000 03489nab a22003977a 4500
999 _c7230
_d7230
005 20250625151554.0
008 210721s2021 ||||| |||| 00| 0 eng d
040 _aAFVC
100 _aKyei-Onanjiri, Minerva
_910154
245 _aWhat do pregnant women experiencing intimate partner violence expect of their health providers and hospital systems?
_cM. Kyei-Onanjiri, J. Koziol-McLain, J. Spangaro, J. Walsh and K. Hegarty
260 _bBMC,
_c2021
500 _aBMC Health Services Research, 2021, Preprint
520 _aBackground: Intimate partner violence is a pervasive public health and human rights problem with multidimensional effects on women’s physical, mental and reproductive well-being. The World Health Organization has recommended a first-line response to disclosures of intimate partner violence. However, a strong evidence base of which interventions work best is lacking and there is a greater need to listen to the voices of survivors to tailor responses. The primary purpose of this paper was to explore what pregnant women experiencing IPV wish for from their health providers and hospital systems. Methods: This paper is part of a broader study which included a survey of 1,067 pregnancy care patients at a large tertiary hospital in Melbourne. For this paper, we analysed an open-ended question related to victim/survivor women’s needs and what they wish for from health practitioners and the healthcare system. Overall, while 571 women responded to the open-ended questions, only those relating to women who screened positive on the composite abuse scale or responded ‘Yes’ to screening questions (n = 142) or had been afraid of their partner in the previous 12 months (n = 13) or had experienced reproductive coercion in the last 12 months (n = 6) were analysed for this paper, making a total of 161 respondents. Results: Four main themes emerged from the women in this study: 1) woman-centred care; 2) relationship and domestic violence-specific concerns; 3) male partner involvement and education; and 4) hospital system reform. Conclusions: This study shows that women experiencing intimate partner violence value care that is supportive of them, provides tailored health information, and involves their partner, as well as a health system that is well-organized, accessible and provides continuity of care. It is important to align maternal health services with attributes of care valued by women to meet the complex health needs of pregnant women experiencing intimate partner violence. (Authors' abstract). Record #7230
650 _aDOMESTIC VIOLENCE
_9203
650 4 _9254
_aFATHERS
650 _aHEALTH
_9283
650 _aINTERVENTION
_9326
650 _aINTIMATE PARTNER VIOLENCE
_9431
650 _aMOTHERS
_9392
650 0 _94003
_aPARENTING PROGRAMMES
650 _aPREGNANCY
_9455
650 _aREPRODUCTIVE HEALTH
_93274
650 4 _aSUPPORT SERVICES
_9591
650 0 _99763
_aVICTIM/SURVIVORS' VOICES
650 4 _aVICTIMS OF DOMESTIC VIOLENCE
_9624
651 _aINTERNATIONAL
_93624
651 4 _aAUSTRALIA
_92597
700 _91511
_aKoziol-McLain, Jane
700 _aSpangaro, Jo
_96213
700 _aWalsh, Jeannette
_910155
700 _91330
_aHegarty, Kelsey
773 0 _tBMC Health Services Research, 2021, Preprint
830 _aBMC Health Services Research
_910156
856 _uhttps://doi.org/10.21203/rs.3.rs-669553/v1
_zDOI: 10.21203/rs.3.rs-669553/v1 (Open access)
942 _2ddc
_cARTICLE