Postpartum physical intimate partner violence among women in rural Zambia

Int J Gynaecol Obstet. 2018 Nov;143(2):199-204. doi: 10.1002/ijgo.12654. Epub 2018 Sep 5.

Abstract

Objective: To examine the demographic characteristics and mental health of women in rural Zambia who experienced physical intimate partner violence (IPV) postpartum.

Methods: The present secondary analysis was conducted using baseline data from an impact evaluation of a maternity waiting home intervention in rural Zambia. A quantitative household survey was conducted over 6 weeks, from mid-April to late May, 2016, at 40 rural health facility catchment areas among 2381 postpartum women (13 months after delivery; age ≥15 years).

Results: A total of 192 (8.1%) women reported experiencing any type of physical IPV in the preceding 2 weeks; 126 had experienced severe physical IPV (had been kicked, dragged, beat, and/or choked by a husband or partner). High levels of depression were recorded for 174 (7.3%) women in the preceding 2 weeks. Being a female head of household was associated with an increased likelihood of experiencing severe physical IPV (aOR 2.64, 95% CI 1.70-4.10). Women with high depression scores were also at an increased risk of experiencing any physical IPV (aOR 17.1, 95% CI 8.44-34.9) and severe physical IPV (aOR 15.4, 95% CI 5.17-45.9).

Conclusion: Future work should consider the implications of government and educational policies that could impact the screening and treatment of pregnant women affected by all forms of physical IPV and depression in rural Zambia.

Keywords: Intimate partner violence; Maternity waiting homes; Mental health; Physical violence; Postpartum depression; Zambia.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Depression / epidemiology
  • Female
  • Humans
  • Intimate Partner Violence / statistics & numerical data*
  • Postpartum Period / psychology*
  • Pregnancy
  • Rural Population / statistics & numerical data*
  • Surveys and Questionnaires
  • Zambia / epidemiology