Readiness to Screen for Domestic Violence against Women in Healthcare Uganda:  Associations with Demographic,  Professional and Work Environmental  Factors

Lawoko, Stephen; Ochola, Emmanuel; Oloya, Geoffrey; Piloya, Joyce; Lubega, Muhamadi; Lawoko-Olwe, Winnie; Guwatudde, David

doi:10.4236/ojpm.2014.44020

Cited by 4 publications

(7 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This association may be due to high representation of women in our study sample and women may show more readiness to screen for intimate partner violence out of sympathy for fellow women. Social workers perceived a higher self-efficacy than other providers which is consistent with studies conducted in Nigeria and Uganda that found Ugandan doctors had lower self-efficacy than other professions and social workers had higher self-efficacy (29,30). This differs from a Lebanese study that found that physicians considered themselves well positioned to manage intimate partner violence (31).…”

Section: Discussionsupporting

confidence: 78%

“…Confidence about referring a victim of intimate partner violence is an important component of the perceived support system, which in turn, is associated with an increased likelihood to screen for intimate partner violence (28)(29)(30)(31)(32). In our study, most participants were not confident about making referrals for abused women, which affected their proactivity to try and detect victims of intimate partner violence.…”

Section: Discussionmentioning

confidence: 64%

See 1 more Smart Citation

Views of primary health care providers of the challenges to screening for intimate partner violence, Egypt

Ibrahim¹,

Hamed²,

Ahmed³

2021

East Mediterr Health J.

View full text Add to dashboard Cite

Background: Health care providers can play an important role in detection of intimate partner violence within health services but barriers exist. Aims: This study aimed to determine the barriers that health care providers in Fayoum, Egypt consider prevent them from screening for intimate partner violence. Methods: This was a cross-sectional study between June 2018 and January 2019. The sample was health care providers (doctors, nurses, social workers and community workers) selected from government primary care centres in all seven districts of Fayoum. A validated Arabic version of the Domestic Violence Health Care Provider Survey was used to collect data. Results: A total of 385 health care providers (92.7% women) agreed to participate (78.6% response rate). Just over half of the participants did not have access to social workers or community workers or strategies to help victims of intimate partner violence. None had received training on screening for domestic violence. More than half (59.7%) thought that investigating the cause of intimate partner violence was not part of medical practice. Sex was significantly associated with perceived self-efficacy, while age and occupation were significantly associated with referral management and health providers' attitude. Conclusion: Primary health care providers perceived many barriers to screening for intimate partner violence. Training on screening for and managing intimate partner violence should be part of the professional development for all health care providers. An effective referral system is 1 / 12 WHO EMRO | Views of primary health care providers of the challenges to screening for intimate partner v needed that ensures comprehensive services for victims.

show abstract

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 64%

Views of primary health care providers of the challenges to screening for intimate partner violence, Egypt

Ibrahim¹,

Hamed²,

Ahmed³

2021

East Mediterr Health J.

View full text Add to dashboard Cite

show abstract

“…Our findings were in line with prior studies conducted in Uganda which showed that some healthcare workers in an urban-based OBGYN unit lacked technical competence to provide optimal ANC care to IPV survivors [41]. Similarly, one study conducted in Uganda by Lawoko and colleagues demonstrated that medical doctors had lower self-efficacy for IPV screening when compared to other healthcare professionals such as midwives [29].…”

Section: Discussionsupporting

confidence: 90%

“…Due to the complexity of risk factors and prevention strategies for IPV, systems-level interventions have been proposed. There is paucity of evidence from Low and Middle Income Countries (LMICs) [24,25], including Uganda, [26][27][28][29] that describes whether or how healthcare providers screen for IPV among populations of women seeking ANC services.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers to routine intimate partner violence screening in antenatal care settings in Uganda

