Author:
Arora Sanjida,Rege Sangeeta,Bhate-Deosthali Padma,Thwin Soe Soe,Amin Avni,García-Moreno Claudia,Meyer Sarah R.
Abstract
Abstract
Background
Violence against women is a serious public health concern, and is highly prevalent globally, including in India. Health-care providers [HCPs] can play an important role in addressing and reducing negative consequences of violence against women. We implemented a pre-post intervention study of HCP training in three tertiary care facilities in Maharashtra, India.
Methods
The study used a pre-post intervention design with assessment of HCPs’ (n = 201) knowledge, attitudes, perceived preparedness and practice at three time points: before training, after training and at 6 months follow- up.
Results
Total median score of knowledge about common signs and symptoms of violence (8.89 vs, 10.00), attitudes towards acceptability of violence (9.05 vs. 10.00), individual (6.74 vs. 10.00) and system level preparedness (6.11 vs. 8.14) improved from pre to post- training. The generalized estimating equation [GEE] model, adjusted for age, sex, site and department, showed an improvement in knowledge, attitudes and preparedness post- training. The change from pre to 6 months follow- up was not significant for attitude.
Conclusions
This package of interventions, including training of HCPs, improved HCPs’ knowledge, attitudes and practices, yet changes in attitudes and preparedness did not sustain over time. This study indicates feasibility and positive influence of a multi-component intervention to improve HCP readiness to respond to violence against women in a low-resource setting. Future phases of intervention development include adapting this intervention package for primary and secondary health facilities in this context, and future research should assess these interventions using a rigorous experimental design. Finally, these results can be used to advocate for multi-layered, systems-based approaches to strengthening health response to violence against women.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference51 articles.
1. Violence against women prevalence estimates, 2018: Global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. Geneva: World Health Organization; 2021.
2. Sanz-Barbero B, Barón N, Vives-Cases C. Prevalence, associated factors and health impact of intimate partner violence against women in different life stages. PLoS One. 2019;14(10):e0221049. https://doi.org/10.1371/journal.pone.0221049.
3. Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C. Intimate partner violence and women’s physical and mental health in the WHO multi-country study on women’s health and domestic violence: an observational study. Lancet. 2008;371(9619):1165–72. https://doi.org/10.1016/S0140-6736(08)60522-X.
4. Valladares E, Ellsberg M, Peña R, Högberg U, Persson LA. Physical partner abuse during pregnancy: a risk factor for low birth weight in Nicaragua. Obstet Gynecol. 2002;100(4):700–5. https://doi.org/10.1016/s0029-7844(02)02093-8.
5. Pallitto CC, García-Moreno C, Jansen HAFM, Heise L, Ellsberg M, Watts C, et al. Intimate partner violence, abortion, and unintended pregnancy: results from the WHO multi-country study on Women’s health and domestic violence. Int J Gynaecol Obstet. 2013;120(1):3–9. https://doi.org/10.1016/j.ijgo.2012.07.003.
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