Intimate partner violence and unmet need for family planning among currently married Afghan women aged 18-49 years: findings from a nationally representative survey in Afghanistan

Abstract

AbstractBackgroundIntimate Partner Violence (IPV) is a serious public health issue, particularly in poor-resourced countries. It has been linked to a range of adverse health outcomes. In this study, we explored the prevalence and the relationship between the IPV and unmet need for family planning and identified the associated sociodemographic factors among a nationally representative sample of married Afghan women aged 18-49 years in Afghanistan.MethodsThis study used the data from Afghanistan Demographic and Health Survey (DHS) conducted in 2015. The data for IPV, unmet need for family planning, and sociodemographic characteristics of Afghan women aged 18-24 were extracted from the available databases. Sampling weights and survey design were accounted for in bivariate and multivariate analyses using the STATA software version 14. The significant alpha level was determined at p-value < .05ResultsMore than half of the study population, with a prevalence of 55.89%, experienced some types of intimate partner violence during the last 12 months. Unmet need for family planning was documented in less than a third of the population. Illiterate employed women from poorer families who were living in the rural areas were more likely to suffer from any type of IPV. Moreover, those from Pashtun (OR = 2.12, 95% CI:1.30-3.45), Tajik (OR = 1.69, 95% CI:1.06-2.71), and Pashai (OR = 2.23, 95% CI:1.17-4.26) ethnic groups had a higher chance of being a victim of any type of violence compared to the reference group (Turkmen). Illiterate women (OR = 1.37, 95% CI:1.02-1.83) with more than 5 pregnancy experiences (OR = 1.44, 95% CI: 1.19-1.74) had more unmet needs for family planning compared to the reference group. The unmet needs were almost 40% and 30% less likely to be observed among women from Pashtun and Tajik ethnic backgrounds compared to the reference group (Turkmen), respectively. The likelihood of having unmet needs was 30% less in those women who suffered from any type of violence.ConclusionIPV is an important predictor of several adverse health outcomes. The findings of present study portray the disastrous situation of Afghan women right violation and violence against them in a conflict setting in one the poor-resourced countries in the world and communicate an important message to the international communities and human right advocate to take immediate actions to mitigate the current situation and prevent the violence against Afghan women to improve the integrity of their reproductive health.