Prevalence and correlates of intimate partner violence, before and during pregnancy among attendees of maternal and child health services, Enugu, Nigeria: mixed method approach, January 2015.

Charity Chinyere Ezeudu,Ndadilnasiya Endie Waziri,Olufunmilayo Ibitola Fawole,Ibrahim Saude,Elizabeth Adedire,Peter Nsubuga,Abisola Oladimeji,Onoja Akpa,Patrick Nguku

doi:10.11604/pamj.supp.2019.32.1.13287

Charity Chinyere Ezeudu, Ndadilnasiya Endie Waziri + Show 7 more

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https://doi.org/10.11604/pamj.supp.2019.32.1.13287

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Journal: The Pan African Medical Journal	Publication Date: Jan 1, 2019
Citations: 12	License type: cc-by

Abstract

IntroductionIntimate Partner Violence (IPV) is an under-reported public health problem. This study determined the prevalence of IPV and types of IPV, complications and factors associated with IPV among women accessing health services.Methodswe conducted a cross-sectional survey of 702 women accessing maternal and child health services in Enugu State, Nigeria using multi-stage sampling technique. Quantitative data was collected using semi-structured questionnaire, qualitative data by key informant interview (KII). We analysed data using descriptive statistics, bivariate and multivariate logistic regression analysis. The level of statistical significance was set at p-value < 0.05. Qualitative data was analysed using thematic content analysis.Resultsmean age of respondents was 27.71 ± 5.14 years and 654 (93.2%) were married. Prevalence of IPV, a year before last pregnancy, was 307 (43.7%) and during last pregnancy was 261 (37.2%). Frequent involvement in physical fights with other men, controlling behaviour and younger aged partners (< 40 years) were independent predictors of IPV experience both before and during pregnancy. Independent predictors of IPV experience before and during pregnancy were younger aged partners (< 40 years). [Adjusted Odds Ratio AOR 1.72; 95% confidence interval (CI) = 1.17, 2.53], partner having controlling behaviour AOR 2.24; 95% C.I=1.51-3.32) and Partner's frequent involvement in physical fights (AOR 2.29; 95% C.I = 1.43-3.66). Having a male child and married/cohabiting were protective against violence. KII revealed poverty, lack of education and infidelity as common triggers of IPV.Conclusionthe prevalence of IPV and types of IPV was high and the predisposing factors of IPV in Enugu were multifactorial. Couple counselling sessions that focus on non-violence conflict resolution techniques is crucial to end IPV.

Highlights

Intimate Partner Violence (IPV) is an under-reported public health problem
Based on the Demographic and Health Survey (DHS) report, women residing in Enugu State had the highest proportion (47.4%) of emotional intimate partner violence among the women in the South East zone and the fourth highest among the 36 states of Nigeria [4]
Table 1: socio-demographic characteristics of respondents interviewed on the predictors of intimate partner violence in Enugu

Summary

Introduction

Intimate Partner Violence (IPV) is an under-reported public health problem. A report by the London School of Hygiene and Tropical Medicine documented that 35% of women worldwide have experienced physical and sexual intimate partner violence (IPV) [3]. The 2013 Nigeria Demographic and Health Survey (DHS) revealed that 25% of women had experienced emotional, physical, or sexual violence from their spouse and 19% had experienced one or more of these forms of violence in the past 12 months [4]. Based on the DHS report, women residing in Enugu State had the highest proportion (47.4%) of emotional intimate partner violence among the women in the South East zone and the fourth highest among the 36 states of Nigeria [4]

Results

Discussion

Conclusion