埃塞俄比亚西北部基于性别的暴力——规模与类型

Gender-Based Violence - Magnitude and Types in Northwest Ethiopia.

作者信息

Gebresilassie Keflie Yohannes, Melesse Alemakef Wagnew, Birhan Tilahun Yemanu, Taddese Asefa Adimasu

机构信息

Midwifery Directorate, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Department of Epidemiology and Biostatistics, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

出版信息

Int J Womens Health. 2023 Jul 18;15:1083-1091. doi: 10.2147/IJWH.S409172. eCollection 2023.

Abstract

BACKGROUND

Violence Against Women (VAW) becomes a serious public health issue as unnecessary morbidity and mortalities affect women and girls. Women who experience violence had the possibility of another of violence. Although gender-based violence (GBV) is a common problem in Ethiopia, the burden is not well studied.

OBJECTIVE

This study determines the magnitude of Gender-Based Violence among women receiving Sexual and Reproductive Health Services in a Specialized Hospital.

METHODS

Institution-based retrospective follow-up study was conducted at the University of Gondar Comprehensive Specialized Hospital among gender-based violence (GBV) service users from January 2017 to January 2022. Data were collected from register logbooks and also medical records for some variables, using a tool prepared by refereeing literature and adapting locally available resources and researchers experiences. Epi-info 7 was used to enter the data and exported it to SPSS V-23 for analysis. Descriptive statistics like frequencies, percentages, means and standard deviations are computed for all variables.

RESULTS

The lifetime proportion of sexual and physical violence was found to be 81% and 5%, respectively, while 3% of women experienced both sexual and physical violence. One hundred seventy (29.4%) of the incidents were done by an intimate-partners (boyfriend/husband). The majority (86%) had extra genital injuries. After genital examination, about one-fourth (25%) of survivors had fresh hymenal tears. About three-fourths (75.1%) of the survivors visit the health facility within threes day after the incident.

CONCLUSION

The study found that GBV is common in Northwest Ethiopia. Future research should involve sensitive methods and grounded approaches to explore survivors' experiences and views on local gender cultures and other contextual factors. Establishing One-stop-center could improve the quality of the services provided to the women.

摘要

背景

暴力侵害妇女行为(VAW)成为一个严重的公共卫生问题,因为不必要的发病和死亡影响着妇女和女孩。遭受暴力的妇女有可能再次遭受暴力。虽然基于性别的暴力(GBV)在埃塞俄比亚是一个常见问题,但负担情况尚未得到充分研究。

目的

本研究确定在一家专科医院接受性与生殖健康服务的妇女中基于性别的暴力的严重程度。

方法

2017年1月至2022年1月,在贡德尔大学综合专科医院对基于性别的暴力(GBV)服务使用者进行了一项基于机构的回顾性随访研究。使用参考文献并结合当地可用资源和研究人员经验编制的工具,从登记日志以及部分变量的病历中收集数据。使用Epi-info 7录入数据,并将其导出到SPSS V - 23进行分析。对所有变量计算频率、百分比、均值和标准差等描述性统计量。

结果

发现性暴力和身体暴力的终生比例分别为81%和5%,而3%的妇女同时经历了性暴力和身体暴力。170起事件(29.4%)是由亲密伴侣(男友/丈夫)实施的。大多数(86%)有外生殖器损伤。经过生殖器检查,约四分之一(25%)的幸存者有新鲜处女膜撕裂伤。约四分之三(75.1%)的幸存者在事件发生后三天内前往医疗机构就诊。

结论

该研究发现基于性别的暴力在埃塞俄比亚西北部很常见。未来的研究应采用敏感方法和扎实的途径,以探索幸存者对当地性别文化和其他背景因素的经历和看法。建立一站式中心可以提高为妇女提供的服务质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc7/10362876/eb7fa732b6b9/IJWH-15-1083-g0001.jpg

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