Abuse Of Women Research Articles

Differences in stressful life events between men and women experiencing homelessness.

People experiencing homelessness are particularly vulnerable to experiencing stressful life events (SLEs) at some point in their lives; these SLEs are crucial for understanding the etiology and maintenance of homelessness. This study analyses the differences between men and women experiencing homelessness in the suffering of SLEs throughout their lives (childhood, adolescence, and adulthood). The sample consisted of a group of 293 people experiencing homelessness in Madrid (Spain): 156 men and 137 women. The results suggest that the number and type of SLEs experienced by men and women are different. In general, women experiencing homelessness suffer more SLEs than men in all periods of their lives. The differences in the level of sexual violence in childhood, sexual abuse in adulthood, and abuse by a spouse or partner are particularly striking. However, men experiencing homelessness score significantly higher than women for alcohol abuse, police complaints, arrest, and imprisonment throughout their lives. These findings have significant implications for the design of interventions and social policies that should be tailored to the specific needs of men and women who are homeless.

Reducing Disrespect and Abuse of Women During Antenatal Care and Delivery Services at Injibara General Hospital, Northwest Ethiopia: A Pre-Post Interventional Study.

IntroductionDisrespect and abuse during pregnancy and childbirth continue to be a barrier for the utilization and quality of care in maternal health services. This study was therefore aimed at reducing the disrespect and abuse of mothers during antenatal care and delivery services at Injibara general hospital, northwest Ethiopia.Materials and MethodsA pre–post interventional mixed method design was conducted among a total of 738 randomly selected mothers who attended antenatal care and delivery services from November 1, 2018 to May 20, 2019. To collect the data, exit interview using an interviewer-administered structured questionnaire was used. Provision of training, preparation of standard written guidelines and protocols, waiting room construction, availing screening or curtain, equipment, essential drugs and supplies, supportive supervision and mentoring, and staff motivation were the lists of interventions applied to decrease disrespect and abuse. Descriptive statistics and independent t-test were computed. The independanet t-test is used because the study populations at the baseline and endline were different. A p-value of <0.05 and a mean difference with 95% CI was used to test the significance of the interventions.ResultsThe study revealed that disrespect and abuse during pregnancy and childbirth decreased from 71.8% at baseline to 15.9% at the end-line with a 55.9% change (mean difference: 0.56, 95% CI: 0.55–0.57). Alongside, the magnitude on the subscales of disrespect and abuse (physical abuse, non-consented care, non-confidential care, non-dignified care, discrimination and neglected care) was decreased at post-intervention, compared with the baseline.ConclusionRespectful maternal healthcare after the intervention was significantly improved. The finding suggests that provision of training to healthcare providers, written policies and procedures that describe the responsibilities of healthcare providers in the respectful maternal care process, improving facility infrastructure, availing supplies, regular supportive supervision and mentoring and motivation of high-performance employees have the potential to enhance respectful maternal care. Therefore, incorporating such training into pre-service curricula and in‐service training of healthcare workers may indorse the practice of respectful maternal care.

When Women Abuse Men: What We Now Know About Female Intimate Partner Violence

The abuse of men by women has historically been attributed exclusively as a function of the primary problem of men's abuse and domination of women. Decades of research and clinical observations have informed us that is only sometimes true, and that many women who abuse men are actually motivated by many of the same factors as the men who abuse women. Social agencies, the legal system, and treatment providers need to recognize the different typologies of female intimate partner violence (including primary aggressors, violent retaliation, bidirectional violence, and self-defense). Treatment programs for female abusers need to include special emphasis on trauma history, attachment disorders, emotional self-regulation, and personal empowerment. A female abuser treatment program is presented with clinical guidelines specifically designed for this population.

