motivations and the context of the bidirectionality of IPV during the perinatal period may facilitate better understanding of the detrimental consequences on partners and their families, as well as the development of effective intervention strategies. Public health prevention approaches intervening at optimal times during the perinatal period are also needed.

show abstract

“He stepped on my belly” An exploration of Intimate Partner Violence Experience and Coping Strategies among Pregnant Women in Southwestern-Uganda

Katushabe,

Ndinawe,

Editor

et al. 2023

Preprint

View full text Add to dashboard Cite

Intimate Partner Violence (IPV) associated with pregnancy remains a challenge globally and in the Ugandan context. However, literature on IPV experiences, support seeking and coping strategies during pregnancy remains limited in Uganda. This study explored the pregnant women’s IPV experiences, support seeking and coping strategies in Southwestern Uganda. Pregnant women with IPV experience during the index pregnancy were purposively approached for in-depth interviews and saturation of data was reached at 25 respondents. Data was analyzed inductively using thematic analysis. Women voiced experiences of IPV that included partners: spending nights away from home without any communication, refusal of accompaniment for antenatal care contacts, uncomfortable sexual intercourse positions, forced sexual intercourse, being slapped, punched, and kicked, failure to pay bills like rent, children’s school fees, transport money to seek medical care and food. Women preferred sharing IPV experiences with their biological mothers to midwives or any other person and some kept it to themselves. The main support given by their support systems was encouraging the victims to try and maintain their marriage and keeping quiet when the partner starts quarreling. Women coped by confiding in their relatives, keeping silent, self-consolation, tolerance of the perpetrator since they financially depended on them, distracting bad thoughts through thinking about good things like friends, self-blame and praying to God. Pregnant women did not understand the role of midwives in IPV nor did the midwives’ inquire about the IPV experience during Antenatal care contacts. The findings of this study point to the need for the Health system to incorporate a user friendly IPV screening tool onto the ANC card to enhance routine IPV screening by midwives and recruit counselors and peer supporters to assist midwives in providing individualized psychological support.

show abstract

Intimate partner violence among pregnant women in Uganda

Cited by 9 publications

References 17 publications

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

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

Prevalence of Intimate Partner Violence Among Intimate Partners During the Perinatal Period: A Narrative Literature Review

“He stepped on my belly” An exploration of Intimate Partner Violence Experience and Coping Strategies among Pregnant Women in Southwestern-Uganda

Contact Info

Product

Resources

About