DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20180179

Domestic violence in rural currently married women: effects on utilization of reproductive and maternal health services

Rajiv Kumar Gupta, Bhavna Langer, Parveen Singh, Rashmi Kumari, Najma Akhter, Riya Gupta

Abstract


Background: Domestic violence remains a public health concern in India due to its high prevalence and adverse effects on pregnancy outcomes. Domestic violence in low and middle income countries has emerged as a priority among researchers and policy makers who are primarily concerned with women s health and empowerment. The study aimed to assess the relationship between domestic violence and women’s use of reproductive and maternal health services.

Methods: The present study was conducted among currently married rural women in reproductive age group (15-49 Years). Four villages in Kot Balwal Block were selected randomly and all the currently married women who were willing to give informed verbal consent were administered the questionnaire. The questionnaire was pilot tested by the authors. Data was analysed using proportion sand chi square test was used as a test of significance.

Results: Prevalence of domestic violence was reported to be 49.12%. Regarding empowerment, the results revealed that while 65.3% of the respondents were able to decide on their health, only 20.7% had say in household purchases. Attitude towards wife beating was strongly negative as 95.7% rejected wife beating. Levels of education, exposure to media, intake of alcohol by partners and spousal age difference were statistically significant (p<0.05) in relation to use of reproductive and maternal health services.

Conclusions: The study has revealed that women’s empowerment has a positive impact on use of reproductive and maternal health services. Multi-sector collaboration in initiating programs and interventions to improve women’s empowerment, increase educational attainment and reduction of gender based violence should be a priority for the health planners.


Keywords


Domestic violence, Reproductive and maternal health services, Women empowerment

Full Text:

PDF

References


World Health Organization. Violence against women (FRH/WHD/96.27). Geneva, Switzerland: Author; 1996. Available at http://apps.who.int/iris/bitstream/10665/63277/1/FRH_WHD_96.27.pdf. Accessed on 15 November 2017

Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH. Prevalence of intimate partner violence: findings from the WHO multi-country study on women's health and domestic violence. Lancet. 2006 Oct 13;368(9543):1260-9.

WHO, and UNICEF. 2013. Countdown to 2015 Report; Maternal, Newborn and Child Survival; Accountability for Maternal, Newborn and Child Survival. Available at http://www.countdown2015mnch.org/. Accessed on 15 November 2017

Bongaarts J, Cleland J, Townsent JW, Bertrand JT, Gupta MD. Family Planning Programs for the 21st Century: Rationale and Design. New York, New York, USA: The Population Council;2012.

WHO, and UNICEF. 2012. Countdown to 2015 Report; Maternal, Newborn and Child Survival; Building a Future for Women and Children. Available at https://reliefweb.int/sites/reliefweb.int/files/resources/Countdown%2520complete%25200606.pdf. Accessed on 17 November 2017

Rahman M, Nakamura K, Seino K, Kizuki M. Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample. BMC public health. 2012 Oct 29;12(1):913.

Tuladhar S, Khanal KR, Lila KC, Ghimire PK, Onta K. Women's Empowerment and Spousal Violence in Relation to Health Outcomes in Nepal: Further Analysis of the 2011 Nepal Demographic and Health Survey. Calverton, Maryland, USA: Nepal Ministry of Health and Population, New ERA, and ICF International;2013.

Wado YD. Women’s Autonomy and Reproductive Healthcare Seeking Behavior in Ethiopia. DHS Working Papers No. 91. Calverton, Maryland, USA: Macro International;2013.

Ahmed S, Koenig MA, Stephenson R. Effects of domestic violence on perinatal and early-childhood mortality: evidence from north India. Am J Public Health. 2006 Aug;96(8):1423-8.

Kishor S, Johnson K. Profiling domestic violence: a multi-country study. Calverton, Maryland, USA: ORC Macro;2004.

Hindin JM, Kishor S, Ansara DL. Intimate partner violence among couples in 10DHS Countries: Predictors and Health Outcomes. DHS Analytical Studies No 18. Calverton, Maryland, USA: Macro International;2008.

Msuya SE, Adinan J, Mosha N. intimate partner violence and empowerment among women in Tanzania: prevalence and effect on utilization of reproductive and maternal health services. DHS Working Papers, USAID;2014.

Meiksin R, Meekers D, Thompson S, Hagopian A, Mercer MA. Domestic violence, marital control, and family planning, maternal, and birth outcomes in Timor-Leste. Maternal Child Health J. 2015 Jun 1;19(6):1338-47.

Alio AP, Nana PN, Salihu HM. Spousal violence and potentially preventable single and recurrent spontaneous fetal loss in an African setting: cross-sectional study. Lancet. 2009;373(9660):318-24.

Mpembeni RN, Killewo JZ, Leshabari MT, Massawe SN, Jahn A, Mushi D et al. Use pattern of maternal health services and determinants of skilled care during delivery in Southern Tanzania: implications for achievement of MDG-5 targets. BMC pregnancy and childbirth. 2007 Dec 6;7(1):29.

National Bureau of Statistics (NBS) [Tanzania], and ICF Macro. 2011. Tanzania Demographic and Health Survey 2010. Dar es Salaam, Tanzania: National Bureau of Statistics, and ORC Macro. Available at https://dhsprogram.com/pubs/pdf/FR243/FR243[24June2011].pdf