Acceptance of routine or case-based inquiry for intimate partner violence: a mixed method study

Stöckl, Heidi; Hertlein, Linda; Himsl, Isabelle; Ditsch, Nina; Blume, Carolin; Hasbargen, Uwe; Friese, Klaus; Stöckl, Doris

doi:10.1186/1471-2393-13-77

Cited by 24 publications

(22 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In agreement with previous studies, competing demands, time constraints and lack of sufficient resources were mentioned as the hindering factors for delivering DFV interventions in healthcare settings [28,29]. System level changes such as training of HCPs, staff commitment, institutional support, onsite support services and effective collaboration with local stakeholders involved in providing support services are important for delivering continual and effective service to victims of DFV [40,43,44]. Considering the social stigma related to seeking help from DFV services and minimal funding in this area [8,10], integrating DFV program into routine ANC and/or PMTCT counselling services can be a potential cost-effective strategy to improve response mechanisms against DFV in resource-constrained settings like Nepal.…”

Section: Discussionsupporting

confidence: 77%

‘We don’t see because we don’t ask’: Qualitative exploration of service users’ and health professionals’ views regarding a psychosocial intervention targeting pregnant women experiencing domestic and family violence

et al. 2020

View full text Add to dashboard Cite

IntroductionGiven the relative recency of Domestic and Family Violence (DFV) management as a field of endeavour, it is not surprising that interventions for addressing DFV is still in its infancy in developing countries. In order to maximise the success of an intervention, it is important to know which aspects of the intervention are considered important and helpful by service providers and service users. This study, therefore, examined the acceptability of an antenatalbased psychosocial intervention targeting DFV in Nepal and explored suggestions for improving the program in future. Materials and methodsIntervention participants and health care providers (HCPs) were interviewed using semistructured interviews. Data were audio-recorded and thematic analysis was used to analyse the data. Final codes and themes were identified using an iterative review process among the research team. ResultsThemes emerging from the data were grouped into domains including perceptions towards DFV, impact of the intervention on women's lives and recommendations for improving the program. DFV was recognised as a significant problem requiring urgent attention for its prevention and control. Intervention participants expressed that they felt safe to share their feelings during the counselling session and got opportunity to learn new skills to cope with DFV.

show abstract

Section: Discussionsupporting

confidence: 77%

‘We don’t see because we don’t ask’: Qualitative exploration of service users’ and health professionals’ views regarding a psychosocial intervention targeting pregnant women experiencing domestic and family violence

et al. 2020

View full text Add to dashboard Cite

show abstract

“…This aligns with research from resource-rich settings suggesting that many pregnant and postpartum women are supportive of health providers inquiring about IPV (Eisenman et al, 2009;Ramsay, Richardson, Carter, Davidson, & Feder, 2002;Stöckl et al, 2013;Waalen, Goodwin, Spitz, Petersen, & Saltzman, 2000). This aligns with research from resource-rich settings suggesting that many pregnant and postpartum women are supportive of health providers inquiring about IPV (Eisenman et al, 2009;Ramsay, Richardson, Carter, Davidson, & Feder, 2002;Stöckl et al, 2013;Waalen, Goodwin, Spitz, Petersen, & Saltzman, 2000).…”

Section: Discussionsupporting

confidence: 70%

Willing but Not Able: Patient and Provider Receptiveness to Addressing Intimate Partner Violence in Johannesburg Antenatal Clinics