Economic Abuse of Women in Amman, Jordan: A Quantitative Study

As the literature on the economic abuse of women in Arabic contexts is quite limited, we aimed to detect the correlation between this economic abuse and a variety of demographic variables. Specifically, we considered women’s age, education, income, number of children, and length of marriage, as well as the husband’s education and employment status. We distributed questionnaires that included the economic, psychological, and community composite abuse scales to 500 married working women in the capital of Amman, Jordan. The results revealed that the economic abuse of women decreased as their education levels and length of marriage increased, as long as the husband worked full-time. In addition, a husband’s high education level would also increase the likelihood of economic abuse. Most importantly, the findings showed that economic abuse definitively heightened the probability of intimate partner violence (psychological, emotional, and physical abuse, as well as harassment).

Women's Experiences of Domestic Violence during Pregnancy: A Qualitative Research in Greece.

This qualitative research is the second part of a quantitative research that aims at recording the phenomenon of violence in pregnancy. The first part was carried out during August and September 2009 (N = 546). It was found out that the rate partner’s violence was 6%, while for 3.4% of the pregnant women, abuse started after the pregnancy. In the second part of this research, the semi-structured interview was used to investigate the way pregnant women experience violence. The sample comprised seven women abused by their partner (Ν = 7) at the women’s shelters of “Mitera” Babies’ Center and the National Social Solidarity Center between September 2010 and December 2011 and who accepted to participate in the research. The targets of the research were the investigation of the risk factors for the manifestation of violence, the profile of the victim and the perpetrator, the consequences of abuse for the woman, her reproductive health and the fetus. The majority of the abused pregnant women were foreigners and only two were Greek. The latter had experienced severe traumas (physical and psychological) since their childhood. Violence in their lives is the main characteristic of the foreign women seeking a better life in Greece, too. Alcohol use or abuse by the partners, poor socioeconomic background of the mothers and their partners, and pregnancy per se are the main risk factors of the violence against women in this period of their lives. Violence resulted in miscarriage in one case, while abortion was the alternative chosen by another as a solution to social exclusion and possible domestic violence. Anxiety and despair were the main psychological consequences. The small number of women included in the collection of qualitative data is a limitation for the research and decreases the reliability index of its results.

A Systematic Review of the Associations of Adult Sexual Abuse in Women with Cardiovascular Diseases and Selected Risk Factors.

Aim:To systematically assess the association between adult sexual abuse (ASA) and cardiovascular diseases (CVDs) of heart attack and stroke, and their risk factors of hypertension, diabetes, dyslipidaemia and obesity.Methods:Two authors conducted a PubMed, Scopus and Web of Science review of the literature published prior to 1 October 2019. Relevant English language studies irrespective of study design and data collection techniques were included. Included articles needed to have examined ASA per se independent of physical or psychological/emotional abuse, and childhood sexual abuse.Results:Of the 3260 articles identified, nine were selected from 97 full-text articles assessed for eligibility (n = 855 206 women). Six studies were cross-sectional in design while three articles were from longitudinal studies; all emanated from the United States. One study only (n = 867) performed clinical assessments (heights and weights) to determine the relevant outcome (obesity), four presented self-reported outcomes (heart attack, stroke, hypertension, diabetes, obesity), two reviewed clinical records and two did not provide details on outcome assessments (obesity). Sexual abuse by an intimate partner was examined in five articles, three assessed military sexual trauma and a single study evaluated any perpetrator. A meta-analysis could not be conducted because of the heterogeneity across studies. The available evidence was insufficient to quantify the relationship, if any, between ASA and CVDs and their risk factors.Conclusions:Currently, no longitudinal studies of ASA in general populations have objectively investigated the development of CVDs and their risk factors using clinical and biochemical measurements. In view of the high CVD burden, and the frequency of ASA, it is important to fully understand the relationship between the two.

Bringing Feminist Sociological Analyses of Patriarchy Back to the Forefront of the Study of Woman Abuse.

Regardless of their contributions to some of the most important scientific advances in the field, feminist sociological analyses of various types of male-to-female violence that prioritize the concept of patriarchy have leveled off or declined in the last 12 years, especially in North America. This article describes how mainstream work came to dominate the field and suggests a few strategies for challenging the hegemony of orthodox perspectives on sexual assault, beatings, technology-facilitated abuse, and other forms of woman abuse.

