Coping strategies available for women living with HIV/AIDS experiencing intimate partner violence in the Singida region, Tanzania (original) (raw)
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Background: Intimate partner violence (IPV) during pregnancy is associated with miscarriage, premature labour, infant morbidity and mortality. However, little is known about IPV in pregnancy in South Africa, where 20-35% of pregnant women report experiencing violence. Methods: In preparation for designing an intervention to address IPV in pregnancy, we conducted formative research in two Johannesburg antenatal clinics. We held focus group discussions with pregnant women (n=13) alongside qualitative interviews with health care providers (n=10), district health managers (n=10), and pregnant abused women (n=5). Data were analysed using a team approach to grounded coding in Nvivo10. Results: We found that antenatal providers are alert to physical wounds or severe outcomes (eg. fetal death) from IPV, but miss other subtle cues. Providers are uncertain how to respond to IPV, and noted few existing tools, training, or referral systems. Pregnant women themselves described IPV in terms of ph...
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Intimate partner violence and correlates in pregnant HIV positive Nigerians
Archives of Gynecology and Obstetrics, 2009
Objective To determine the prevalence, types and correlates of intimate partner violence (IPV) in pregnant Nigerian living with HIV. Design Cross sectional study. Population HIV positive pregnant women. Setting A large HIV comprehensive treatment centre. Methods A cross sectional study of 652 HIV positive pregnant Nigerians seen at Nigerian Institute of Medical Research, Lagos, Nigeria over a 24 months period. Main outcome measures Prevalence of intimate partner violence after HIV diagnosis. Results Among the women interviewed, 423 (65.8%) reported abuse. In 74.0% of abused women, the abuse started after HIV diagnosis. Though having a HIV negative spouse and disclosure of HIV status were associated with abuse, only having a HIV negative partner retained its association with IPV (OR 3.1; CI 2.4–5.3) after controlling for confounding variables. Sixty-two (9.6%) women have not disclosed their HIV status because of fear of rejection. Verbal abuse (51.7%), threat of violence in 97 (22.9%) and sexual deprivation in 91 (21.5%) were the common forms of abuse reported. Conclusion IPV is common among HIV positive pregnant Nigerians; with a threefold increased risk in women in HIV serodiscordant relationship.
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BMC Public Health
Background Accessibility of sexual and reproductive health (SRH) services in many lower-and-middle-income countries (LMICs) and humanitarian settings remains limited, particularly for young people. Young people facing humanitarian crises are also at higher risk for mental health problems, which can further exacerbate poor SRH outcomes. This review aimed to explore, describe and evaluate SRH interventions for young people in LMIC and humanitarian settings to better understand both SRH and psychosocial components of interventions that demonstrate effectiveness for improving SRH outcomes. Methods We conducted a systematic review of studies examining interventions to improve SRH in young people in LMIC and humanitarian settings following Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) standards for systematic reviews. Peer-reviewed journals and grey literature from January 1, 2000 to December 31, 2018 were included. Two authors performed title, abstract and f...
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BMJ Global Health
IntroductionThis systematic review aims to determine if combination HIV prevention programmes include outcome measures for empowerment, inclusion and agency to demand equal rights and measure the relationship between empowerment and HIV prevention outcomes.MethodsAn electronic literature search of PubMed, POPLINE, Index Medicus and Google Scholar was conducted between August and October 2018. We included studies that evaluated combination prevention programmes that had all three types of intervention components and that specifically serve members of populations disproportionately affected by HIV published from 2008 to 2018. The selected studies were screened for inclusion, and relevant data abstracted, assessed for bias and synthesised.ResultsThis review included a total of 15 studies. Findings indicate that combination HIV prevention programmes for marginalised populations have delivered a variety of theory-based behavioural and structural interventions that support improvements in...
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