- Title
- The associations between intimate partner violence and maternal health care service utilization: a systematic review and meta-analysis
- Creator
- Musa, Abdulbasit; Chojenta, Catherine; Geleto, Ayele; Loxton, Deborah
- Relation
- BMC Women's Health Vol. 19, no. 19:36
- Publisher Link
- http://dx.doi.org/10.1186/s12905-019-0735-0
- Publisher
- BioMed Central (BMC)
- Resource Type
- journal article
- Date
- 2019
- Description
- Background: Intimate partner violence exposes women to a wide range of health problems that can either directly or indirectly lead to maternal death. Although in a number of studies intimate partner violence has been associated with inadequate utilization of antenatal care and skilled delivery care, in other studies no association has been found. Therefore, we aimed to comprehensively review the evidence, and quantify the strength and direction of the association between intimate partner violence and utilizing adequate antenatal and skilled delivery care services. Method: We systematically searched studies from MEDLINE, Embase, Psych INFO, CINAHL, and Maternity and Infant Care. Two independent reviewers screened the articles for eligibility. Quality and risk of bias in the articles were evaluated by using the Newcastle-Ottawa scale for observational studies. Pooled odds ratios and 95% confidence intervals were computed to estimate the association of intimate partner violence and antenatal care, and skilled delivery care. Random-effects models were used to allow for the significant heterogeneity that might possibly be found between studies. The degree of heterogeneity was expressed by using the I2 statistic. Results: The meta-analyses have shown that women who experienced intimate partner violence had 25% decreased odds (AOR = 0.75, 95%CI = 0.61, 0.92) of using adequate antenatal care than those who did not experience IPV. Similarly, women who experienced IPV had 20% decreased odds (AOR = 0.8, 95%CI = 0.69, 0.92) of using skilled delivery care compared to those who did not experience IPV. Conclusion: The meta-analyses indicated that experiencing intimate partner violence is associated with a lower likelihood of receiving adequate antenatal care and skilled delivery care. Both community-based and facility-based interventions that target the reduction of partner violence, and strictly implementing proven health facility-based counselling interventions, could aid in improving utilization of maternal health care services.
- Subject
- systematic review; meta-analaysis; intimate partner violence; maternal health care service use; SDG 3; SDG 5; SDG 16; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1442699
- Identifier
- uon:41770
- Identifier
- ISSN:1472-6874
- Rights
- This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Language
- eng
- Full Text
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Collections
Goal 5: Gender Equality
Goal 16: Peace, Justice and Strong Institutions
Goal 3: Good Health and Well-Being
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