RESUMO
Domestic violence can result in many negative health consequences for women's health and well-being. Studies on domestic violence illustrate that abused women in various settings had increased health problems such as injury, chronic pain, gastrointestinal, and gynecological signs including sexually transmitted diseases, depression, and posttraumatic stress disorder. This article tries to understand the association between domestic violence and pregnancy outcomes and other health consequences. The study was carried out in all the six zones of India that is, northern, southern, eastern, western, central, and northeast zones. The study design was conceived as an analytical cross sectional study with multicenter approach. Multistage sampling and then probability proportion to size (PPS) sampling were done. A total of 18 states were taken for the study with a total sample of 14,507 married women and 14,108 married men. Married men were considered from the neighboring villages to understand men's perspective. To understand the situation, women were interviewed using semistructured questionnaire as well as qualitative data like FGD and case studies. The result shows that domestic violence occurs during pregnancy across six zones. The situations become worse for women if her husband or family perceived the pregnancy to be a female child and there is a demand for male child. It has major health implications in accessing and utilizing antenatal care and immunization.
Assuntos
Mulheres Maltratadas/estatística & dados numéricos , Complicações na Gravidez/epidemiologia , Maus-Tratos Conjugais/estatística & dados numéricos , Cônjuges/estatística & dados numéricos , Saúde da Mulher , Adulto , Mulheres Maltratadas/psicologia , Estudos Transversais , Feminino , Humanos , Índia/epidemiologia , Masculino , Gravidez , Complicações na Gravidez/psicologia , Cuidado Pré-Natal/métodos , Fatores de Risco , Percepção Social , Valores Sociais , Maus-Tratos Conjugais/psicologia , Cônjuges/psicologia , Adulto JovemRESUMO
This pilot study conducted in Muzaffarnagar district in the state of Uttar Pradesh, India, demonstrates the potential for using traditional medical practitioners in the delivery of family planning services after a brief training period. Practitioners participated continuously in the program for an intervention period of two years during which their services were accepted by the community. The impact of their involvement was reflected in increased knowledge of permanent as well as reversible contraceptive methods and in higher contraceptive use rates, especially of reversible methods adopted by women younger than 25 years (from 8 percent to 37 percent), in the intervention villages, as compared with increased knowledge and use (from 13 percent to 25 percent) of permanent methods alone in the control villages.
