The Health Needs of Women with Experiences of Intimate Partner Violence Living in Urban Slums in Kampala, Uganda

Shumba, Constance; Mathibe-Neke, Johanna Mmabojalwa; Dolamo, Bethabile Lovely

doi:10.25159/2520-5293/826

Cited by 3 publications

(6 citation statements)

References 14 publications

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“…For example, several studies predicted that after lifting 'stay at home' directives, effective implementation of public health responses towards COVID-19 such as consistent and correct face mask use, [19], and effective implementation of social distancing measures [20] could interrupt COVID-19 transmission. However, some unintended effects to at-risk sub-populations such as those under chronic medical care like HIV treatment, urban poor and women were anticipated including gendered effects of IPV on poor healthcare service delivery [21]. Considerable concerns and scepticism grew over what the population-level effects of COVID-19 prevention strategies and policies would have such as increasing violence against women and girls [22].…”

Section: Introductionmentioning

confidence: 99%

Adherence to COVID-19 preventive measures and its association with intimate partner violence among women in informal settings of Kampala, Uganda

Anguzu

Kabagenyi

Cassidy

et al. 2022

PLOS Glob Public Health

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Cases of coronavirus disease 2019 (COVID-19) detected, and COVID-19 associated mortality increased since the first case was confirmed in Uganda. While adherence to WHO-recommended measures to disrupt COVID-19 transmission has since been implemented, it has been reported to be sub-optimal. An increase in intimate partner violence (IPV) cases was linked to enforcement of COVID-19 lockdowns and other preventive measures especially in informal settings of Kampala. We determined the association between adherence to COVID-19 preventive measures and intimate partner violence among women dwelling in informal settings in Kampala, Uganda. Between July and October 2020, we conducted a three-month prospective cohort study of 148 women living in informal settlements of Kampala during the COVID-19 lockdown and easing of restrictive measures. Participants were surveyed at baseline, at 3-weeks and 6-weeks (endline). The dependent variable was adherence to COVID-19 preventive measures (remained adherent vs poorly adherent) between baseline and endline surveys. This composite outcome variable was computed from implementing all four variables: social distancing, wearing face masks, frequent hand washing and use of hand sanitizers at baseline and endline surveys. The key independent variable was IPV measured as experiencing at least one form of physical, emotional, or sexual IPV. Covariates were age, education, marital status, household size, occupation, and having problems getting food. Adjusted logistic regression analyses tested the independent association between adherence to COVID-19 preventive measures and intimate partner violence. Among 148 respondents, the mean age (SD) was 32.9 (9.3) years, 58.1% were exposed to at least one form of IPV, and 78.2% had problems getting food. Overall, 10.1% were poorly adherent to COVID-19 preventive measures during the first COVID-19 wave. After controlling for potential confounders, remaining adherent to COVID-19 preventive measures were more likely to experience intimate partner violence when compared to women who were poorly adherent to COVID-19 preventive measures during the first COVID-19 wave in Uganda [OR 3.87 95%CI (1.09, 13.79)]. Proportions of women in informal settlements of Kampala experiencing at least one form of IPV during the first COVID-19 wave is substantial. Remaining adherent to preventive measures for COVID-19 transmission may increase IPV exposure risk among women living in informal settlements in Kampala. Contextualizing COVID-19 interventions to the needs of marginalized and vulnerable women and girls in informal settings of Kampala is warranted. Processes to integrated violence prevention and response strategies into the Uganda COVID-19 prevention strategy are underscored.

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Section: Introductionmentioning

confidence: 99%

Adherence to COVID-19 preventive measures and its association with intimate partner violence among women in informal settings of Kampala, Uganda

Anguzu

Kabagenyi

Cassidy

et al. 2022

PLOS Glob Public Health

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“…Societal views of women were seen as a common cause of the violence itself and of the reluctance among survivors to seek help (Gatuguta et al, 2018;Kilonzo et al, 2003;Munala et al, 2020;Shumba et al, 2017). Patriarchal communities were explained as a common cause of violence throughout the region, although perhaps because the papers were not about preventing violence but rather addressing the side effects of it little was said about what could be done to address the patriarchal ideologies that made SGBV acceptable (Amnesty International, 2010; Kilonzo et al, 2003;Liebling et al, 2020aLiebling et al, , 2020bManuel et al, 2019;McCleary-Sills et al, 2013;Munala et al, 2020;Odero et al, 2014;Tapesana et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…IPV was the second most frequently occurring type of violence found in the included papers. It was variously defined, such as "a form of interpersonal violence by a spouse or life partner" (e.g., Shumba et al, 2017) "violence committed against a woman by her current or former spouse or boyfriend" (e.g., Horn, 2010), "violence committed in a present or past relationship." (e.g., Manuel et al, 2019).…”