Hatcher

Woollett

Tordrup

et al. 2016

J Interpers Violence

Self Cite

View full text Add to dashboard Cite

Intimate partner violence (IPV) during pregnancy is associated with maternal and infant health. However, in South Africa, where 20% to 35% of pregnant women report experiencing IPV, antenatal care rarely addresses violence. Little research has explored how clinic staff, community members, or pregnant women themselves view IPV. We conducted formative, qualitative research with 48 participants in urban Johannesburg. Focus group discussions with pregnant women ( n = 13) alongside qualitative interviews with health providers ( n = 10), managers and researchers ( n = 10), non-governmental organizations ( n = 6), community leaders ( n = 4), and pregnant abused women ( n = 5) explored the context of IPV and health care response. Data were analyzed using a team approach to thematic coding in NVivo 10. We found that pregnant women in the urban Johannesburg setting experience multiple forms of IPV, but tend not to disclose violence to antenatal care providers. Providers are alert to physical injuries or severe outcomes from IPV, but miss subtler cues, such as emotional distress or signs of poor mental health. Providers are uncertain how to respond to IPV, and noted few existing tools, training, or referral systems. Nevertheless, providers were supportive of addressing IPV, as they noted this as a common condition in this setting. Providers and managers considered the safety and well-being of mother and infant to be a strong rationale for the identification of IPV. Pregnant women were receptive to being asked about violence in a kind and confidential way. Understaffing, insufficient training, and poorly developed referral systems were noted as important health system problems to address in future interventions. South African patients and providers are receptive to the identification of and response to IPV in antenatal care, but require tools and training to be able to safely address violence in the health care setting. Future interventions should consider the urban South African antenatal clinic a supportive, if under-resourced, entry point for improving the health of pregnant women experiencing violence.

show abstract

“…A survey among German women showed high acceptance of inquiry for intimate partner violence during antenatal care: 56 % supported routine screening, whereas 36 % preferred casebased inquiry. This finding was reported to be in line with previous studies that found higher acceptance of violence screening during pregnancy than during general care (Stöckl et al 2013). An Australian study also showed high acceptance of routine assessment for alcohol and drug use amongst pregnant women; only 15 % of surveyed women were uncomfortable about being screened (Seib et al 2012).…”

Section: Discussionsupporting

confidence: 93%

Identifying sociomedical risk factors during pregnancy: recommendations from international evidence-based guidelines

2015

View full text Add to dashboard Cite

Aim Sociomedical risks are common problems during pregnancy and can have serious health consequences for both mother and child. They are frequently underestimated within prenatal care programmes, although routine screening could help identify women in need of additional support. The aim of this article was to systematically summarise risk assessment and screening recommendations for mental health problems, depression, substance misuse and intimate partner violence during pregnancy using evidence-based guidelines, in order to provide a decision support for healthcare professionals and policy-makers. Subjects and methods A systematic literature search in two guideline databases was carried out and websites of international institutions developing evidence-based guidelines were searched. Guidelines from Western, industrialised countries, published in English or German since 2007 and providing recommendations for sociomedical screenings during pregnancy were included. Furthermore, guidelines had to be based on a systematic literature search in at least two databases and had to involve recommendations explicitly linked to the evidence. Results Sixteen guidelines, developed by nine institutions from Europe, the United States, Canada and Australia, met the inclusion criteria. The majority of the guidelines recommended routine assessment, although some conflicting recommendations were found for depression, illicit drug use and violence. Conclusion Our research findings suggest that screening or assessment for the analysed risk factors is advisable. However, the assigned grades of recommendation reflect that the evidence base is limited. Further research should also concentrate on evaluating different screening methods, as there was little consensus on the ideal screening test.

show abstract

Acceptance of routine or case-based inquiry for intimate partner violence: a mixed method study

Cited by 24 publications

References 29 publications

‘We don’t see because we don’t ask’: Qualitative exploration of service users’ and health professionals’ views regarding a psychosocial intervention targeting pregnant women experiencing domestic and family violence

‘We don’t see because we don’t ask’: Qualitative exploration of service users’ and health professionals’ views regarding a psychosocial intervention targeting pregnant women experiencing domestic and family violence

Willing but Not Able: Patient and Provider Receptiveness to Addressing Intimate Partner Violence in Johannesburg Antenatal Clinics

Identifying sociomedical risk factors during pregnancy: recommendations from international evidence-based guidelines

Contact Info

Product

Resources

About