How people with disabilities experience programs to prevent intimate partner violence across four countries

Stern, Erin; Heijden, Ingrid van der; Dunkle, Kristin

doi:10.1016/j.evalprogplan.2019.101770

Cited by 32 publications

(34 citation statements)

References 24 publications

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“…While such factors plausibly limit the potential benefits of IPV prevention interventions for women with disabilities, it is possible that other elements common in many programmes, such as building awareness of gender norms, developing skills for healthy relationships and strengthening livelihoods may be very beneficial for women with certain disabilities. 36 To begin to address these issues, we draw on data from randomised controlled trials (RCTs) of three IPV prevention interventions working with adult women in Afghanistan, South Africa and Rwanda conducted under the aegis of the What Works to Prevent Violence Against Women Global Programme ( whatworks. co. za).…”

Section: What Are the New Findings?mentioning

confidence: 99%

“…We recognise that women with severe disabilities were likely excluded from these programmes because of barriers in the recruitment and intervention delivery phases. There was no specific recruitment of participants living with disabilities, and only limited efforts at specific accommodations, 36 so the women with disabilities who were present were those who were able to access the programme. Because of the small numbers of women with disabilities, we were unable to look at differential impact by type(s) of disability, such as mobility, visual or hearing impairments.…”

Section: Limitationsmentioning

confidence: 99%

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How do programmes to prevent intimate partner violence among the general population impact women with disabilities? Post-hoc analysis of three randomised controlled trials

et al. 2020

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IntroductionWomen with disabilities experience higher rates of intimate partner violence (IPV) than women without disabilities. There remains limited evidence about whether IPV prevention interventions for the general population have benefits for women with disabilities that compare to those for women without disabilities. Using data from IPV prevention randomised controlled trials in diverse locations (Rwanda, South Africa and Afghanistan), we assess whether outcomes differed by disability status.MethodsWe assessed disability at baseline in three IPV prevention trials. We performed post-hoc analysis of intervention impacts at endline (22 or 24 months post-baseline) stratified by disability status at study baseline and tested an interaction term for disability at baseline by intervention arm for three sets of outcomes: (1) past year experiences of physical, sexual and severe IPV; (2) economic and livelihood outcomes; and (3) health, mental health and substance use outcomes.ResultsAt baseline between 17.7% and 26.2% of women reported being disabled. For IPV prevention, in seven out of eight tests across three studies, women with and without disabilities had similar outcomes. For economic, health and substance use outcomes, there was more variation, with women with disabilities reporting both better and worse outcomes than women without disabilities; however there was no clear pattern in these differential results.ConclusionIPV prevention programmes targeting general populations can prevent IPV among women with disabilities participants with benefits that mirror those for women without disabilities. Benefits for participants with and without disabilities on secondary programme outcomes related to economic empowerment and health may be more varied and should be explicitly monitored.

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Section: What Are the New Findings?mentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

How do programmes to prevent intimate partner violence among the general population impact women with disabilities? Post-hoc analysis of three randomised controlled trials

et al. 2020

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“…Several studies have shown that this group experiences multiple forms of discrimination, mainly because of the disability status (Jiménez Lara & Huete García, 2003). Women face the most discrimination and suffer violence, even from their partners (Stern, van der Heijden, & Dunkle, 2020), along with the lack of freedom in the exercise of their sexuality or status as mothers (Gomiz, 2016). These and other factors, such as school dropout rates, poor job training, and social and personal rejection, cause guilt in women with disabilities (Viejo & Martínez, 2011).…”