Anguzu

Cassidy

Beyer

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background Uganda clinical guidelines recommend routine screening of pregnant women for intimate partner violence (IPV) during antenatal care (ANC). Healthcare providers play a critical role in identifying IPV during pregnancy in ANC clinics. This study explored facilitators and barriers for IPV screening during pregnancy (perinatal IPV screening) by ANC-based healthcare workers in Uganda. Methods We conducted qualitative in-depth interviews among twenty-eight purposively selected healthcare providers in one rural and an urban-based ANC health center in Eastern and Central Uganda respectively. Barriers and facilitators to IPV screening during ANC were identified iteratively using inductive-deductive thematic analysis. Results Participants had provided ANC services for a median (IQR) duration of 4.0 (0.1–19) years. Out of 28 healthcare providers, 11 routinely screened women attending ANC clinics for IPV and 10 had received IPV-related training. Barriers to routine IPV screening included limited staffing and space resources, lack of comprehensive gender-based violence (GBV) training and provider unawareness of the extent of IPV during pregnancy. Facilitators were availability of GBV protocols and providers who were aware of IPV (or GBV) tools tended to use them to routinely screen for IPV. Healthcare workers reported the need to establish patient trust and a safe ANC clinic environment for disclosure to occur. ANC clinicians suggested creation of opportunities for triage-level screening and modification of patients’ ANC cards used to document women’s medical history. Some providers expressed concerns of safety or retaliatory abuse if perpetrating partners were to see reported abuse. Conclusions Our findings can inform efforts to strengthen GBV interventions focused on increasing routine perinatal IPV screening by ANC-based clinicians. Implementation of initiatives to increase routine perinatal IPV screening should focus on task sharing, increasing comprehensive IPV training opportunities, including raising awareness of IPV severity, trauma-informed care and building trusting patient-physician relationships.

show abstract

“…Shortened version of DVHPS is a universal and commonly used assessment tool to identify health care providers' readiness and impeding barriers to perform domestic violence screening in health care setting [10]. Previous studies indicated an acceptable psychometric evaluation for every item domain with Cronbach alpha ranging from 0.73 to 0.91 [11][12][13]. Also, study showed an averaged overall Cronbach alpha for all items domains of 0.88.…”

Section: Questionnaire Designmentioning

confidence: 99%

General dentists’ readiness and barriers in intimate partner violence screening: a cross-sectional study in Jeddah City

Alshouibi

2022

BMC Oral Health

View full text Add to dashboard Cite

Background Intimate partner violence (IPV) has varying prevalence rates and risk factors based on cultural, social, and economic backgrounds. However, it is common for IPV victims to be seen in dental settings on a regular basis. Identifying IPV victims in dental settings might help address this overlooked global dilemma. This study was conducted to evaluate general dentists’ readiness and potential barriers to performing IPV screening in a dental setting. Methods A cross-sectional study was conducted using the Domestic Violence Healthcare Providers Survey (DVHPS). This validated and structured questionnaire was adopted, modified, and self-administered to evaluate general dentists’ readiness and barriers to IPV screening. General dentists were recruited for the study population from 5 administrative territorial regions in Jeddah, Saudi Arabia. The questionnaire consists of 7 domains that assess general dentists’ readiness and barriers to performing IPV screening for all dental patients. Results Out of the 273 dentists approached, a total of 200 participated in the study, with a total response rate of 73.3%. The percentages of female and male dentists were 54% and 46%, respectively. Almost 73% of the study population believed they could identify IPV in a dental setting. The multiple linear regression model indicated a substantial decrease in general dentists’ readiness to perform IPV screening due to fear of offending patients, an increased number of patients treated per day, and professional role resistance. Conclusion The current study suggests the high readiness of general dentists to perform IPV screening for all patients. However, prominent barriers to implementing IPV screening for all patients include fear of offending patients, an increased number of patients treated per day, and professional role resistance. Postgraduate continuous education is encouraged to re-enforce the importance of IPV screening in dental settings.

show abstract

Readiness to Screen for Domestic Violence against Women in Healthcare Uganda: Associations with Demographic, Professional and Work Environmental Factors

Cited by 4 publications

References 21 publications

Views of primary health care providers of the challenges to screening for intimate partner violence, Egypt

Views of primary health care providers of the challenges to screening for intimate partner violence, Egypt

Facilitators and barriers to routine intimate partner violence screening in antenatal care settings in Uganda

General dentists’ readiness and barriers in intimate partner violence screening: a cross-sectional study in Jeddah City

Contact Info

Product

Resources

About