Effectiveness of Training Program on Improving Health Care Providers’ Readiness for Managing Domestic Violence in Jimma Medical Center: Pre-Experimental Study

Abstract

Background Domestic violence (DV) is a pervasive human-right violation and is an impediment to the achievement of Sustainable Development Goals by 2030. Although they may not often disclose their violence, survivors of DV are most likely to be treated by health care providers. Thus, this study aimed to assess the effectiveness of training intervention in improving the readiness of health care providers for managing domestic violence in Jimma Medical Center. Methods Pre-experimental study design was undertaken among 64 health care providers of Jimma Medical Center on two rounds from March 16 to 19 and from May 18 to 21/2022. Data were collected by using a structured self-administered questionnaire and entered into Epi-data version 4.6 and exported to SPSS version 23 for analysis. To test the difference in the participants’ readiness to manage DV in terms of knowledge and attitude; a Paired-samples t -test analysis was done at 95%-confidence-interval and p-value <0.05. To quantify the magnitude of the intervention’s effect, Eta-squared was computed as an effect size statistic. Results The overall knowledge score was improved from pre-intervention (M= 12.44, SD=4.55) to post-intervention (M=15.66, SD= 5.48, t(4.29), p<0.0005). The overall attitude score was improved from pre-intervention (M= 156.4, SD= 15.68) to post-intervention (M=169.1, SD=20.67, t(3.8), p<0.0005). The Eta-squared value for the knowledge was 0.23 and for the attitude was 0.19 both indicating a large effect size. Conclusion Significant improvement in the study participants’ readiness for managing DV was a result in this study with a large effect size. Thus, different concerned stakeholders should provide training intervention for health care providers of Jimma Medical center to improve their readiness to manage survivors of domestic violence thereby contributing to the reduction of the negative consequences that can be resulted from poor management of domestic violence.

Effectiveness of Training Program on Improving Health Care Providers’ Readiness for Managing Domestic Violence in Jimma Medical Center: Pre-Experimental Study [Letter]

“…2 The study conducted by Negessa et al used a pre-experimental study design method involving participants at health care providers and then used a self-administered questionnaire for analysis. 1 This method is effective enough to measure what the researcher wants to achieve, but we would like to suggest by providing additional data, taken from the focus group discussions, to the participants who have experienced domestic violence could better strengthen the results in this study or further research later. 3 In conclusion, we agree that there is a need for the readiness of health service providers to manage participants who experience domestic violence because this will have a major impact on their survival.…”

“…The results obtained can be used as a reference for the local government in providing interventions in training for health service providers to increase their readiness to handle domestic violence victims. 1 Based on the results above, we recommend that if further research is to be continued in this research, we suggest it is necessary to add a sample of participants who are married and under 20 years old. The reason is because there are many cases in developing countries in this age group that do not have the psychological condition to face the household they married into.…”

“…We have read the paper by Negessa et al on the Effectiveness of Training Program on Improving Health Care Providers' Readiness for Managing Domestic Violence in Jimma Medical Center: Pre-Experimental Study. 1 We congratulate the authors for the results of their research which will contribute to the prevention of violations of human rights, one of which is Domestic Violence which is still an issue in several countries. We would like to share our views about this study which can build on and further develop this research if it is to be continued in the future by other researchers who are also interested in conducting the same research.…”

Víctimas de violencia intrafamiliar en los Sistemas de Salud, importancia del correcto manejo judicial

“…Cuando se efectúa por el compañero el término es violencia del compañero íntimo (EN inglés IPV: Intimate Partner Violence) que es el "comportamiento por un ex/compañero íntimo que causa daño físico, sexual y/o psicológico incluidos agresión física, coerción sexual, abuso psicológico y comportamiento controlador" (Negessa et al, 2023).…”

“…La violencia intrafamiliar es cualquier comportamiento contra miembros de núcleo familiar de tipo abusivo, controlador; actos de violencia física, sexual y psicológica; abuso verbal y emocional, intimidación, privación social y económica, daño a la propiedad privada y abuso de poder, se incluye la ocasionada por el compañero íntimo (IPV: Intimate Partner Violence), el abuso infantil y el adulto mayor (Pokharel et al, 2023;Soh et al, 2021;Giraldo-Rodríguez et al, 2022;Negessa et al, 2023).…”