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Intimate partner violence as a predictor of antenatal care services utilization in Rwanda

BACKGROUND: Although compelling evidence shows that exposure to intimate partner violence (IPV) during pregnancy is detrimental to both physical and mental health of the victims and their fetuses, studies on negative impact of IPV on antenatal care (ANC) services utilization are scarce. METHODS: The...

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Autores principales: Bahati, Claire, Izabayo, Josias, Niyonsenga, Japhet, Sezibera, Vincent, Mutesa, Léon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8574031/
https://www.ncbi.nlm.nih.gov/pubmed/34749691
http://dx.doi.org/10.1186/s12884-021-04230-5
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author Bahati, Claire
Izabayo, Josias
Niyonsenga, Japhet
Sezibera, Vincent
Mutesa, Léon
author_facet Bahati, Claire
Izabayo, Josias
Niyonsenga, Japhet
Sezibera, Vincent
Mutesa, Léon
author_sort Bahati, Claire
collection PubMed
description BACKGROUND: Although compelling evidence shows that exposure to intimate partner violence (IPV) during pregnancy is detrimental to both physical and mental health of the victims and their fetuses, studies on negative impact of IPV on antenatal care (ANC) services utilization are scarce. METHODS: The aim of the current study was to determine the impact of IPV exposure on ANC services utilization indicators such as (i) initiation of care within the first 3 months of pregnancy, (ii) receipt of at least four ANC visits and (iii) receipt of care from skilled providers among reproductive age women in Rwanda. This study used the data from the 2014–15 Rwanda Demographic and Health Survey. Multiple logistic regression was used to estimate the effects of physical and sexual IPV on the ANC services utilization indicators. RESULTS: Among married women living with their partners with at least one child aged 5 years or under (N = 5116), 17% of them reported physical violence, 22.8% reported psychological violence and 9.2% reported sexual violence. We found that there was a significant negative relationship between physical IPV and both early ANC and sufficient ANC. Women who had experienced physical violence by their partners during the preceding 12 months were less likely to receive more than four ANC visits, (O.R = 0.61, CI = 0.417–0.908) and they were less likely to attend the first ANC visits within the first 3 months (O.R = 0.656, CI = 0.445–0.967). CONCLUSION: In this study, the prevalence of IPV still remains high and there is evidence that it does have significant impact on ANC. Therefore, the results provide support for continued efforts to reduce intimate partner violence, through the improvement of screening for IPV during ANC visits.
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spelling pubmed-85740312021-11-08 Intimate partner violence as a predictor of antenatal care services utilization in Rwanda Bahati, Claire Izabayo, Josias Niyonsenga, Japhet Sezibera, Vincent Mutesa, Léon BMC Pregnancy Childbirth Research BACKGROUND: Although compelling evidence shows that exposure to intimate partner violence (IPV) during pregnancy is detrimental to both physical and mental health of the victims and their fetuses, studies on negative impact of IPV on antenatal care (ANC) services utilization are scarce. METHODS: The aim of the current study was to determine the impact of IPV exposure on ANC services utilization indicators such as (i) initiation of care within the first 3 months of pregnancy, (ii) receipt of at least four ANC visits and (iii) receipt of care from skilled providers among reproductive age women in Rwanda. This study used the data from the 2014–15 Rwanda Demographic and Health Survey. Multiple logistic regression was used to estimate the effects of physical and sexual IPV on the ANC services utilization indicators. RESULTS: Among married women living with their partners with at least one child aged 5 years or under (N = 5116), 17% of them reported physical violence, 22.8% reported psychological violence and 9.2% reported sexual violence. We found that there was a significant negative relationship between physical IPV and both early ANC and sufficient ANC. Women who had experienced physical violence by their partners during the preceding 12 months were less likely to receive more than four ANC visits, (O.R = 0.61, CI = 0.417–0.908) and they were less likely to attend the first ANC visits within the first 3 months (O.R = 0.656, CI = 0.445–0.967). CONCLUSION: In this study, the prevalence of IPV still remains high and there is evidence that it does have significant impact on ANC. Therefore, the results provide support for continued efforts to reduce intimate partner violence, through the improvement of screening for IPV during ANC visits. BioMed Central 2021-11-08 /pmc/articles/PMC8574031/ /pubmed/34749691 http://dx.doi.org/10.1186/s12884-021-04230-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Bahati, Claire
Izabayo, Josias
Niyonsenga, Japhet
Sezibera, Vincent
Mutesa, Léon
Intimate partner violence as a predictor of antenatal care services utilization in Rwanda
title Intimate partner violence as a predictor of antenatal care services utilization in Rwanda
title_full Intimate partner violence as a predictor of antenatal care services utilization in Rwanda
title_fullStr Intimate partner violence as a predictor of antenatal care services utilization in Rwanda
title_full_unstemmed Intimate partner violence as a predictor of antenatal care services utilization in Rwanda
title_short Intimate partner violence as a predictor of antenatal care services utilization in Rwanda
title_sort intimate partner violence as a predictor of antenatal care services utilization in rwanda
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8574031/
https://www.ncbi.nlm.nih.gov/pubmed/34749691
http://dx.doi.org/10.1186/s12884-021-04230-5
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