Contraception and post abortion services: qualitative analysis of users\u2019 perspectives and experiences following Zika epidemic in Honduras

BackgroundZika virus (ZIKV) infection during pregnancy has severe consequences on the new-born. The World Health Organization declared the Zika outbreak to be a Public Health Emergency of International Concern (PHEIC) in 2016. Health facilities in the regions most affected by Zika lacked the capacity to respond to the increased demand for contraception. The objectives were to explore healthcare users’ perceptions regarding contraception, Zika prevention during pregnancy and post-abortion care (PAC) services in the context of a Zika outbreak in Tegucigalpa, Honduras, and to follow these services over time.MethodsThis study was part of a broader implementation research study. We used qualitative research consistent with grounded theory approach. Semi-structured interviews and focus groups were performed with women and their partners who used contraceptive services or received PAC services. Data were collected in two stages from December 2017 to July 2018. Themes explored included contraception, Zika and PAC services.ResultsParticipants had positive attitude towards the use of contraceptive methods and demanded more information on safety, efficacy and on side effects. Health care services were inconsistent in the provision of information on Zika and contraception services. ZIKV vector transmission was known but fewer participants were aware of risk of sexual transmission of Zika. Barriers to access healthcare services included contraceptive and PAC services included distance to healthcare facilities, disorganized admission process, long waiting times and out-of-pocket expenditure to purchase medicines. Furthermore, poor quality, mistreatment and abuse of women seeking PAC was prevalent. Some positive changes were noted over time, such as improvements in infrastructure including improved privacy and cleanliness, removal of fees, requisite to bring clean water to hospital.ConclusionsOur results highlight the challenges and areas for improvement in policy and practice related to contraceptive services and PAC in the context of ZIKV infection. Public policies to prevent epidemics should focus more on providing proper sanitation; removing barriers to access and use of effective contraception as human rights priority. Zika epidemic has highlighted weaknesses in health systems that obstruct access to and use of sexual and reproductive health services.The study results call for increased efforts to improve access, especially for women of low socio-economic status and intervene at different levels to eradicate discrimination and improve equity in the provision of health care. Qualitative methods can capture the community perspectives and can provide useful information to develop interventions to improve services.

Disrespect and abuse of women during the process of childbirth at health facilities in sub-Saharan Africa: a systematic review and meta-analysis

BackgroundDisrespectful and abusive treatment of women by health care providers during the process of childbirth at health facility is an international problem. There is a lack of data on disrespect and abuse of women during the process of childbirth at health facilities in Sub-Saharan Africa. The purpose of this study was to determine the prevalence of disrespect and abuse of women during the process of childbirth at health facilities in sub-Saharan Africa.MethodsThe PRISMA guideline protocol was followed to write the systematic review and meta-analysis. Published studies were searched from Medline, PubMed, CINAHL, EMBASE, Maternal and infant care, science direct, and PsycINFO. Articles were accessed by three reviewers (ZY, BT and AA) using the following key terms, “attitude of health personnel” AND “delivery obstetrics*/nursing” OR “maternity care” AND “disrespect” OR “abuse” OR “professional misconduct” AND “parturition” AND “prevalence” AND “professional-patient relations” AND “Sub-Saharan Africa”. Additional articles were retrieved by cross referencing of reference. The heterogeneity of studies were weighed using Cochran’s Q test and I2 test statistics. Publication bias was assessed by Egger’s test.ResultsThirty three studies met the inclusion and included in this systematic review and meta–analysis of disrespect and abuse of women during the process of childbirth at health facilities. The pooled prevalence of disrespect and abuse women during the process of childbirth at health facilities in Sub-Saharan Africa was 44.09% (95% CI: 29.94–58.24).Particularly physical abuse was 15.77% (95% CI: 13.38–18.15), non-confidential care was 16.87% (95% CI: 14.49–19.24), abandonment was 16.86% (95% CI: 13.88–19.84) and detention was 4.81% (95% CI: 3.96–5.67).ConclusionIn this study disrespect and abuse of women during the process of childbirth at health facilities are high compared with other studies, particularly non-confidential care and abandonment his high compared with other studies. This study points out that the ministry of health, health care providers, maternal health experts shall due attention to women’s right during the process of childbirth at health facilities.

