Abstract
The aim of this study was to explore the experiences of pregnant women disclosing Intimate Partner Violence (IPV) and seeking help from Health Care Professionals (HCPs) at public Hospitals in Jordan. Semi-structured interviews were conducted with 25 pregnant women. The findings revealed that the women were not satisfied with the care providers’ procedures, responses, or follow-up. Women also preferred to discuss IPV issues with females, experts, and same age or older HCPs. Lack of privacy, continuity of care, time constraints, and barriers for disclosing were dominant themes that emerged from women’s contacts with HCPs. Women felt more able to disclose IPV if they were confident that circumstances would be safe enough to do so. HCPs require specialized and structured training programs in IPV screening and case management.
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Al Mutairi, M., Al Kandari, A., Al Houli, H., Kamel, M., & El-Shazly, M. (2013). Domestic violence screening among primary health care workers in Kuwait. Alexandria Journal of Medicine, 49, 169–174. doi:10.1016/j.ajme.2012.08.010.
Al Nsour, M., Khawaja, M., & Al- Kayyali, G. (2009). Domestic violence against women in Jordan: evidence from health clinics. Journal of Family Violence, 24, 569–575. doi:10.1007/s10896-009-9255-2.
Alotaby, I. Y., Alkandari, B. A., Alshamali, K. A., Kamel, M. I., & El-Shazly, M. K. (2012). Barriers for DV screening in primary health care centers. Alexandria Journal of Medicine, 49, 175–180. doi:10.1016/j.ajme.2012.07.005.
Anderson, R. (2007). Thematic content analysis (TCA) descriptive presentation of qualitative data. Retrieved from: http://www.wellknowingconsulting.org/publications/pdfs/ThematicContentAnalysis.pdf
Australian Domestic and Family Violence Clearinghouse. (2003). Routine screening for domestic violence in health services. Retrieved from: http://www.adfvc.unsw.edu.au/PDF%20files/screening_final.pdf
Bacchus, L., Mezey, G., & Bewley, S. (2002). Women’s perceptions and experiences of routine enquiry for DV in a maternity service. British Journal of Obstetrics and Gynecology, 109(1), 9–16. doi:10.1111/j.1471-0528.2002.00514.x.
Bacchus, I., Mezey, G., & Bewley, S. (2003). Experiences of seeking help from health professionals in a sample of women who experienced DV. Health and Social Care in the Community, 11(1), 10–18. doi:10.1046/j.1365-2524.2003.00402.x.
Berg, LB. (2004). Qualitative research methods for the social sciences. Bearso, Boston, the 5th edition. Retrieved from: http://www.msu.ac.zw/elearning/material/1344156815Reading%204%20qualitative%20research%20methods%20for%20social%20sciences.pdf.
Bonomi, A. E., Thompson, R. S., Anderson, M., Reid, R. J., Carrell, D., & Dimer, J. A. (2006). Intimate partner violence and women’s physical, mental and social functioning. American Journal of Preventive Medicine, 30(6), 458–466. doi:10.1016/j.amepre.2006.01.015.
Brown, J. B., Lent, B., & Sas, G. (1993). Identifying and treating wife abuse. Journal of Family Practice, 36(2), 185–191. Retrieved from: http://psycnet.apa.org/psycinfo/1993-30743-001.
Brownridge, D., Tallieu, T., Tyler, K., Tiwari, A., Chan, K., & Santos, S. (2011). Pregnancy and intimate partner violence: risk factors, severity, and health effects. Violence Against Women, 17(7), 858–881. doi:10.1177/1077801211412547.
Chamberlain, L., & Perham-Hester, A. (2000). Physicians’ screening practices for female partner abuse during prenatal visits. Maternal and Child Health Journal, 4(2), 141–148.
Clark, C. J., Silverman, J., Khalaf, I., Abu Ra’ad, B., Abu Al Sha’ar, Z., Abu Al Ata, A., & Batieha, A. (2008). Intimate partner violence and Interference with women’s efforts to avoid pregnancy in Jordan. Studies in Family Planning, 39(2), 123–132. doi:10.1111/j.1728-4465.2008.00159.x.
