The Effect of Violence on Adverse Reproductive Health Outcomes among ANC Clients in Woliso Town, Southwest Shewa Zone Oromia Regional State, Ethiopia.
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Date
2011
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Addis Ababa University
Abstract
Back ground: It is globally acknowledged that violence against females is least considered sever problem due to different hindrances like cultural, economical, social and deep rooted male dominancy throughout the world. Besides this in the study area health institutions there are no researches conducted on the effect of violence against females on adverse reproductive health outcomes.
Objective: The study was intended to assess and compare the effect of violence on adverse reproductive health outcomes and or sexually transmitted infections among antenatal care visitor clients.
Methods: A case control study was conducted among antenatal care visitors of St.Lukes Catholic hospital and woliso health center which are found in Woliso town, South West Shewa administrative zone. Mothers who have at least one adverse reproductive health outcome or sexually transmitted infections were considered as cases and those who have no as controls in which the total sample size, were 198 cases and 202 controls included.
The X 2-test and OR with 95 % CI was applied for data analysis. A binary logistic regression analysis method has been used to assess the effect of independent variables.
Result: Women experiencing sexual violence were about 4 times higher at risk among cases when compared to controls [OR =3.74, 95% CI (2.17-6.45)]. Similarly the chance of experiencing psychological violence was more than 2 times higher among cases compared to the controls [OR=2.14, 95%CI (1.36-3.36)]. The likely hood of experiencing any form of violence during pregnancy was more than 3 times higher among cases than controls [OR=3.27, 95%CI(1.35-7.88)]. However there was not significant association in experiencing physical violence among cases and controls.
Conclusion and Recommendation: The study revealed that risk of sexual and
psychological violence among cases was higher than controls. Therefore when,women come with any form of adverse reproductive health outcome assessing their experience of violence is necessary, and those exposed to the problem should get appropriate health care management.
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Keywords
Reproductive Health,Violence