Recognizing intimate partner violence in primary care: Western Cape, South Africa.

<h4>Introduction</h4>Interpersonal violence in South Africa is the second highest contributor to the burden of disease after HIV/AIDS and 62% is estimated to be from intimate partner violence (IPV). This study aimed to evaluate how women experiencing IPV present in primary care, how ofte...

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Autores principales:	Kate Joyner, Robert Mash
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8c70c0cb603d41e696315c4c0cf88785
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spelling	oai:doaj.org-article:8c70c0cb603d41e696315c4c0cf887852021-11-18T07:30:52ZRecognizing intimate partner violence in primary care: Western Cape, South Africa.1932-620310.1371/journal.pone.0029540https://doaj.org/article/8c70c0cb603d41e696315c4c0cf887852012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22242173/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Interpersonal violence in South Africa is the second highest contributor to the burden of disease after HIV/AIDS and 62% is estimated to be from intimate partner violence (IPV). This study aimed to evaluate how women experiencing IPV present in primary care, how often IPV is recognized by health care practitioners and what other diagnoses are made.<h4>Methods</h4>At two urban and three rural community health centres, health practitioners were trained to screen all women for IPV over a period of up to 8 weeks. Medical records of 114 thus identified women were then examined and their reasons for encounter (RFE) and diagnoses over the previous 2-years were coded using the International Classification of Primary Care. Three focus group interviews were held with the practitioners and interviews with the facility managers to explore their experience of screening.<h4>Results</h4>IPV was previously recognized in 11 women (9.6%). Women presented with a variety of RFE that should raise the index of suspicion for IPV- headache, request for psychiatric medication, sleep disturbance, tiredness, assault, feeling anxious and depressed. Depression was the commonest diagnosis. Interviews identified key issues that prevented health practitioners from screening.<h4>Conclusion</h4>This study demonstrated that recognition of women with IPV is very low in South African primary care and adds useful new information on how women present to ambulatory health services. These findings offer key cues that can be used to improve selective case finding for IPV in resource-poor settings. Universal screening was not supported by this study.Kate JoynerRobert MashPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 1, p e29540 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kate Joyner Robert Mash Recognizing intimate partner violence in primary care: Western Cape, South Africa.
description	<h4>Introduction</h4>Interpersonal violence in South Africa is the second highest contributor to the burden of disease after HIV/AIDS and 62% is estimated to be from intimate partner violence (IPV). This study aimed to evaluate how women experiencing IPV present in primary care, how often IPV is recognized by health care practitioners and what other diagnoses are made.<h4>Methods</h4>At two urban and three rural community health centres, health practitioners were trained to screen all women for IPV over a period of up to 8 weeks. Medical records of 114 thus identified women were then examined and their reasons for encounter (RFE) and diagnoses over the previous 2-years were coded using the International Classification of Primary Care. Three focus group interviews were held with the practitioners and interviews with the facility managers to explore their experience of screening.<h4>Results</h4>IPV was previously recognized in 11 women (9.6%). Women presented with a variety of RFE that should raise the index of suspicion for IPV- headache, request for psychiatric medication, sleep disturbance, tiredness, assault, feeling anxious and depressed. Depression was the commonest diagnosis. Interviews identified key issues that prevented health practitioners from screening.<h4>Conclusion</h4>This study demonstrated that recognition of women with IPV is very low in South African primary care and adds useful new information on how women present to ambulatory health services. These findings offer key cues that can be used to improve selective case finding for IPV in resource-poor settings. Universal screening was not supported by this study.
format	article
author	Kate Joyner Robert Mash
author_facet	Kate Joyner Robert Mash
author_sort	Kate Joyner
title	Recognizing intimate partner violence in primary care: Western Cape, South Africa.
title_short	Recognizing intimate partner violence in primary care: Western Cape, South Africa.
title_full	Recognizing intimate partner violence in primary care: Western Cape, South Africa.
title_fullStr	Recognizing intimate partner violence in primary care: Western Cape, South Africa.
title_full_unstemmed	Recognizing intimate partner violence in primary care: Western Cape, South Africa.
title_sort	recognizing intimate partner violence in primary care: western cape, south africa.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/8c70c0cb603d41e696315c4c0cf88785
work_keys_str_mv	AT katejoyner recognizingintimatepartnerviolenceinprimarycarewesterncapesouthafrica AT robertmash recognizingintimatepartnerviolenceinprimarycarewesterncapesouthafrica
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Recognizing intimate partner violence in primary care: Western Cape, South Africa.

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