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

Abstract 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. Meth...

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Autores principales:	Claire Bahati, Josias Izabayo, Japhet Niyonsenga, Vincent Sezibera, Léon Mutesa
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Intimate partner violence Antenatal care Pregnant women Reproductive health Rwanda Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/fbbbfe267e1b4c32a0bee266abe443ff
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spelling	oai:doaj.org-article:fbbbfe267e1b4c32a0bee266abe443ff2021-11-14T12:32:45ZIntimate partner violence as a predictor of antenatal care services utilization in Rwanda10.1186/s12884-021-04230-51471-2393https://doaj.org/article/fbbbfe267e1b4c32a0bee266abe443ff2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12884-021-04230-5https://doaj.org/toc/1471-2393Abstract 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.Claire BahatiJosias IzabayoJaphet NiyonsengaVincent SeziberaLéon MutesaBMCarticleIntimate partner violenceAntenatal carePregnant womenReproductive healthRwandaGynecology and obstetricsRG1-991ENBMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Intimate partner violence Antenatal care Pregnant women Reproductive health Rwanda Gynecology and obstetrics RG1-991
spellingShingle	Intimate partner violence Antenatal care Pregnant women Reproductive health Rwanda Gynecology and obstetrics RG1-991 Claire Bahati Josias Izabayo Japhet Niyonsenga Vincent Sezibera Léon Mutesa Intimate partner violence as a predictor of antenatal care services utilization in Rwanda
description	Abstract 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.
format	article
author	Claire Bahati Josias Izabayo Japhet Niyonsenga Vincent Sezibera Léon Mutesa
author_facet	Claire Bahati Josias Izabayo Japhet Niyonsenga Vincent Sezibera Léon Mutesa
author_sort	Claire Bahati
title	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_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_sort	intimate partner violence as a predictor of antenatal care services utilization in rwanda
publisher	BMC
publishDate	2021
url	https://doaj.org/article/fbbbfe267e1b4c32a0bee266abe443ff
work_keys_str_mv	AT clairebahati intimatepartnerviolenceasapredictorofantenatalcareservicesutilizationinrwanda AT josiasizabayo intimatepartnerviolenceasapredictorofantenatalcareservicesutilizationinrwanda AT japhetniyonsenga intimatepartnerviolenceasapredictorofantenatalcareservicesutilizationinrwanda AT vincentsezibera intimatepartnerviolenceasapredictorofantenatalcareservicesutilizationinrwanda AT leonmutesa intimatepartnerviolenceasapredictorofantenatalcareservicesutilizationinrwanda
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Intimate partner violence as a predictor of antenatal care services utilization in Rwanda

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