Section: Literature Reviewmentioning

confidence: 99%

Barriers to Disability Inclusion: Social Needs and Discrimination in Mexico

Martínez¹,

Nikolova²,

Coutiño‐Vázquez³

et al. 2020

Latin American Policy

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El artículo tiene como objetivo identificar las barreras a las que se enfrentan las personas con discapacidad, tanto en su vida diaria como en su entorno. Usando datos de la Encuesta Nacional de Discriminación 2017, aplicamos un modelo de regresión logit multinomial. Nuestros resultados revelan que las personas en situación de discapacidad tienen menos probabilidades de acceder a servicios sociales y oportunidades educativas y de participar plenamente en el trabajo; por lo tanto, perciben menores ingresos para cubrir sus necesidades básicas. Una de las principales barreras de esta población es el diseño de la infraestructura urbana, como son las calles y banquetas, así como la falta de transporte urbano adecuado, que facilite su transportación. De igual forma, nuestro estudio indica que este grupo vulnerable tiene dificultades para para cubrir gastos en cuidados, terapias y tratamientos. Por esa razón, realizar actividades básicas como bañarse, vestirse o comer, es difícil para ellos. Los hallazgos indican que perciben inseguridad económica y discriminación. Por ello, se hace necesario la generación de políticas inclusivas que mejoren significativamente el bienestar de las personas con discapacidad. 本文旨在识别残疾人士在日常生活和环境中面临的障碍。我们对2017年国家歧视调查 (National Discrimination Survey)得出的数据进行了multinomial logit回归模型分析。分析结果显示，残疾人士不太可能获取社会服务、教育机会、或完全参与工作；因此，他们更易获得较低收入以维持其基本需求。残疾人士面临的其中一个主要障碍是城市基础设施设计，例如街道和人行道，以及缺少足够的、能促进(或阻碍)运输的城市交通。相似地，我们的研究表明，这一弱势群体在承担护理和治疗费用方面遭遇困难；正因如此，完成日常活动，例如洗澡、穿衣、饮食，对他们而言都有困难。此外，研究发现显示，他们感知到经济不安全和歧视。因此，制定能显著改善残疾人士福祉的包容性政策是必需的。 This article identifies the barriers that people with disabilities face in their daily lives and in their surroundings. Using data from the 2017 National Discrimination Survey, we performed a multinomial logit regression model. Our results reveal that people in situations of disability are less likely to access social services and educational opportunities, and to participate fully in work; therefore, they are more prone to earn a lower income to cover their basic needs. One of the main barriers to these individuals is the design of the urban infrastructure, such as streets and sidewalks, and the lack of adequate urban transport, which facilitates or deters transportation. Similarly, our study indicates that

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“…There is growing evidence that people with disabilities are more vulnerable to violence (Puri et al ., 2015 ; Gupta et al ., 2018 ), with recent research suggesting that women with disabilities within low- and middle-income countries are two to four times more likely to experience intimate partner violence (IPV) compared to women without disabilities (Hughes et al ., 2012 ; Dunkle et al ., 2018 ; Stern et al ., 2020 ). Other research has found significant correlations between disability and poor mental health outcomes including anxiety and depression (Kinne et al ., 2004 ; Dembo et al ., 2018 ).…”

Section: Introductionmentioning

confidence: 99%

“…The humanitarian sector has developed protection and response programmes to address the physical and psychological health needs of violence survivors and often separately, programmes to address the needs of people with disabilities. However, these two sectors are still in the nascent stage and the programming and evidence base rarely overlap, leaving large gaps in understanding how these services can become more inclusive and best meet the specialised needs of survivors with disabilities (Mirza, 2015 ; Shaw and Funk, 2019 ; Stern et al ., 2020 ). This gap in the evidence base is noteworthy and understanding this intersection – disability, gender, violence, and mental health – is urgently required to address the needs of violence survivors with disabilities so that they may have equal opportunity to access appropriate services that meet their needs.…”

Section: Introductionmentioning

confidence: 99%

Disability, violence, and mental health among Somali refugee women in a humanitarian setting

et al. 2020

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Background There is limited evidence on the relationship between disability, experiences of gender-based violence (GBV), and mental health among refugee women in humanitarian contexts. Methods A cross-sectional analysis was conducted of baseline data (n = 209) collected from women enrolled in a cohort study of refugee women accessing GBV response services in the Dadaab refugee camps in Kenya. Women were surveyed about GBV experiences (past 12 months, before the last 12 months, before arriving in the refugee camps), functional disability status, and mental health (anxiety, depression, post-traumatic stress), and we explored the inter-relationship of these factors. Results Among women accessing GBV response services, 44% reported a disability. A higher proportion of women with a disability (69%) reported a past-year experience of physical intimate partner violence and/or physical or sexual non-partner violence, compared to women without a disability (54%). A higher proportion of women with a disability (32%) experienced non-partner physical or sexual violence before arriving in the camp compared to women without a disability (16%). Disability was associated with higher scores for depression (1.93, 95% confidence interval (CI) 0.54–3.33), PTSD (2.26, 95% CI 0.03–4.49), and anxiety (1.54, 95% CI 0.13–2.95) after adjusting for age, length of encampment, partner status, number of children, and GBV indicators. Conclusions A large proportion of refugee women seeking GBV response services have disabilities, and refugee women with a disability are at high risk of poor mental health. This research highlights the need for mental health and disability screening within GBV response programming.

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How people with disabilities experience programs to prevent intimate partner violence across four countries

Cited by 32 publications

References 24 publications

How do programmes to prevent intimate partner violence among the general population impact women with disabilities? Post-hoc analysis of three randomised controlled trials

How do programmes to prevent intimate partner violence among the general population impact women with disabilities? Post-hoc analysis of three randomised controlled trials

Barriers to Disability Inclusion: Social Needs and Discrimination in Mexico

Disability, violence, and mental health among Somali refugee women in a humanitarian setting

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