Skip to main content
Top
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Care | Research

Knowledge, attitudes and practices of health care providers trained in responding to violence against women: a pre- and post-intervention study

Authors: Sanjida Arora, Sangeeta Rege, Padma Bhate-Deosthali, Soe Soe Thwin, Avni Amin, Claudia García-Moreno, Sarah R. Meyer

Published in: BMC Public Health | Issue 1/2021

Login to get access

Abstract

Background

Violence against women is a serious public health concern, and is highly prevalent globally, including in India. Health-care providers [HCPs] can play an important role in addressing and reducing negative consequences of violence against women. We implemented a pre-post intervention study of HCP training in three tertiary care facilities in Maharashtra, India.

Methods

The study used a pre-post intervention design with assessment of HCPs’ (n = 201) knowledge, attitudes, perceived preparedness and practice at three time points: before training, after training and at 6 months follow- up.

Results

Total median score of knowledge about common signs and symptoms of violence (8.89 vs, 10.00), attitudes towards acceptability of violence (9.05 vs. 10.00), individual (6.74 vs. 10.00) and system level preparedness (6.11 vs. 8.14) improved from pre to post- training. The generalized estimating equation [GEE] model, adjusted for age, sex, site and department, showed an improvement in knowledge, attitudes and preparedness post- training. The change from pre to 6 months follow- up was not significant for attitude.

Conclusions

This package of interventions, including training of HCPs, improved HCPs’ knowledge, attitudes and practices, yet changes in attitudes and preparedness did not sustain over time. This study indicates feasibility and positive influence of a multi-component intervention to improve HCP readiness to respond to violence against women in a low-resource setting. Future phases of intervention development include adapting this intervention package for primary and secondary health facilities in this context, and future research should assess these interventions using a rigorous experimental design. Finally, these results can be used to advocate for multi-layered, systems-based approaches to strengthening health response to violence against women.
Appendix
Available only for authorised users
Literature
1.
go back to reference Violence against women prevalence estimates, 2018: Global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. Geneva: World Health Organization; 2021. Violence against women prevalence estimates, 2018: Global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. Geneva: World Health Organization; 2021.
8.
go back to reference International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), 2015–16: India. Mumbai: IIPS; 2017. International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), 2015–16: India. Mumbai: IIPS; 2017.
13.
go back to reference Deosthali-Bhate P, Rege S, Pal P, Nandi S, Bhatla N, Kashyap A. role of the health sector in addressing intimate partner violence in INDIA. :40. Deosthali-Bhate P, Rege S, Pal P, Nandi S, Bhatla N, Kashyap A. role of the health sector in addressing intimate partner violence in INDIA. :40.
21.
24.
go back to reference Colombini M, Dockerty C, Mayhew SH. Barriers and facilitators to integrating health service responses to intimate partner violence in low- and middle-income countries: a comparative health systems and service analysis. Stud Fam Plan. 2017;48(2):179–200. https://doi.org/10.1111/sifp.12021.CrossRef Colombini M, Dockerty C, Mayhew SH. Barriers and facilitators to integrating health service responses to intimate partner violence in low- and middle-income countries: a comparative health systems and service analysis. Stud Fam Plan. 2017;48(2):179–200. https://​doi.​org/​10.​1111/​sifp.​12021.CrossRef
31.
go back to reference World Health Organization, editor. Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. Geneva: World Health Organization;2013. World Health Organization, editor. Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. Geneva: World Health Organization;2013.
32.
go back to reference World Health Organization. Health care for women subjected to intimate partner violence or sexual violence: A clinical handbook. Geneva: World Health Organization;2014. World Health Organization. Health care for women subjected to intimate partner violence or sexual violence: A clinical handbook. Geneva: World Health Organization;2014.
33.
go back to reference World Health Organization. 2017. Strengthening health systems to respond to women subjected to intimate partner violence or sexual violence: A manual for health managers. Geneva: World Health Organization;2017. World Health Organization. 2017. Strengthening health systems to respond to women subjected to intimate partner violence or sexual violence: A manual for health managers. Geneva: World Health Organization;2017.
39.
go back to reference Centre For Enquiry Into Health and Allied Themes. Violence Against Women and Role of Health Professionals: A Training curriculum. Mumbai.CEHAT;2018. Centre For Enquiry Into Health and Allied Themes. Violence Against Women and Role of Health Professionals: A Training curriculum. Mumbai.CEHAT;2018.
40.
go back to reference Ehrenberg L, Lawoko-Olwe W, Loum B, Oketayot K, Akot M, Kiyembe C, et al. Inquiry about domestic violence against women in healthcare Uganda: do practitioner attitudes, role conflicts, efficacy, safety concerns and support networks play a role? Psychology. 2014;5(7):720–6.CrossRef Ehrenberg L, Lawoko-Olwe W, Loum B, Oketayot K, Akot M, Kiyembe C, et al. Inquiry about domestic violence against women in healthcare Uganda: do practitioner attitudes, role conflicts, efficacy, safety concerns and support networks play a role? Psychology. 2014;5(7):720–6.CrossRef
Metadata
Title
Knowledge, attitudes and practices of health care providers trained in responding to violence against women: a pre- and post-intervention study
Authors
Sanjida Arora
Sangeeta Rege
Padma Bhate-Deosthali
Soe Soe Thwin
Avni Amin
Claudia García-Moreno
Sarah R. Meyer
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Care
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-12042-7

Other articles of this Issue 1/2021

BMC Public Health 1/2021 Go to the issue