Clark, C. J., Bloom, D. E., Hill, A. G., & Silverman, J. G. (2009a). Prevalence estimate of intimate partner violence in Jordan. Eastern Mediterranean Health Journal, 15(4), 880–889. Retrieved from: http://applications.emro.who.int/emhj/1504/15_4_2009_0880_0889.pdf.
Clark, C., Jabbar, K., & Silverman, J. (2009b). Violence during pregnancy in Jordan: its prevalence and associated risk and protective factors. Violence Against Women, 15(6), 720–735. doi:10.1177/1077801209332191.
Coker, A. L., Smith, P. H., McKeown, R. E., & Mellissa, K. J. (2000). Frequency and correlates of intimate partner violence by type: Physical, sexual, and psychological battering. American Journal of Public Health, 90(4), 553–559. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446198/pdf/10754969.pdf.
de Boinville, M. (2013). Screening for domestic violence in health care settings. U.S. department of health and human services. Retrieved from: http://aspe.hhs.gov/hsp/13/dv/pb_screeningdomestic.cfm
Department of Statistics. (2010). Poverty report in Jordan, based on the family expenses and income survey, 2008. Retrieved from: http://www.dos.gov.jo/dos_home_a/main/Analasis_Reports/poverty_rep/poverty_rep_2008.pdf
Department of Statistics & ICF International. (2013). Jordan population and family health survey –JPFHS. October 2012. Amman, Jordan. Retrieved from: http://dhsprogram.com/pubs/pdf/FR282/FR282.pdf
Devries, K. M., Kishor, S., Johnson, H., Stockl, H., Bacchus, L. J., Garcia-Moreno, C., & Watts, C. (2010). Intimate partner violence during pregnancy: analysis of prevalence data from 19 countries. Report Health Matters, 18, 158–170. doi:10.1016/S0968-8080(10)36533-5.
Elliott, L., Nerney, M., Jones, T., & Friedmann, P. (2002). Barriers to screening for DV. Journal of General Internal Medicine, 17(2), 112–116. doi:10.1046/j.1525-1497.2002.10233.x.
Feder, S. G., Hutson, M., Ramsay, J., & Taket, R. A. (2006). Women exposed to intimate partner violence expectations and experiences when they encounter health care providers: a meta-analysis of qualitative studies. Archives of Internal Medicine, 166(9), 22–37. doi:10.1001/archinte.166.1.22.
Fikree, F., Jafarey, S., Korejo, R., Khan, A., & Durocher, J. (2004). Pakistani obstetricians’ recognition of and attitude towards domestic violence screening. International Journal of Gynecology and Obstetrics, 87, 59–65. doi:10.1016/j.ijgo.2004.05.014.
Freund, K. M., Bak, S. M., & Blackhall, L. (1996). Identifying DV in primary care practice. Journal of General Internal Medicine, 11(1), 44–46. doi:10.1007/BF02603485.
Gustafson, D., & Travers. (2013). Traditional discipline or Domestic violence: participatory action research with a Sudanese refugee community. Journal of Cultural Diversity, 20(2), 51–56. Retrieved from: http:// http://www.readperiodicals.com/201307/3005196831.html.
Hayden, S. R., Barton, R. D., & Hayden, M. (1997). Domestic violence in the emergency department: how do women prefer to disclose and discuss their issues? Journal of Emergency Medicine, 15(4), 447–451. doi:10.1016/S0736-4679(97)00070-X.
Institute for Family Health. (2008). Health Professionals Manual in private sector to deal effectively with Gender Based violence victims. Retrieved from: http://www.ifh-nhf.org.jo/UploadedFiles/Library/51da67ac-e145-4fa1-9f53-c0b9971184f6.pdf
Morse, D. S., Paldi, Y., Egbarya, S. S., & Clark, C. J. (2012). An effect that is deeper than beating: family violence in Jordanian women. The Family System Health Journal, 30(1), 19–31. doi:10.1037/a0027137.