Experts’ point of view on migrants’ health and Bulgarian health system performance

Abstract Introduction Migrants often face serious inequities concerning their state of health and their access to good quality health services. The aim of the study is to analyze the experts' point of view on migrants' health and Bulgarian health system performance in this field. Methods Within the TRAIN4M&amp;H project, founded by European Commission, work seminar was organized in Bulgaria in March 2019th. Focus group and facilitated discussion with experts intended to elicit information about significant migrants' health problems was performed. Quantitative and qualitative data were collected through an unstructured interview. Data processing was performed by SPSS v.24. Results All participants in the seminar: 22 frontline health professionals (5), law enforcement officers (13), social workers (2) and other professionals (2) were covered. According 60% of participants the health of migrants threatens the health of the host population. The leading health issues among migrants are: infectious and parasitic disorders as a result of bad hygiene (9), psychiatric problems and drug abuse (5), children and pregnant women health problems (3) etc. Most of the experts (77.3%) determine that there is no difference between health care needs of the migrants and Bulgarian population. None of the respondents said that migrants need hospital care mainly. On the opposite, according to experts' point of view they need emergency care (31.8%), primary health care (36.4%) and specialized care (22.7%). The Bulgarian health system provides adequate health care only in some specific cases, according to two thirds of the respondents. As positive results of the health system performance experts point “asylum seekers are fully health insured”, “the treatment of migrants in the centers is free of charge” etc. Conclusions In order to establish migrant friendly health system in Bulgaria and to improve the quality of services provided develop and enhance skills of professionals working at local level is crucial. Key messages Professionals working at local level with migrants have to be well qualified to face problems in relation to migrants’ health and their access to health care. According to the experts working at local level with migrants Bulgarian health system is not well prepared and provides adequate health care for migrants only in some specific cases.

Women’s Safety Security System using Raspberry PI

Today in the present global scenario, a woman's word of security and safe life is a tough reality to happen, because women's sexual abuse has become a mainstream news in our everyday routine life. We should create a society in which women can travel openly and even at odd hours not of fear. While there are many rules and laws present, they are insufficient to provide the women in society with the full degree of security, safe and stable life. When the technology advances every day, it is a solution to other problems. And why can't we use these to create a stable and prosperous women's community. This project composed of components such as GSM, GPS, memory card, shock circuit, buzzer, camera, module Raspberry pi-3.

‘Animal instincts’: the sexual abuse of women with learning difficulties, 1830s–1910s

ABSTRACT Girls and women with learning difficulties have one of the highest risks of being sexually assaulted and raped. This article looks at the sexual abuse of girls and women in Britain between the 1830s and the 1910s. I will be arguing that, during the course of the nineteenth century, attitudes to girls and women with learning disabilities who claimed to have been raped became significantly harsher. Rather than needing to be protected from rapacious men, they were increasingly blamed for their own violation. They came to be viewed as sexually precocious, possessing ‘animal instincts’ that meant that they needed to be institutionalized (or otherwise constrained) in order to prevent them from seducing the men with whom they came into contact. This concept of ‘animal instincts’ conflated long-held views about the intellectually impaired: they were closer to ‘beasts’ and possessed uncontrollable and socially-dangerous impulses.

Continuum of sexual and gender-based violence risks among Syrian refugee women and girls in Lebanon

