Dissertation (MSc. Mental Health Nursing)
Background: IPV is among of the most widespread forms of violence now days, about one third of women murdered worldwide are murdered by their intimate partners. Africa, Eastern Mediterranean and Southern Asia are leading region on IPV worldwide with the prevalence of 37%. About 20% of pregnant women in Dodoma region, Tanzania experienced IPV during pregnancy. This study aims to determine the association between intimate partner violence and their associated among pregnant women at Makole Health Centre.
Methodology: From March to April 2016 a quantitative approach cross sectional study design was conducted to the 378 pregnant women attending ANC at Makole Health Centre, face to face interview was used for the data collection. A structured questionnaire used for the assessment of socio-demographic details; intimate partner violence was assessed by using revised conflict tactic scale version 2 (CTS – 2), Anxiety and depression were assessed by using Hopkins symptom checklist 25 (HSCL-25) and post-traumatic stress disorder was assessed by using Post traumatic stress disorder checklist (PCL).
RESULTS: A total of 207 (54.8%) participants reported to experience at least one form of IPV within the last year. Psychological IPV was the most reported by 204 (54%) of the participants followed by physical IPV with 101 (26.7%) and sexual IPV with 45 (11.9%) of the participants. Marriage and planned pregnancy was found to be the low risk factor for experiencing IPV (AOR 0.335 95%CI 0.165 – 0.683, AOR 0.048 95%CI 0.026 – 0.089) while partners alcohol using was found to be the high risk for experiencing IPV (AOR 2.182 95%CI 1.142 – 4.175).
Also experiencing physical form of IPV was found to be low risk of having anxiety (AOR 7.561 95%CI 3.734 – 15.676), depression (AOR 5.380, 95%CI 2.757 – 11.239) and PTSD (AOR 6.471
95%CI 3.151 – 28.770) while sexual form of IPV was found a risk factor for anxiety (AOR 3.025 95%CI 1.167 – 7.837), depression (AOR 3.863 95%CI 1.530 – 9.757) and PTSD (AOR 2.636 95%CI 1.061 – 6.551).
Conclusion: More than half of the participants reported to experience at least one form of intimate partner violence within the last year. One third of the participants were observed to have at least one form of emotional disorders.
Recommendations: There is a need to screen violence to the pregnancy women during their visits to ANC clinics; also government should improve implementation of rules and regulations regarding intimate partner violence.
Key words: Anxiety, Depression, PTSD, ANC and Makole Health Centre