Murray, S., & Powell, A. (2009). “What’s the problem?”: Australian public policy constructions of domestic and family violence. Violence Against Women, 15(5), 532–552. doi:10.1177/1077801209331408.
Okour, A. M., & Badarneh, R. (2011). Spousal violence against pregnant women from a Bedouin community in Jordan. Journal Women’s Health (Larchmt), 20(12), 1853–1859. doi:10.1089/jwh.2010.2588.
Oweis, A., Gharaibeh, M., & Alhourani, R. (2010). Prevalence of violence during pregnancy: findings from a Jordanian survey. Maternity Child Health Journal, 14(3), 437–445. doi:10.1007/s10995-009-0465-2.
Parsons, H. L., Zaccaro, D., Wells, B., & Stovall, T. G. (1995). Methods of and attitudes toward screening obstetrics and gynecology patients for DV. American Journal of Obstetrics and Gynecology, 173(2), 381–387. doi:10.1016/0002-9378(95)90256-2.
Petersen, R., Moracco, K., Goldstein, K., & Clark, K. (2004). Moving beyond disclosure: women’s perspectives on barriers and motivators to seeking assistance for intimate partner violence. Women and Health, 40(63), 63–76. doi:10.1300/J013v40n03_05.
Polit, D. F., & Beck, C. T. (2011). Sampling in qualitative research. In D. F. Polit & C. T. Beck (Eds.), Nursing research: generating and assessing evidence for nursing practice (Ninthth ed., pp. 515–531). Philadelphia: Lippincott Williams &Wilkins.
Qasem, D., Hamadah, A., Qasem, D., Kamel, M., & El-Shazly, M. (2013). Knowledge and attitude of primary health care staff screening and not screening for DV against women. Alexandria Journal of Medicine, 49, 181–187. doi:10.1016/j.ajme.2012.07.006.
Saltzman, L. E. E., Johnson, C., Gilbert, B., & Goodwin, M. (2003). Physical abuse around the time of pregnancy: an examination of prevalence and risk factors in 16 states. Maternal and Child Health Journal, 7, 31–43.
Sarkar, N. (2008). The impact of intimate partner violence on women’s reproductive health and pregnancy outcome. Journal of Obstetrics & Gynaecology, 28(3), 266–271. doi:10.1080/01443610802042415.
Tjaden, P., & Thoennes, N. (2000). Extent, nature, and consequences of intimate partner violence: findings from the National Violence against Women Survey. National Institute of Justice and The Centers for Disease Control and Prevention. Retrieved from http://www.ojp.usdoj.gov/nij/pubs-sum/181867.htm
Wilson, K., Silberberg, M., Brown, A., & Yaggy, S. (2007). Health needs and barriers to healthcare of women who have experienced intimate partner violence. Journal of Women’s Health, 16(10), 1485–1498. doi:10.1089/jwh.2007.0385.
World Health Organization. (2005). WHO Multi-country study on women’s health and domestic violence against women. Initial results on prevalence, health outcomes and women’s responses. Geneva, Switzerland. Retrieved from http://whqlibdoc.who.int/publications/2005/9241593512_eng.pdf
World Health Organization. (2010). Preventing intimate partner and sexual violence against women taking action and generating evidence. Injury Prevention, 16, 359–360. doi:10.1136/ip.2010.029629.
Zeitler, M., Paine, A., Breitbart, V., Rickert, V., Olson, C., Stevens, L.…., & Davidson, L. (2006). Attitudes about intimate partner violence screening among an ethnically diverse sample of young women. Journal of Adolescents Health, 39(1), 119.el–119.e8. doi:10.1016/j.jadohealth.2005.09.004.
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Damra, J.K., Abujilban, S.K., Rock, M.P. et al. Pregnant Women’s Experiences of Intimate Partner Violence and Seeking Help from Health Care Professionals: A Jordanian Qualitative Study. J Fam Viol 30, 807–816 (2015). https://doi.org/10.1007/s10896-015-9720-z
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DOI: https://doi.org/10.1007/s10896-015-9720-z