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Ethiopian Health Care Workers' Insights into and Responses to Intimate Partner Violence in Pregnancy-A Qualitative Study.
International Journal of Environmental Research and Public Health ( IF 4.614 ) Pub Date : 2020-05-25 , DOI: 10.3390/ijerph17103745
Bosena Tebeje Gashaw 1, 2 , Berit Schei 3, 4 , Kari Nyheim Solbraekke 5 , Jeanette H Magnus 2, 6
Affiliation  

Violence against women is a global pandemic, with the potential to spread through generations. Intimate partner violence has impacts on women’s sexual, reproductive, and psycho-social health. It can occur during pregnancy and adversely affect the health of both mother and child. Health care workers involved in antenatal care can have a unique role in identifying intimate partner violence and in intervening, preventing, and mitigating its consequences. In this study, the objective was to explore Ethiopian health care workers’ insights of and responses to intimate partner violence in pregnancy. Using an exploratory design, this qualitative study includes ten semi-structured interviews of health care workers representing different antenatal care centers in Jimma, Ethiopia. The content analyses of translated interview notes were conducted with Atlas.ti7 software, (Atlas.ti Scientific Software Development Gmbh, Berlin). The health care workers shared their insights of the consequences of intimate partner violence during pregnancy in addition to their experience with and responses to the victims. There was a limited understanding of the extent of the adverse impacts of intimate partner violence on pregnancy outcomes, as well as the potential long-term health implications. The informants described how they only gave medical treatment for obstetric complications or visible trauma during pregnancy. There was no formal referral to or linkages with other resources. Women’s empowerment and systemic changes in the health care, including training and capacity building, clear guidelines addressing management of intimate partner violence in pregnancy, and inclusion of intimate partner violence screening tools in the Ethiopian antenatal care chart/card, were recommended by the informants. The adverse impacts of intimate partner violence on pregnancy outcomes were poorly understood by the Ethiopian health care workers in this study. They offered limited assistance to the victims and recommended changes in the routine antenatal care (ANC) and health care systems. They identified various policy initiatives focusing on women’s empowerment to reduce intimate partner violence and its complications especially during pregnancy.

中文翻译:

埃塞俄比亚卫生保健工作者对亲密伴侣暴力的见解和应对措施(定性研究)。

对妇女的暴力行为是全球性的大流行,并有可能世代相传。亲密伴侣的暴力行为会影响妇女的性,生殖和心理社会健康。它可能在怀孕期间发生,并对母子健康产生不利影响。参与产前保健的医护人员在确定亲密伴侣的暴力行为以及干预,预防和减轻其后果方面可以发挥独特的作用。在这项研究中,目的是探讨埃塞俄比亚医护人员对怀孕期间亲密伴侣暴力的见解和应对措施。使用探索性设计,该定性研究包括对埃塞俄比亚吉马不同产前保健中心的卫生保健工作者进行的十次半结构化访谈。翻译的采访记录的内容分析是通过Atlas进行的。ti7软件,(柏林Atlas.ti科学软件开发有限公司)。医护人员除了对受害者的经历和反应之外,还分享了他们对怀孕期间亲密伴侣暴力行为后果的见解。对亲密伴侣的暴力行为对怀孕结局的不利影响的程度以及对长期健康的潜在影响知之甚少。线人描述了他们仅在妊娠期间如何对产科并发症或可见创伤进行药物治疗。没有正式引用其他资源或与其他资源建立联系。妇女赋权和医疗保健方面的系统性变化,包括培训和能力建设,解决怀孕期间亲密伴侣暴力行为管理的明确准则,举报人建议在埃塞俄比亚产前保健图表/卡片中包括亲密伴侣暴力筛查工具。埃塞俄比亚卫生保健工作者在这项研究中对亲密伴侣暴力对妊娠结局的不利影响知之甚少。他们向受害者提供了有限的援助,并建议对常规的产前护理(ANC)和医疗保健系统进行更改。他们确定了各种旨在增强妇女权能的政策举措,以减少亲密伴侣的暴力行为及其并发症,特别是在怀孕期间。他们向受害者提供了有限的援助,并建议对常规的产前护理(ANC)和医疗保健系统进行更改。他们确定了各种旨在增强妇女权能的政策举措,以减少亲密伴侣的暴力行为及其并发症,特别是在怀孕期间。他们向受害者提供了有限的援助,并建议对常规的产前护理(ANC)和医疗保健系统进行更改。他们确定了各种政策举措,着重于赋予妇女权力以减少亲密伴侣的暴力行为及其并发症,特别是在怀孕期间。
更新日期:2020-05-25
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