BackgroundA myriad of factors including socio-economic hardships impact refugees, with females being additionally exposed to various forms of sexual and gender-based violence (SGBV). The aim of this qualitative analysis was to understand and to provide new insight into the experiences of SGBV among Syrian refugee women and girls in Lebanon.MethodsThe data are gained from a larger mixed-methods study, investigating the experiences of Syrian refugee girls in Lebanon, using an iPad and the data collection tool, SenseMaker®. The SenseMaker survey intentionally did not ask direct questions about experiences of SGBV but instead enabled stories about SGBV to become apparent from a wide range of experiences in the daily lives of Syrian girls. For this analysis, all first-person stories by female respondents about experiences of SGBV were included in a thematic analysis as well as a random selection of male respondents who provided stories about the experiences of Syrian girls in Lebanon.ResultsIn total, 70 of the 327 first person stories from female respondents and 42 of the 159 stories shared by male respondents included dialogue on SGBV. While experiences of sexual harassment were mainly reported by women and girls, male respondents were much more likely to talk explicitly about sexual exploitation. Due to different forms of SGBV risks in public, unmarried girls were at high risk of child marriage, whereas married girls more often experienced some form of IPV and/or DV. In abusive relationships, some girls and women continued to face violence as they sought divorces and attempted to flee unhealthy situations.ConclusionsThis study contributes to existing literature by examining SGBV risks and experiences for refugees integrated into their host community, and also by incorporating the perceptions of men. Our findings shed light on the importance of recognizing the impact of SGBV on the family as a whole, in addition to each of the individual members and supports considering the cycle of SGBV not only across the woman’s lifespan but also across generations. Gendered differences in how SGBV was discussed may have implications for the design of future research focused on SGBV.

Abuse of older women in the United States: A review of empirical research, 2017–2019

This article presents the results of a review of literature on abuse of older women. A systematic search was conducted in five electronic databases for empirical articles published from 2017 through 2019. Of the 727 articles initially captured, 20 articles met the inclusion criteria for review. Across the 20 articles, four primary focal areas emerged: prevalence and incidence of abuse, type of abuse, at-risk populations, and health outcomes. Most of the studies addressed issues identified in prior publications as the study authors attempted to untangle previous findings, expand study samples, and employ novel approaches to data collection. Only 5 articles focused specifically on abuse experienced by older women; older women comprised at least 50% of the sample in each of the other articles. In the latter studies, when gender was included as a study variable, the study authors reported few differences between older women and men with respect to risk factor for and outcomes of abuse. More gender-specific research is needed to better understand the circumstances and outcomes of older women's lived experiences and to inform the development of preventive strategies and gender-sensitive interventions for mitigating elder abuse. • Research reviewed focused on prevalence of abuse, abuse types, populations at risk, and health outcomes of elder abuse. • Few study samples include only older women; older women predominated samples that included both older women and men. • Study authors attempted to untangle previous findings by expanding their study samples and enhancing their study designs. • Across studies of elder abuse there was great heterogeneity in focus, study samples, and methodological approaches.

The model of justice in Mordovian ethnic tales

Introduction. The research is determined by the current trends of globalization and the need to build a dialogue of cultures based on justice and giving the priority to the local models of justice. The subject of the research is the model of justice in Moksha and Erzia tales. The purpose of the work is to identify different models of justice of the Moksha and Erzia ethnic groups, their identity and the difference with models of other cultures, to generalize the content of the category of justice in the Mordovian ethnoculture. Materials and Methods. The research material includes Mordovian folk tales. The method of analysis is applied to identify the models of justice in the studied material. When comparing the similar tales of different cultures, we use the method of comparison and the principle of the reduction of the identities, which detects differences in the similarities; the method of generalization allows us to systematize the results, the method of synthesis lets us draw conclusions. The model of justice in folklore and tales has not been studied much, so the theoretical basis of the research covers the works devoted to the analysis of Mordovian folklore as a whole as well as various studies of the category of justice. Results and Discussion. The model of Mordovian justice includes collective labor, mutual assistance, collective ownership and self-government, creative work and a decent remuneration, ethnic education, upbringing in the tradition, freedom of the development, the perfectionism and the vertical social mobility, the reward of the virtue and the denunciation of the vice, fair judgment, everyone’s equality in the court, the marriage of the equals, reproduction, the identity and the identification, the unity of the human and the nature. The private ownership of resources, the work that does not save from poverty, unfair courts, restrictions on the freedom of development and education, the abuse of children and women, and the neglect of the elderly are assessed as unfair. Conclusion. The set of models obtained in accordance with different cultural approaches allows us to obtain a dimensial, complete, systematic image of ethno-cultural justice which provides us a better understanding of the culture of the people. The research has shown that the models of justice in Moksha and Erzia folklore are similar. It has revealed the general content of the Mordovian models of justice, as well as the unique features of the Moksha and Erzia models, their identity and differences with the models of other cultures.

