Prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in Blantyre, Malawi

Background: Intimate partner violence (IPV) during the perinatal period and when one is HIV-positive is a great concern because of the physical and mental impacts it has on health and on adherence to prevention of mother to child transmission (PMTCT) services. However, factors associated with IPV am...

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Main Authors: Lignet Chepuka, Chimwemwe Kwanjo-Banda, Ursula Kafulafula, Anthony Sefasi, Genesis Chorwe-Sungani
Format: Article
Language:English
Published: AOSIS 2021-10-01
Series:South African Family Practice
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Online Access:https://safpj.co.za/index.php/safpj/article/view/5271
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author Lignet Chepuka
Chimwemwe Kwanjo-Banda
Ursula Kafulafula
Anthony Sefasi
Genesis Chorwe-Sungani
author_facet Lignet Chepuka
Chimwemwe Kwanjo-Banda
Ursula Kafulafula
Anthony Sefasi
Genesis Chorwe-Sungani
author_sort Lignet Chepuka
collection DOAJ
description Background: Intimate partner violence (IPV) during the perinatal period and when one is HIV-positive is a great concern because of the physical and mental impacts it has on health and on adherence to prevention of mother to child transmission (PMTCT) services. However, factors associated with IPV amongst perinatal women on PMTCT services are not adequately explored in Malawi. The aim of this study was to estimate the various types of IPV and the associated factors amongst HIV-positive pregnant and postnatal women in selected health centres in Blantyre district. Methods: In this cross-sectional study, we recruited 200 HIV-positive women from antenatal, postnatal and antiretroviral therapy (ART) clinics from four selected primary care facilities of Blantyre district. Data were collected between March and May 2018. Results: A total of 50% of the participants reported to have experienced either physical, psychological or sexual violence from their partner in the last 12 months. The multivariate logistic regression model showed that feelings about safety of the relationship and depression were the only factors that were consistently associated with IPV in the last 12 months (p = 0.001, Pseudo R2 = 0.20). Conclusion: The presence of depression and safety concerns amongst our study participants calls for serious prioritisation of psychological interventions and risk assessment in the management of HIV-positive perinatal mothers who report IPV cases.
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institution Kabale University
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series South African Family Practice
spelling doaj-art-083279e313e64508ba4414cb9f19a6062025-08-20T03:43:58ZengAOSISSouth African Family Practice2078-61902078-62042021-10-01631e1e710.4102/safp.v63i1.52714164Prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in Blantyre, MalawiLignet Chepuka0Chimwemwe Kwanjo-Banda1Ursula Kafulafula2Anthony Sefasi3Genesis Chorwe-Sungani4Department of Adult Health, Faculty of Nursing Health Studies, Kamuzu College of Nursing, University of Malawi, BlantyreDepartment of Adult Health, Faculty of Nursing Health Studies, Kamuzu College of Nursing, University of Malawi, BlantyreDepartment of Midwifery, Faculty of Midwifery Studies, Kamuzu College of Nursing, University of Malawi, BlantyreDepartment of Mental Health, Faculty of Community Health Studies, Kamuzu College of Nursing, University of Malawi, BlantyreDepartment of Mental Health, Faculty of Community Health Studies, Kamuzu College of Nursing, University of Malawi, BlantyreBackground: Intimate partner violence (IPV) during the perinatal period and when one is HIV-positive is a great concern because of the physical and mental impacts it has on health and on adherence to prevention of mother to child transmission (PMTCT) services. However, factors associated with IPV amongst perinatal women on PMTCT services are not adequately explored in Malawi. The aim of this study was to estimate the various types of IPV and the associated factors amongst HIV-positive pregnant and postnatal women in selected health centres in Blantyre district. Methods: In this cross-sectional study, we recruited 200 HIV-positive women from antenatal, postnatal and antiretroviral therapy (ART) clinics from four selected primary care facilities of Blantyre district. Data were collected between March and May 2018. Results: A total of 50% of the participants reported to have experienced either physical, psychological or sexual violence from their partner in the last 12 months. The multivariate logistic regression model showed that feelings about safety of the relationship and depression were the only factors that were consistently associated with IPV in the last 12 months (p = 0.001, Pseudo R2 = 0.20). Conclusion: The presence of depression and safety concerns amongst our study participants calls for serious prioritisation of psychological interventions and risk assessment in the management of HIV-positive perinatal mothers who report IPV cases.https://safpj.co.za/index.php/safpj/article/view/5271antenataldepressionhiv-positive mothersintimate partner violence (ipv)perinatal
spellingShingle Lignet Chepuka
Chimwemwe Kwanjo-Banda
Ursula Kafulafula
Anthony Sefasi
Genesis Chorwe-Sungani
Prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in Blantyre, Malawi
South African Family Practice
antenatal
depression
hiv-positive mothers
intimate partner violence (ipv)
perinatal
title Prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in Blantyre, Malawi
title_full Prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in Blantyre, Malawi
title_fullStr Prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in Blantyre, Malawi
title_full_unstemmed Prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in Blantyre, Malawi
title_short Prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in Blantyre, Malawi
title_sort prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in blantyre malawi
topic antenatal
depression
hiv-positive mothers
intimate partner violence (ipv)
perinatal
url https://safpj.co.za/index.php/safpj/article/view/5271
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