Section: Intimate Partner Violencementioning

confidence: 99%

“…IPV was the second most frequently occurring type of violence found in the included papers. It was variously defined, such as “a form of interpersonal violence by a spouse or life partner” (e.g., Shumba et al, 2017 ) “violence committed against a woman by her current or former spouse or boyfriend” (e.g., Horn, 2010 ), “violence committed in a present or past relationship.” (e.g., Manuel et al, 2019 ). The primary data collection method for understanding medical and legal service provision for IPV survivors was qualitative interviewing, although two studies distributed surveys to medical students, nurses, and midwives ( Ambikile et al, 2021 ; Manuel et al, 2019 ).…”

Section: Medical and Legal Service Provision Across East Africamentioning

confidence: 99%

“…Manuel et al, 2019;Nguyen et al, 2016;Odero et al, 2014;Shumba et al, 2017;Undie et al, 2016). Unlike rape, there were no interventions studied in the IPV papers.…”

mentioning

confidence: 99%

See 2 more Smart Citations

A Scoping Review on Sexual and Gender-Based Violence Medicolegal Service Provision in East Africa

Rockowitz

Flowe

Bradbury‐Jones

2022

Trauma, Violence, & Abuse

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Sexual and gender-based violence (SGBV) is a leading cause of physical, emotional, and psychosocial problems around the world, with many countries in East Africa having rates above the global average. Despite the high prevalence in the region, service provision for post-SGBV care is often poorly funded, difficult to access, or simply nonexistent. This review reports the findings of a scoping review of literature from East Africa. The goals of this research were to evaluate existing service provision practices throughout the region, understand how provider bias may affect service provision, and compare existing practices to national policies and internationally agreed human rights treaties. This review identified 54 academic papers and reports through a search of electronic databases and grey literature sources, and four main themes emerged: (1) current models of service provision are inadequate to address the medical and psychosocial needs of survivors; (2) countries are not providing sufficient funding for services; (3) further research is needed into how to incorporate SGBV care into existing health systems and align with international human rights treaties; and (4) there is limited research in many countries in East Africa. The findings are likely to be of use to policy makers, nongovernmental organizations, and service providers working in the medical, legal, and justice systems.

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Drawing a Line between Hope and Accountability: Midwives’ Response to a “Psychosocial Antenatal Care” Pilot Project in Gauteng, South Africa

Mathibe-Neke

Makobe²

2020

AJNM

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Psychosocial care during pregnancy is embedded in women-centred care, and the improvement of quality care based on compassion has become a top priority for healthcare providers. Compassion is a deep feeling of connecting to human beings’ suffering, a moral response that leads to patient care with comfort. Such caring is skilful and worthy, respects the dignity of individuals and is intertwined with professional competency. The purpose of the pilot project was to raise the midwives’ awareness of the importance of psychosocial care during pregnancy, to assess the use of the psychosocial assessment tool, to fill the gap between routine physical antenatal care and psychosocial care, and to enhance the use of psychosocial services. An exploratory and descriptive study design was applied. The study population consisted of 34 midwives who participated in the implementation of the assessment tool in the 12 participating health facilities in Gauteng, South Africa. The data collection was conducted in two phases. Phase 1 consisted of a self-administered questionnaire to establish competency when using the assessment tool. Phase 2 consisted of focus group discussions. The four main themes that emerged were the importance of psychosocial risk assessments, experiences of the implementation of the assessment tool, challenges and barriers, and identified risk factors. The results reflected the midwives’ ability and willingness to implement the tool as part of their accountability, despite the challenges experienced. Moreover, the midwives hoped that the tool will be incorporated as part of routine antenatal care.

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The Health Needs of Women with Experiences of Intimate Partner Violence Living in Urban Slums in Kampala, Uganda

Cited by 3 publications

References 14 publications

Adherence to COVID-19 preventive measures and its association with intimate partner violence among women in informal settings of Kampala, Uganda

Adherence to COVID-19 preventive measures and its association with intimate partner violence among women in informal settings of Kampala, Uganda

A Scoping Review on Sexual and Gender-Based Violence Medicolegal Service Provision in East Africa

Drawing a Line between Hope and Accountability: Midwives’ Response to a “Psychosocial Antenatal Care” Pilot Project in Gauteng, South Africa

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