Spousal Psychological Abuse against Pregnant Women in Antenatal Care Cohort: Magnitude and Associated Factors in Northwest, Ethiopia

Background: Violence against women is a serious public health problem and human right abuse. Psychological abuse was the most common form of intimate partner violence that has not been noticed by policy makers. The magnitude ranges up to 90% among different populations. Developing countries including Ethiopia are at high risk of psychological abuse of women by their spouse. To the best of our knowledge, little has been studied in Ethiopia and no study has been conducted in the study area. Thus, the aim of this study was to assess the magnitude and associated factors of psychological spousal against pregnant women. Methods: This study was a facility based cross sectional study including 409 pregnant mothers at Debre Markos town from March-April, 2018. The study participants were selected using a systematic random sampling technique. A pretested and validated questionnaire was used. Binary logistic regression (Bivariable and Multivariable) was employed. Adjusted odds ratio with 95% confidence interval was used to declare statistically significant variables on the basis of p&lt;0.05 in the multivariable logistic regression model. Results: This study found that 119 (29.1%) of pregnant women have experienced psychological abuse by their spouse during their pregnancy period. Residence (AOR: 2.87, 95%CI: 1.11-7.39), age of partner (AOR: 2.68, 95%CI: 1.25-5.75), unwanted pregnancy (AOR: 3.55, 95%CI: 1.08-11.66), history of abortion (AOR: 2.79, 95%CI: 1.13-6.89), and mother’s age (AOR: 0.24, 95%CI: 0.11-0.50), have emerged as predictors for psychological spousal abuse during pregnancy. Conclusions: The magnitude of psychological abuse against pregnant women by their spouse was high in this study. Socio-demographic and pregnancy related factors were important predictors of psychological violence. Consequently, it demands tremendous efforts to mitigate the problem through designing effective and appropriate measures. Key words: Psychological spousal abuse, pregnant women, Antenatal care, Ethiopia

Cocaine-Induced Sensitization is Linked to Distal Chromosome 6 Region in Congenic Mouse Model

ObjectivePreviously we mapped QTL Eac2 to mouse Chr6 and identified the first gene (Grm7) as accounting for alcohol consumption in a mammalian model. Despite the central role of glutamate receptors in addiction, the effects of Grm7 gene variants are not well known. Here we test the hypothesis that genetic variation of the distal mouse Chr6 Eac2 region, location of Grm7, controls cocaine-induced locomotor sensitization. MethodC57BL/6By background and B6.C6.327.54 congenic mice were subjected to whole-genome SNP genotyping. Isogeneic (C57BL/6ByXB6.C6.327.54)F2 mice homozygous for SNPs in the BALB/c-type Eac2 region were selected to create a subcongenic strain (B6By.C6.108-120). In a 2-strain x 2-sex 2-treatment factorial design (n = 6-10) C57BL/6By and B6By.C6.108-120 mice received repeated daily cocaine or saline intraperitoneal injections, and locomotor activity was recorded for 90 minutes immediately after injection. ResultsC57BL/6By females with the G/G genotype of SNP rs3723352 of Grm7 responded to cocaine with significantly higher activity and greater cocaine-induced sensitization than those with the BALB/cJ-type T/T genotype in the congenic strain. ConclusionThe results are consistent with a large body of accumulated mechanistic evidence for a role of the mGlu7 receptor in the control of neurobiological responses to cocaine, and are consistent with the hypotheses that (1) natural variants of the Grm7 gene show pleiotropy and can modulate cocaine-induced behaviors in addition to alcohol consumption, (2) interactions between mGluR7 expression, estrogen receptors, and estradiol may explain phenotypic variation in females. Heritable variation of GRM7 may affect vulnerability to substance abuse in women.

What barriers prevent health professionals screening women for domestic abuse? A literature review.

