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Association between intimate partner violence and the use of maternal health care services among married Malawian women.
BMC Womens Health. 2021 04 23; 21(1):173.BW

Abstract

BACKGROUND

Maternal and child health care (MCH) services aim at improving the overall health outcomes of both the mother and newborn. Intimate partner violence (IPV) has been linked with poor health outcomes and under usage of MCH services. In Malawi, IPV is a persistent problem, while MCH services' uptake remains a constant challenge. However, there is limited information on the association between IPV and MCH services in Malawi. The study examined the association between IPV and the use of MCH services among married Malawian women.

METHODS

The 2015-16 Malawi demographic and health survey was used to analyze the association of IPV and the use of MCH services among 2712 married Malawian women. Multivariable logistic regression models were used to estimate the strength of association.

RESULTS

Approximately 41.4% of the women reported experiencing IPV. Specifically, 27.8%, 19.3%, and 23.6% reported experiencing physical, sexual, and emotional violence, respectively. Women who reported experiencing any form of IPV had a 34% reduced likelihood of delivering at a health facility [adjusted odds ratio (aOR): 0.66; 95% confidence interval (CI) 0.46-0.96] or were 36% less likely [aOR: 0.64; 95% CI 0.46-0.90] to have had skilled assistance during delivery compared to those who never experienced IPV.

CONCLUSION

IPV was associated with MCH services use, specifically delivery at a health facility and skilled birth attendants. The high prevalence of IPV underscores the need to design effective programs to raise awareness regarding IPV and reduce IPV. Reducing IPV may be a promising means to support a more integrated and sustainable approach to improve the use of MCH services.

Authors+Show Affiliations

Kamuzu Central Hospital, P.O Box 149, Lilongwe, Malawi.Malaria Alert Centre (MAC), College of Medicine (CoM), University of Malawi (UNIMA), Private Bag 360, Chichiri, Blantyre 3, Malawi.Institude of Health and Wellbeing, University of Glasgow, Glasgow, UK. onkoka@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33892706

Citation

Magombo, Praise W., et al. "Association Between Intimate Partner Violence and the Use of Maternal Health Care Services Among Married Malawian Women." BMC Women's Health, vol. 21, no. 1, 2021, p. 173.
Magombo PW, Ntenda PAM, Nkoka O. Association between intimate partner violence and the use of maternal health care services among married Malawian women. BMC Womens Health. 2021;21(1):173.
Magombo, P. W., Ntenda, P. A. M., & Nkoka, O. (2021). Association between intimate partner violence and the use of maternal health care services among married Malawian women. BMC Women's Health, 21(1), 173. https://doi.org/10.1186/s12905-021-01312-6
Magombo PW, Ntenda PAM, Nkoka O. Association Between Intimate Partner Violence and the Use of Maternal Health Care Services Among Married Malawian Women. BMC Womens Health. 2021 04 23;21(1):173. PubMed PMID: 33892706.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between intimate partner violence and the use of maternal health care services among married Malawian women. AU - Magombo,Praise W, AU - Ntenda,Peter A M, AU - Nkoka,Owen, Y1 - 2021/04/23/ PY - 2020/12/01/received PY - 2021/04/15/accepted PY - 2021/4/24/entrez PY - 2021/4/25/pubmed PY - 2021/6/1/medline KW - Institutional deliveries KW - Intimate partner violence KW - Skilled assistants at birth SP - 173 EP - 173 JF - BMC women's health JO - BMC Womens Health VL - 21 IS - 1 N2 - BACKGROUND: Maternal and child health care (MCH) services aim at improving the overall health outcomes of both the mother and newborn. Intimate partner violence (IPV) has been linked with poor health outcomes and under usage of MCH services. In Malawi, IPV is a persistent problem, while MCH services' uptake remains a constant challenge. However, there is limited information on the association between IPV and MCH services in Malawi. The study examined the association between IPV and the use of MCH services among married Malawian women. METHODS: The 2015-16 Malawi demographic and health survey was used to analyze the association of IPV and the use of MCH services among 2712 married Malawian women. Multivariable logistic regression models were used to estimate the strength of association. RESULTS: Approximately 41.4% of the women reported experiencing IPV. Specifically, 27.8%, 19.3%, and 23.6% reported experiencing physical, sexual, and emotional violence, respectively. Women who reported experiencing any form of IPV had a 34% reduced likelihood of delivering at a health facility [adjusted odds ratio (aOR): 0.66; 95% confidence interval (CI) 0.46-0.96] or were 36% less likely [aOR: 0.64; 95% CI 0.46-0.90] to have had skilled assistance during delivery compared to those who never experienced IPV. CONCLUSION: IPV was associated with MCH services use, specifically delivery at a health facility and skilled birth attendants. The high prevalence of IPV underscores the need to design effective programs to raise awareness regarding IPV and reduce IPV. Reducing IPV may be a promising means to support a more integrated and sustainable approach to improve the use of MCH services. SN - 1472-6874 UR - https://www.unboundmedicine.com/medline/citation/33892706/Association_between_intimate_partner_violence_and_the_use_of_maternal_health_care_services_among_married_Malawian_women_ L2 - https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-021-01312-6 DB - PRIME DP - Unbound Medicine ER -