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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

'They just walk away' - Women's perception of being silenced by antenatal health workers: A qualitative study on women survivors of domestic violence in Nepal

Title'They just walk away' - Women's perception of being silenced by antenatal health workers: A qualitative study on women survivors of domestic violence in Nepal
Publication TypeJournal Article
Year of Publication2016
AuthorsRishal, P, Joshi, SK, Lukasse, M, Schei, B, Swahnberg, K, Bjørngaard, JH, Darj, E, Infanti, JJ, Lund, R, Campbell, JC, Koju, R, Pun, KD, Wihewardene, K, Perera, DC, Muzrif, MMM
JournalGlobal Health Action
Volume9
Type of ArticleArticle
ISBN Number16549880 (ISSN)
KeywordsAbuse in health care, Confidentiality, controlled study, doctor patient relation, Domestic Violence, expectation, Fear, Female, health care personnel, health center, help seeking, human, human experiment, Nepal, newborn, organization, Perception, Pregnancy, prenatal care, privacy, Qualitative Research, Quality of care, survivor
Abstract

Background: Domestic violence during pregnancy has detrimental effects on the health of the mother and the newborn. Antenatal care provides a 'window of opportunity' to identify and assist victims of domestic violence during pregnancy. Little is known about the experience, needs, and expectations from the women's perspective in relation to domestic violence in Nepal. Objective: Our study aims to explore how women who have experienced domestic violence evaluate their antenatal care and their expectations and needs from health centers. Design: Twelve in-depth interviewswere conducted amongwomenwho had experienced domestic violence during pregnancy and utilized antenatal care. The women were recruited from two different organizations in Nepal. Results: Women in our study concealed their experience of domestic violence due to fear of being insulted, discriminated, and negative attitudes of the health care providers. The women wished that the health care providers were compassionate and asked them about their experience, ensured confidentiality and privacy, and referred them to services that is free of cost. Conclusions: Findings from our study may help the health care providers to change their attitudes toward women survivors of domestic violence. Identifying and assisting these women through antenatal care could result in improved services for them and their newborns. © 2016 Poonam Rishal et al.