Domestic abuse is known to affect one in four women (although it is difficult to quantify) and has significant short- and long-term health implications. As people who often have regular contact with women in a variety of circumstances, including routine appointments, health professionals, particularly nurses and midwives, are in an ideal position to screen women for domestic abuse. However, it is recognised that there is a reluctance by some health professionals to undertake this important role. To identify the potential barriers preventing health professionals from screening women for domestic abuse and to consider how these barriers could be overcome. A literature review of electronic databases using predetermined search terms and inclusion/exclusion criteria was undertaken. Seven studies were identified for review, consisting of five qualitative and two quantitative pieces of research. Several barriers to screening by health professionals were identified, including lack of training, education, time, privacy, guidelines, policies and support from the employer, with the most prevalent of these being a lack of training and education. Further research is required, specifically within the UK, to provide more details about how these barriers might be addressed.

CHAT SA: Modification of a Public Engagement Tool for Priority Setting for a South African Rural Context.

Background: Globally, as countries move towards universal health coverage (UHC), public participation in decisionmaking is particularly valuable to inform difficult decisions about priority setting and resource allocation. In South Africa (SA), which is moving towards UHC, public participation in decision-making is entrenched in policy documents yet practical applications are lacking. Engagement methods that are deliberative could be useful in ensuring the public participates in the priority setting process that is evidence-based, ethical, legitimate, sustainable and inclusive. Methods modified for the country context may be more relevant and effective. To prepare for such a deliberative process in SA, we aimed to modify a specific deliberative engagement tool – the CHAT (Choosing All Together) tool for use in a rural setting. Methods: Desktop review of published literature and policy documents, as well as 3 focus groups and modified Delphi method were conducted to identify health topics/issues and related interventions appropriate for a rural setting in SA. Our approach involved a high degree of community and policy-maker/expert participation. Qualitative data were analysed thematically. Cost information was drawn from various national sources and an existing actuarial model used in previous CHAT exercises was employed to create the board. Results: Based on the outcomes, 7 health topics/issues and related interventions specific for a rural context were identified and costed for inclusion. These include maternal, new-born and reproductive health; child health; woman and child abuse; HIV/AIDS and tuberculosis (TB); lifestyle diseases; access; and malaria. There were variations in priorities between the 3 stakeholder groups, with community-based groups emphasizing issues of access. Violence against women and children and malaria were considered important in the rural context. Conclusion: The CHAT SA board reflects health topics/issues specific for a rural setting in SA and demonstrates some of the context-specific coverage decisions that will need to be made. Methodologies that include participatory principles are useful for the modification of engagement tools like CHAT and can be applied in different country contexts in order to ensure these tools are relevant and acceptable. This could in turn impact the success of the implementation, ultimately ensuring more effective priority setting approaches.

Violence against women with mental illness and routine screening: Nurses' knowledge, confidence, barriers and learning needs

Violence against women is a major public health issue and women with mental illness (WMI) are at a double disadvantage. While nurses play a key role in identifying and responding to abused women, research is limited on this issue from India. This qualitative study was aimed to explore nurses' knowledge, confidence, and learning needs in the identification and responding to disclosure of abuse in women with mental illness. The focus group discussions were conducted among nurses (N = 21) working in psychiatry units at a tertiary care center. An interview guide with semi-structured questions was used to collect the data. Five dominant themes and fifteen sub-themes have emerged from qualitative analysis. The dominant themes include; Awareness of abuse among women with mental illness (AWMI), Experiences of recognizing and responding to abuse, Barriers for routine screening for abuse, Educational preparedness, and learning needs, and Prevention of abuse in women with mental illness. The identified barriers include personal related (personal discomfort, lack of knowledge, etc.), job related (Time consuming, not a nurse's job, lack of time, etc.) and organizational (lack of policies and administrative support, etc.). Most of the participants expressed that they lack confidence in the routine screening of women for abuse due to inadequate training. Therefore, it is critical to include a topic on domestic violence in the nursing curriculum and provide ongoing learning opportunities to the nurses through CNE programs, workshops, and conferences.