Paramedic-conducted Mental Health Counselling for Abused Women in Rural Bangladesh: An Evaluation from the Perspective of Participants

Naved, Ruchira Tabassum; Rimi, Nadia Ali; Jahan, Shamshad; Lindmark, Gunilla

doi:10.3329/jhpn.v27i4.3391

Cited by 26 publications

(39 citation statements)

References 38 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, possible effects of dowry demands and/or microfinance plans on IPV are not explored here. Nonetheless, a recent study reports that dowry is uncommon among educated women in Bangladesh 31. Other mechanisms linking microfinance with IPV are more likely to explain these association patterns.…”

Section: Discussionmentioning

confidence: 95%

Interactions between microfinance programmes and non-economic empowerment of women associated with intimate partner violence in Bangladesh: a cross-sectional study

2013

View full text Add to dashboard Cite

ObjectiveThis study aims to examine the associations between microfinance programme membership and intimate partner violence (IPV) in different socioeconomic strata of a nationally representative sample of women in Bangladesh.MethodsThe cross-sectional study was based on a nationally representative interview survey of 11 178 ever-married women of reproductive age (15–49 years). A total of 4465 women who answered the IPV-related questions were analysed separately using χ2 tests and Cramer's V as a measure of effect size to identify the differences in proportions of exposure to IPV with regard to microfinance programme membership, and demographic variables and interactions between microfinance programme membership and factors related to non-economic empowerment were considered.ResultsOnly 39% of women were members of microfinance programmes. The prevalence of a history of IPV was 48% for moderate physical violence, 16% for severe physical violence and 16% for sexual violence. For women with secondary or higher education, and women at the two wealthiest levels of the wealth index, microfinance programme membership increased the exposure to IPV two and three times, respectively. The least educated and poorest groups showed no change in exposure to IPV associated with microfinance programmes. The educated women who were more equal with their spouses in their family relationships by participating in decision-making increased their exposure to IPV by membership in microfinance programmes.ConclusionsMicrofinance plans are associated with an increased exposure to IPV among educated and empowered women in Bangladesh. Microfinance firms should consider providing information about the associations between microfinance and IPV to the women belonging to the risk groups.

show abstract

Section: Discussionmentioning

confidence: 95%

Interactions between microfinance programmes and non-economic empowerment of women associated with intimate partner violence in Bangladesh: a cross-sectional study

2013

View full text Add to dashboard Cite

show abstract

“…Programs incorporating mental health into primary care are rare in South Asia. However, one study [50] details an intervention where counseling is integrated into women's health services and finds that women are not only receptive to the counseling, but that the counseling is effective in reducing emotional distress.…”

Section: Discussionmentioning

confidence: 99%

An Approach to Mental Health in Low- and Middle-Income Countries: A Case Example from Urban India

Maitra

Brault

Schensul

et al. 2015

International Journal of Mental Health

View full text Add to dashboard Cite

Women in low and middle income countries (LMICs) facing poverty, challenging living conditions and gender inequality often express their emotional difficulties through physical health concerns and seek care at primary health facilities. However, primary care providers in LMICs only treat the physical health symptoms and lack appropriate services to address women's mental health problems. This paper, presents data from the counseling component of a multilevel, research and intervention project in a low income community in Mumbai, India whose objective was to improve sexual health and reduce HIV/STI risk among married women. Qualitative data from counselor notes shows that poor mental health, associated with negative and challenging life situations, is most often expressed by women as gynecological concerns through the culturally-based syndrome of tenshun. A path analysis was conducted on baseline quantitative data that confirmed the relationships between sources of tenshum, emotional status and symptoms of common mental disorders (CMDs). Based on these findings, the authors propose a need for culturally appropriate primary care services for LMICs that would integrate mental and physical health. This approach would reduce mental health morbidity among women through early intervention and prevention of the development of CMDs.

show abstract

“…Female paramedics received training on data collection regarding violence against women and emotional distress, and they conducted the interviews in private upon receipt of informed consent. As described in a previous paper by Naved et al [36] a woman who reported physical or sexual violence or suicidal ideation or attempt was offered mental health counselling. Strict confidentiality of each participant’s information was maintained while handling the data.…”

Section: Methodsmentioning

confidence: 99%

Experiencing Lifetime Domestic Violence: Associations with Mental Health and Stress among Pregnant Women in Rural Bangladesh: The MINIMat Randomized Trial

et al. 2016

View full text Add to dashboard Cite

BackgroundExperience of domestic violence has negative mental health consequences for women. The association of cumulative and specific forms of domestic violence, particularly emotional violence and controlling behavior, with common mental disorders and stress has rarely been studied in pregnant women. The aim of this study is to evaluate associations of specific and multiple forms of lifetime domestic violence and controlling behavior with distress and cortisol level during pregnancy in rural Bangladeshi women.Methods and findingsIn this observational sub-study of larger MINIMat trial, 3504 pregnant women were interviewed using a shortened Conflict Tactic Scale about their lifetime experience of domestic violence including physical, sexual, emotional domestic violence and controlling behavior. Women’s levels of emotional distress were assessed using the self-reported questionnaire (SRQ-20) developed by WHO, and levels of morning salivary cortisol were measured in a subsample (n = 1300) of women during week 28–32 of pregnancy. Regression analyses were used to estimate the associations of lifetime physical, sexual, emotional domestic violence and controlling behavior with levels of distress and cortisol during pregnancy. The prevalence of lifetime domestic violence was 57% and emotional distress was 35% in these pregnant women. All forms of domestic violence were associated with higher levels of emotional distress. Women who experienced either emotional violence or controlling behavior had the highest levels of emotional distress. There was a dose-response relationship between cumulative number of the different forms of domestic violence and women’s levels of emotional distress. There was no association between women’s experience of domestic violence and level of morning salivary cortisol.ConclusionIncluding emotional violence and controlling behavior as major types of violence in future research and health interventions is warranted. Furthermore, the extent of the negative impacts of domestic violence on pregnant women, multiple forms of violence and their cumulative effects need to be investigated.

show abstract

Paramedic-conducted Mental Health Counselling for Abused Women in Rural Bangladesh: An Evaluation from the Perspective of Participants

Cited by 26 publications

References 38 publications

Interactions between microfinance programmes and non-economic empowerment of women associated with intimate partner violence in Bangladesh: a cross-sectional study

Interactions between microfinance programmes and non-economic empowerment of women associated with intimate partner violence in Bangladesh: a cross-sectional study

An Approach to Mental Health in Low- and Middle-Income Countries: A Case Example from Urban India

Experiencing Lifetime Domestic Violence: Associations with Mental Health and Stress among Pregnant Women in Rural Bangladesh: The MINIMat Randomized Trial

Contact Info

Product

Resources

About