Domestic Violence and Birth Control Sabotage: A Report From The Teen Parent Project

Although recent research has contributed greatly to our knowledge of teen pregnancy and the conditions under which girls become parents, the relationship between teen girls' ability to control their reproductive behavior and the prevalence of domestic violence in their sexual relationships has been little explored. Previous work with domestic violence victims seeking to move from welfare to work led us to suspect that domestic violence may be causally related to teen pregnancy, and that this situation would be particularly acute for low-income teens. Therefore, the Center for Impact Research set out to see to what extent pregnancy among low income teens was due to coerced and unprotected sexual relations, sabotage of birth control arrangements and the general pressure to choose between having children and the continuation of the relationship

An epidemiological Study of Domestic Violence Against Women and its Association with Sexually Transmitted Infections in Bangalore Rural.

Background: Gender-based violence is universal, differing only in scope from one society to the other. The most common form of violence against women is domestic violence or violence within families. Objectives: 1. To study the prevalence and different forms of domestic violence perpetrated by intimate partner against married women. 2. To study socio economic and demographic factors which affect the victimization of woman for domestic violence. 3.To study prevalence of sexually transmitted infection and its association with domestic violence in the study group. Methods: Based on a pilot study results, a sample size of 257 was determined. Total 257 currently married women in the reproductive age group (15-49 yrs) were interviewed by systematic random sampling with prior consent using a well designed, pre- tested questionnaire . All the women were screened for sexually transmitted infections as per the WHO guidelines by syndromic approach. The data was analyzed by percentages and chi-square test. Results: Prevalence of domestic violence was found to be 29.57% in the study group. Verbal abuse was reported by 81.58% of the women, Physical abuse by 31.58% of the women ,Psychological abuse by 27.63% of the women and Sexual abuse by 10.53% of the women. Among the 76 victimized women none of them reported to the police. Interpretation and conclusions: The vulnerability to domestic violence was found significantly associated with age at marriage, duration of marriage and addiction of husband to alcohol. The association between domestic violence and sexually transmitted infections was also found significant

Coercing Pregnancy

Intimate partners coerce thousands of women in the United States into pregnancy each year through manipulation, threats of violence, or acts that deliberately interfere with the use of, or access to, contraception or abortion. Although many of these pregnancies occur within the context of otherwise abusive relationships, for others, pregnancy serves as a trigger for intimate partner violence. Beyond violence preceding or resulting from pregnancy, women who experience coerced pregnancies often suffer other physical, financial and emotional harms. Despite its correlation to domestic violence, reproductive coercion fits imperfectly, if at all, within our existing laws designed to combat domestic violence or rape. Although the harms of forced sex and, though to a slightly lesser extent, the harms of domestic violence, are well understood and accepted in our culture and our laws, the harm of experiencing a pregnancy through coercive acts remains largely invisible in both spheres, despite the prevalence of coerced pregnancies. This article begins by filling in the missing narrative of reproductive coercion by exploring the social and legal contours of how women are coerced into pregnancy, the harms that can result, and the deep correlation between such acts and domestic violence. It then explores how our cultural and legal conflation of pregnancy with sex, motherhood and even abortion, limits our ability to isolate and understand the experience of pregnancy coercion. This article concludes by considering how arming feminists and other advocates with an increased understanding of the interrelatedness between pregnancy, coercion, and intimate partner abuse can help to broaden domestic violence laws and policies, and reconceptualize pregnancy prevention as violence prevention

Reproductive Coercion and Relationship Abuse Among Adolescents and Young Women Seeking Care at School Health Centers.

ObjectiveTo investigate demographic differences and evaluate how reproductive coercion and relationship abuse influences young females' care-seeking and sexual health behaviors.MethodsWe conducted a secondary analysis of cross-sectional baseline survey data from sexually active female students (aged 14-19 years) who sought care from school health centers. Outcomes included recent (previous 3 months) reproductive coercion, physical or sexual adolescent relationship abuse, and nonpartner sexual violence victimization. Cluster-adjusted χ tests compared demographics and generalized linear mixed models estimated associations among reproductive coercion, adolescent relationship abuse (physical and sexual abuse in romantic relationships), and care-seeking and sexual health behaviors.ResultsOf 550 sexually active high school females, 12% reported recent reproductive coercion and 17% reported physical or sexual adolescent relationship abuse, with no significant demographic differences. Prevalence of recent nonpartner sexual violence was 17%. There were no observed significant differences in care-seeking behaviors among those with recent reproductive coercion compared with those without. Physical or sexual adolescent relationship abuse was associated with increased odds of seeking testing or treatment for sexually transmitted infections (adjusted odds ratio [aOR] 2.08, 95% CI 1.05-4.13). Females exposed to both adolescent relationship abuse and reproductive coercion had higher odds of having a partner who was 5 or more years older (aOR 4.66, 95% CI 1.51-14.4), having two or more recent sexual partners (aOR 3.86, 95% CI 1.57-9.48), and using hormonal contraception only (aOR 3.77, 95% CI 1.09-13.1 vs hormonal methods with condoms).ConclusionAlmost one in eight females experienced recent reproductive coercion. We did not observe significant demographic differences in reproductive coercion. Partner age and number of sexual partners may elevate risk for abusive relationships. Relationship abuse is prevalent among high school students seeking care, with no clear pattern for case identification. By failing to identify factors associated with harmful partner behaviors, our results support universal assessment for reproductive coercion and relationship abuse among high school-aged adolescents, involving education, resources, and harm-reduction counseling to all patients.Clinical trial registrationClinicalTrials.gov, NCT01678378

Bringing it home: the inter-American system and state obligations - using a gender approach regionally to address women's rights violations domestically

No description supplie

Litigating reproductive health rights in the inter-American system: what does a winning case look like?

