Kamuzu Central Hospital, P.O Box 149, Lilongwe, Malawi.
Malaria Alert Centre (MAC), College of Medicine (CoM), University of Malawi (UNIMA), Private Bag 360, Chichiri, Blantyre 3, Malawi.
BMC Womens Health. 2021 Apr 23;21(1):173. doi: 10.1186/s12905-021-01312-6.
Maternal and child health care (MCH) services aim at improving the overall health outcomes of both the mother and newborn. Intimate partner violence (IPV) has been linked with poor health outcomes and under usage of MCH services. In Malawi, IPV is a persistent problem, while MCH services' uptake remains a constant challenge. However, there is limited information on the association between IPV and MCH services in Malawi. The study examined the association between IPV and the use of MCH services among married Malawian women.
The 2015-16 Malawi demographic and health survey was used to analyze the association of IPV and the use of MCH services among 2712 married Malawian women. Multivariable logistic regression models were used to estimate the strength of association.
Approximately 41.4% of the women reported experiencing IPV. Specifically, 27.8%, 19.3%, and 23.6% reported experiencing physical, sexual, and emotional violence, respectively. Women who reported experiencing any form of IPV had a 34% reduced likelihood of delivering at a health facility [adjusted odds ratio (aOR): 0.66; 95% confidence interval (CI) 0.46-0.96] or were 36% less likely [aOR: 0.64; 95% CI 0.46-0.90] to have had skilled assistance during delivery compared to those who never experienced IPV.
IPV was associated with MCH services use, specifically delivery at a health facility and skilled birth attendants. The high prevalence of IPV underscores the need to design effective programs to raise awareness regarding IPV and reduce IPV. Reducing IPV may be a promising means to support a more integrated and sustainable approach to improve the use of MCH services.
母婴保健服务旨在改善母婴的整体健康状况。亲密伴侣暴力（IPV）与不良健康结果和母婴保健服务利用率低有关。在马拉维，IPV 是一个长期存在的问题，而母婴保健服务的利用率仍然是一个持续存在的挑战。然而，关于马拉维 IPV 与母婴保健服务之间的关联，信息有限。本研究调查了马拉维已婚妇女中 IPV 与母婴保健服务利用之间的关联。
使用 2015-16 年马拉维人口与健康调查来分析 2712 名已婚马拉维妇女中 IPV 与母婴保健服务利用之间的关联。使用多变量逻辑回归模型来估计关联的强度。
约 41.4%的妇女报告经历过 IPV。具体而言，27.8%、19.3%和 23.6%的妇女分别报告经历过身体暴力、性暴力和情感暴力。报告经历过任何形式 IPV 的妇女在卫生机构分娩的可能性降低了 34%[调整后的优势比（aOR）：0.66；95%置信区间（CI）0.46-0.96]，或接受熟练助产士帮助分娩的可能性降低了 36%[aOR：0.64；95% CI 0.46-0.90]，与从未经历过 IPV 的妇女相比。
IPV 与母婴保健服务的使用有关，特别是在卫生机构分娩和有熟练助产士接生。IPV 的高患病率强调需要设计有效的方案，提高对 IPV 的认识并减少 IPV。减少 IPV 可能是支持更综合和可持续方法以改善母婴保健服务利用的有希望的手段。
