Evaluation of a domestic violence intervention in the maternity and sexual health services of a UK hospital

Bacchus, Loraine J.; Bewley, Susan; Torres-Vitolas, Carlos A.; Aston, Gillian; Jordan, Peter Jeffrey; Murray, Susan

doi:10.1016/s0968-8080(10)36526-8

Cited by 52 publications

(57 citation statements)

References 17 publications

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“…Pregnancy offers a unique opportunity to identify and assist women experiencing IPV (Bacchus et al 2004) as many pregnant women visit antenatal care clinics repeatedly. Recent reviews have also shown that identification of abuse increases sharply when universal routine screening is conducted in health settings like antenatal care (Bacchus et al 2010;O'Campo et al 2011). Literature on patterns of IPV suggests that violence can begin, continue or increase during pregnancy (Taillieu and Brownridge 2010), pointing to the important role that screening and the provision of comprehensive care to abused women could play in decreasing the impact of abuse on the health of women and their children (O'Campo et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Opportunities and obstacles to screening pregnant women for intimate partner violence during antenatal care in Zimbabwe

Shamu

Abrahams

Temmerman

et al. 2013

Culture, Health & Sexuality

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Pregnancy offers an opportunity for midwives to recognise and respond to women experiencing intimate partner violence (IPV). However, most antenatal care interventions have been conducted in private specialist services in high-income countries and do not address the structural and cultural realities of developing country settings. We report on an exploratory qualitative study conducted in antenatal public health facilities in Harare, Zimbabwe, involving six in-depth interviews with midwives and seven FGDs with 64 pregnant and postpartum women. Recorded interviews were transcribed verbatim and analysed using thematic content analysis. We found that identifying and responding to IPV in antenatal care is hampered by inadequate human, financial and infrastructural resources as well as poor support of gender-based violence training for midwives. Midwives had divergent views of their role, with some perceiving IPV as a non-clinical, social and domestic problem that does not require their attention, while others who had been sensitised to the problem felt that it could easily overwhelm them. A comprehensive response to IPV by midwives would be difficult to achieve in this setting but sensitised midwives could respond to cues to violence and ultimately assist abused women in culturally sensitive and appropriate ways.

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Section: Introductionmentioning

confidence: 99%

Opportunities and obstacles to screening pregnant women for intimate partner violence during antenatal care in Zimbabwe

Shamu

Abrahams

Temmerman

et al. 2013

Culture, Health & Sexuality

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“…Services that combine routine enquiry, support after disclosure and attention to harm reduction have been found to be beneficial in previous studies. 18,19 Furthermore, feasibility of routine enquiry of DV has been demonstrated in Australian sexual health clinics. 20 All clinics should have patient-visible literature on DV.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the anonymous reporting of lifetime domestic violence in a genitourinary medicine clinic: a patient self-reported questionnaire study

2013

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Domestic violence (DV) occurs frequently within the UK, with one in four women and one in six men experiencing DV during their life. DV is the leading cause of morbidity for women aged 19-44 years and is associated with sexual health problems. However, few data exist on the prevalence of DV in UK genitourinary (GU) medicine settings. An anonymous questionnaire was self-completed by patients (n = 476/500) attending Bournemouth GU medicine clinic during July 2009 to explore associations between lifetime DV and sociodemographic, sexual and behavioural factors. Overall, 21% (98/472) reported that they had ever been abused by a partner (12% [27/229] of men and 29% [71/243] of women). Logistic regression highlighted that being female, having children/dependants and use of illicit drugs were the most important factors associated with lifetime DV. Regular staff training on DV is recommended to increase awareness and signposting to relevant services.

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“…The local government in the study area has a commitment to provide services for women who are subject to violence, 31,32 and IPV initiatives exist in local health services. IPV advisors are located in a community-based 'one-stop shop' and primary healthcare, as well as in one of the two teaching hospitals (in maternity, 14 department of genitourinary medicine, as well as in the accident and emergency room). A Sexual Assault Referral Centre, co-commissioned by police and health services, is located in the other hospital.…”

Section: Study Settingmentioning

confidence: 99%

“…14,15 A recent systematic review identified high prevalence of IPV in women seeking abortion and an association with multiple abortions. 16 Meta-analysis showed worldwide rates of IPV in the preceding year in women undergoing abortion ranging from 2.5% to 30%.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Should violence services be integrated within abortion care? A UK situation analysis

Kekana

Hall

Motta

et al. 2016

Reproductive Health Matters

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The prevalence of violence against women worldwide raises the question of the desirability and feasibility of integrating interpersonal violence (IPV) services within abortion care. By examining present services and context in an Inner London borough in the UK, this situation analysis explored the hypothesis that an established, integrated, health-based service (comprising raised awareness, staff training in routine IPV enquiry and referral to a community-based in-reach IPV service) would be transferable into abortion services. Four sources of qualitative data investigated views on integrating services: key stakeholder in-depth interviews including with providers of abortion and IPV services and commissioners and IPV survivors with past abortion service use (3 user, 15 provider); qualitative analysis of the open-ended part of a survey of current abortion service users with and without experience of IPV; feedback from an interactive workshop and data from field observations. While there was consensus among all informants that women experiencing IPV and seeking abortion have unidentified, unaddressed needs, how any intervention might be organised to address these needs was contested; thus questions remain about whether, when and how to raise the topic of IPV and what to offer. Two major anxieties surfaced: a practical concern in terms of interrupting a streamlined abortion service that suits the majority of staff and patients, and a conceptual concern about risk of stigmatising abortion seekers as 'victims in crisis'. Thus, our findings indicate: when integrating IPV interventions into abortion services, local context, the integrity of separate pathways, and women's safety and agency must be considered, especially when abortion rights are under attack. Novel approaches are required and should be researched.

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Evaluation of a domestic violence intervention in the maternity and sexual health services of a UK hospital

Cited by 52 publications

References 17 publications

Opportunities and obstacles to screening pregnant women for intimate partner violence during antenatal care in Zimbabwe

Opportunities and obstacles to screening pregnant women for intimate partner violence during antenatal care in Zimbabwe

Factors associated with the anonymous reporting of lifetime domestic violence in a genitourinary medicine clinic: a patient self-reported questionnaire study

Should violence services be integrated within abortion care? A UK situation analysis

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