Remedies and reparation measures emerging from the Inter-American System of Human Rights in reproductive health cases have consistently highlighted the need to develop and subsequently implement, non-repetition remedies that protect, promote and fulfill women’s reproductive health rights. Litigation outcomes that result in violations of reproductive rights are a “win” for health rights litigation, but when implementation fails, is a “win” still a win? Although there has been considerable success in litigating reproductive health rights cases, the Inter-American Commission on Human Rights and the Inter-American Court of Human Rights are not adequately equipped to follow-up on cases after they have been won. Successful and sustainable implementation of reproductive health rights law requires incorporation of non-repetition remedies in the form of legislation, education, and training that seeks to remodel existing social and cultural practices that hinder women’s enjoyment of their reproductive rights. In order for a reproductive health rights case to ultimately be a “winner,” case recommendations and decisions emerging from the Commission and Court must incorporate perspectives provided by members of civil society, with the ultimate goal of developing measurable remedies that address underlying obstacles to domestic implementation

Women's reproductive rights in the inter-American system of human rights: conclusions from the Field, June - September 2014

The Inter-American System of Human Rights has proven to be a forum for the advancement of women’s reproductive rights in the Inter-American region. However, the Inter-American System faces significant challenges in promoting structural transformative change that enables women’s enjoyment of their reproductive health rights. This report examines three reproductive rights cases from the Inter- American Commission on Human Rights and the Inter-American Court of Human Rights: María Mamerita Mestanza Chávez v. Peru; Paulina Ramirez Jacinto v. Mexico; and Artavia Murillo et al. v. Costa Rica. In the summer of 2014, interviews were conducted with representatives in each of the case study countries, with the objective of the research being two-fold: (1) to understand how each of the cases developed, and the subsequent challenges and advancements; and (2) to learn from these cases in order to suggest recommendations for how actors can make better use of the Inter-American System as one of several avenues for protecting, promoting and fulfilling women’s reproductive rights. The report first discusses challenges in implementing women’s reproductive health rights, and then explores how the Inter-American System can strengthen its work on women’s reproductive health rights

A gender synchronized family planning intervention for married couples in rural India: study protocol for the CHARM2 cluster randomized controlled trial evaluation.

BackgroundPrior research from India demonstrates a need for family planning counseling that engages both women and men, offers complete family planning method mix, and focuses on gender equity and reduces marital sexual violence (MSV) to promote modern contraceptive use. Effectiveness of the three-session (two male-only sessions and one couple session) Counseling Husbands to Achieve Reproductive Health and Marital Equity (CHARM) intervention, which used male health providers to engage and counsel husbands on gender equity and family planning (GE + FP), was demonstrated by increased pill and condom use and a reduction in MSV. However, the intervention had limited reach to women and was therefore unable to expand access to highly effective long acting reversible contraceptives such as the intrauterine device (IUD). We developed a second iteration of the intervention, CHARM2, which retains the three sessions from the original CHARM but adds female provider- delivered counseling to women and offers a broader array of contraceptives including IUDs. This protocol describes the evaluation of CHARM2 in rural Maharashtra.MethodsA two-arm cluster randomized controlled trial will evaluate CHARM2, a gender synchronized GE + FP intervention. Eligible married couples (n = 1200) will be enrolled across 20 clusters in rural Maharashtra, India. Health providers will be gender-matched to deliver two GE + FP sessions to the married couples in parallel, and then a final session will be delivered to the couple together. We will conduct surveys on demographics as well as GE and FP indicators at baseline, 9-month, and 18-month follow-ups with both men and women, and pregnancy tests at each time point from women. In-depth interviews will be conducted with a subsample of couples (n = 50) and providers (n = 20). We will conduct several implementation and monitoring activities for purposes of assuring fidelity to intervention design and quality of implementation, including recruitment and tracking logs, provider evaluation forms, session observation forms, and participant satisfaction surveys.DiscussionWe will complete the recruitment of participants and collection of baseline data by July 2019. Findings from this work will offer important insight for the expansion of the national family planning program and improving quality of care for India and family planning interventions globally.Trial registrationClinicalTrial.gov, NCT03514914

The Impact of Early Abuse on Male Sexual and Reproductive Health

With this resource guide, Healthy Teen Network strives to draw attention to the significant issue of abuse for males; add to the voices calling for a shift in our thinking about males and sexual abuse; and call for parity in education, services and supports for young men