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Intimate partner violence and utilization of maternal health care services in Addis Ababa, Ethiopia.
BMC Health Serv Res. 2017 03 07; 17(1):178.BH

Abstract

BACKGROUND

Despite its prominence, intimate partner violence (IPV) against women has received little attention in Ethiopia. And as many of sub-Saharan African countries, maternal health care services utilization remains poor. Full access and utilization of maternal health care services is a key to significant reduction in maternal and child mortality, and eliminate new HIV infection in infants. Identifying the factors that contribute to the poor access and utilization should aid the design of appropriate policy and intervention strategies. Thus the objective of this study was to examine the association between IPV and use of maternal health care services in Addis Ababa, Ethiopia.

METHODS

A cross sectional study on couples (N = 210; male/female pairs) with an infant less than 6 months of age was conducted. The dependent variable was use of maternal health care services and the main independent variable was IPV. Data was collected using face-to-face self-reported questionnaires and analyzed using SPSS version 20.0. Bivariate and multivariate logistic regression models were used to examine the relationship between the dependent and independent variables.

RESULTS

The mean age of the women was 28.7 years (SD = 5.4), on average women were 7.4 years (SD = 7.4) younger than their partners. Although most of the women (95.2%) had at least one antenatal care (ANC), only 35 (2%) had ≥4 ANC visits and about half (49.0%) had their first ANC visit within the first trimester. Women who experienced emotional IPV in their relationship were less likely to have their 1st ANC within three months of pregnancy (AOR = 0.69; 95%CI = 0.49-0.96). Women who reported physical IPV in their relationship were less likely to use ≥4 ANC (AOR = 0.48; 95%CI = 0.21-0.71), be tested for HIV (AOR = 0.26; 95%CI = 0.09-0.79), have skilled delivery attendant (AOR = 0.31; 95%CI = 0.12-0.98), and deliver in a health facility (AOR = 0.35; 95%CI = 0.14-0.88). Likewise, women experienced sexual IPV or partner control in their relationship were less likely to use ANC ≥4 times (AORsexual-IPV = 0.91; 95%CI = 0.84-0.98 and AORpartner-control = 0.38; 95%CI = 0.17-0.85 respectively).

CONCLUSIONS

IPV is prevalent among couples in Addis Ababa, Ethiopia where three out of four women reported having experienced one or more type of IPV in their current relationship. And all types of IPV showed significant association with poor utilization of one or more maternal health care services. Thus efforts to sustain the recent success in maternal health and further improvement should give due consideration to IPV.

Authors+Show Affiliations

School of Public Health, The University of Hong Kong, G09, G/F, Patrick Manson Building, 7 Sassoon Road, Pokfulam, Hong Kong. bedredin4444@yahoo.com.School of Public Health, The University of Hong Kong, G09, G/F, Patrick Manson Building, 7 Sassoon Road, Pokfulam, Hong Kong.Clinton Health Access Initiative, Boston, USA.JC School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong, China.JC School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong, China.School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28270137

Citation

Mohammed, Bedru Hussen, et al. "Intimate Partner Violence and Utilization of Maternal Health Care Services in Addis Ababa, Ethiopia." BMC Health Services Research, vol. 17, no. 1, 2017, p. 178.
Mohammed BH, Johnston JM, Harwell JI, et al. Intimate partner violence and utilization of maternal health care services in Addis Ababa, Ethiopia. BMC Health Serv Res. 2017;17(1):178.
Mohammed, B. H., Johnston, J. M., Harwell, J. I., Yi, H., Tsang, K. W., & Haidar, J. A. (2017). Intimate partner violence and utilization of maternal health care services in Addis Ababa, Ethiopia. BMC Health Services Research, 17(1), 178. https://doi.org/10.1186/s12913-017-2121-7
Mohammed BH, et al. Intimate Partner Violence and Utilization of Maternal Health Care Services in Addis Ababa, Ethiopia. BMC Health Serv Res. 2017 03 7;17(1):178. PubMed PMID: 28270137.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intimate partner violence and utilization of maternal health care services in Addis Ababa, Ethiopia. AU - Mohammed,Bedru Hussen, AU - Johnston,Janice Mary, AU - Harwell,Joseph I, AU - Yi,Huso, AU - Tsang,Katrina Wai-Kay, AU - Haidar,Jemal Ali, Y1 - 2017/03/07/ PY - 2016/05/17/received PY - 2017/02/24/accepted PY - 2017/3/9/entrez PY - 2017/3/9/pubmed PY - 2017/9/7/medline KW - Addis Ababa KW - Antenatal care KW - Intimate partner violence KW - Maternal health care KW - Prevention of mother-to-child transmission SP - 178 EP - 178 JF - BMC health services research JO - BMC Health Serv Res VL - 17 IS - 1 N2 - BACKGROUND: Despite its prominence, intimate partner violence (IPV) against women has received little attention in Ethiopia. And as many of sub-Saharan African countries, maternal health care services utilization remains poor. Full access and utilization of maternal health care services is a key to significant reduction in maternal and child mortality, and eliminate new HIV infection in infants. Identifying the factors that contribute to the poor access and utilization should aid the design of appropriate policy and intervention strategies. Thus the objective of this study was to examine the association between IPV and use of maternal health care services in Addis Ababa, Ethiopia. METHODS: A cross sectional study on couples (N = 210; male/female pairs) with an infant less than 6 months of age was conducted. The dependent variable was use of maternal health care services and the main independent variable was IPV. Data was collected using face-to-face self-reported questionnaires and analyzed using SPSS version 20.0. Bivariate and multivariate logistic regression models were used to examine the relationship between the dependent and independent variables. RESULTS: The mean age of the women was 28.7 years (SD = 5.4), on average women were 7.4 years (SD = 7.4) younger than their partners. Although most of the women (95.2%) had at least one antenatal care (ANC), only 35 (2%) had ≥4 ANC visits and about half (49.0%) had their first ANC visit within the first trimester. Women who experienced emotional IPV in their relationship were less likely to have their 1st ANC within three months of pregnancy (AOR = 0.69; 95%CI = 0.49-0.96). Women who reported physical IPV in their relationship were less likely to use ≥4 ANC (AOR = 0.48; 95%CI = 0.21-0.71), be tested for HIV (AOR = 0.26; 95%CI = 0.09-0.79), have skilled delivery attendant (AOR = 0.31; 95%CI = 0.12-0.98), and deliver in a health facility (AOR = 0.35; 95%CI = 0.14-0.88). Likewise, women experienced sexual IPV or partner control in their relationship were less likely to use ANC ≥4 times (AORsexual-IPV = 0.91; 95%CI = 0.84-0.98 and AORpartner-control = 0.38; 95%CI = 0.17-0.85 respectively). CONCLUSIONS: IPV is prevalent among couples in Addis Ababa, Ethiopia where three out of four women reported having experienced one or more type of IPV in their current relationship. And all types of IPV showed significant association with poor utilization of one or more maternal health care services. Thus efforts to sustain the recent success in maternal health and further improvement should give due consideration to IPV. SN - 1472-6963 UR - https://www.unboundmedicine.com/medline/citation/28270137/Intimate_partner_violence_and_utilization_of_maternal_health_care_services_in_Addis_Ababa_Ethiopia_ L2 - https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2121-7 DB - PRIME DP - Unbound Medicine ER -