A Scoping Review of Technology-Facilitated Gender-Based Violence in Low- and Middle-Income Countries Across Asia.

Technology-facilitated gender-based violence (GBV) is a pervasive issue. Yet, most research focuses on high-income countries and few studies comprehensively summarize its prevalence, manifestations, and implications in the Global South. This scoping review sought to examine technology-facilitated GBV in low- and middle-income countries across Asia, specifically focusing on trends, common behaviors, and characteristics of perpetrators and survivors. A comprehensive search of peer-reviewed and gray literature published between 2006 and 2021 yielded 2,042 documents, of which 97 articles were included in the review. Across South and Southeast Asia, findings indicate that technology-facilitated GBV is a widespread phenomenon, with increased incidence during the COVID-19 pandemic. Technology-facilitated GBV comprises various forms of behaviors and prevalence varies by type of violence. Women, girls, and sexual and gender minorities, especially those with other intersecting marginalized identities, are often more vulnerable to experiencing online violence. Alongside these findings, the review revealed gaps in the literature including a lack of evidence from Central Asia and the Pacific Islands. There is also limited data on prevalence which we attribute to underreporting, in part due to disjointed, outdated, or nonexistent legal definitions. Findings from the study can be leveraged by key stakeholders such as researchers, practitioners, governments, and technology companies to develop prevention, response, and mitigation efforts.

Counseling at all contacts for postpartum contraceptive use: can paper-based tools help community health workers improve continuity of care? A qualitative study from Ethiopia.

Background: Globally, there has been a resurgence of interest in postpartum family planning (PPFP) to advance reproductive health outcomes. Few programs have systematically utilized all contacts a woman and her baby have with the health system, from pregnancy through the first year postpartum, to promote PPFP. Nested into a larger study covering two districts, this study assessed the use, acceptability, and feasibility of tools for tracking women's decision-making and use of PPFP in the community health system in Oromia region, Ethiopia. Community-level tracking tools included a modified Integrated Maternal and Child Health (IMCH) card with new PPFP content, and a newly developed tool for pregnant and postpartum women for use by Women Development Armies (WDAs). Proper completion of the tools was monitored during supervision visits. Methods: In-depth interviews and focus group discussions were conducted with health officials, health extension workers, and volunteers. A total of 34 audio-files were transcribed and translated into English, double-coded using MAXQDA, and analyzed using a thematic approach. Results: The results describe how HEWs used the modified IMCH card to track women's decision making through the continuum of care, to assess pregnancy risk and to strengthen client-provider interaction. Supervision data demonstrated how well HEWs completed the modified IMCH card. The WDA tool was intended to promote PPFP and encourage multiple contacts with facilities from pregnancy to extended postpartum period. HEWs have reservations about the engagement of WDAs and their use of the WDA tool. Conclusions: To conclude, the IMCH card improves counseling practices through the continuum of care and is acceptable and feasible to apply. Some elements have been incorporated into a revised national tool and can serve as example for other low-income countries with similar community health systems. Further study is warranted to determine how to engage WDAs in promoting PPFP.