G. Nwanne

L. Cornelius

M. Bathnna

M. Belich

N. Sam-Agudu

Annals of Global Health

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A n n a l s o f G l o b a l H e a l t h , V O L . 8 3 , N O . 1 , 2 0 1 7 Women’s Health is Global Health e Issues Across the LifespanJ a n u a r y eF e b r u a r y 2 0 1 7 : 9 4 – 1 0 995is the critical time for the lives of both mothers and neonates. Withregard to the frequency of PNC checkups, although WHO recom-mended for mothers to have at least three postnatal visits within 6weeks time, 36.8% made it only once and very few (14.7%) receivedtwice. Traditions that encourage mothers to stay at home for the firstsix weeks, misconception about the importance and timing of PNC,lack of adequate counseling, long waiting time at the health facilitieswere found to be the determinant factors for low PNC service utili-zation within the first week of postpartum (24%).Interpretation: Promoting home based early postnatal careservices and facilitated referral can improve coverage of early post-natal care services in urban areas of Ethiopia. With thousands ofhealth extension workers assigned to provide home based care inEthiopia it is possible to improve postnatal care through targetedhome visits coordinated with birth notification mechanisms.Source of Funding: USAID through JSI/SEUHP.Abstract #: 1.003_WOMMentor Mothers’ Willingness to Engage Male Partners andScreen for Domestic Violence among HIV-Positive Women inRural NigeriaM. Belich1, M. Bathnna2, G. Nwanne2, L. Cornelius3,N. Sam-Agudu4; 1University of Maryland Baltimore, Baltimore,USA, 2Institute of Human Virology Nigeria, Abuja, Nigeria,3University of Georgia Athens, Athens, USA, 4University ofMaryland Baltimore, Baltimore, MD, USABackground: DV data among HIV-positive Nigerian women isscarce. Due to HIV and DV stigma, these women likely do notseek or receive help for DV. Mentor Mothers (MMs) are HIV-posi-tive women trained to provide psychosocial support to other HIV+women. We evaluated the willingness of MMs to engage male part-ners (MPs) and screen clients for DV.Methods: Seven Focus Group Discussions (FGDs) were conduct-ed among MMs in rural North-Central Nigeria. Discussions wereaudio-recorded. Transcription was done verbatim for EnglishFGDs while Hausa FGDs were translated into English transcriptsby bilingual facilitators. Thematic and content analysis was per-formed by 8 paired researchers. Common themes and quotes wereextracted and conclusions drawn from group triangulations.Findings: Thirty-six MMs: 72% Christian, 28% Muslim, wererecruited; half were married, 39% widowed, 8% single, 3% divorced.Most (94%) MMs had mentored for 2 years.While engaging MPs was seen as beneficial, MMs recommen-ded MPs be engaged by other males because of strong gendernorms: “However, you know it is preferable for the same sex toopen up to each other. That is why the men do not like attendingour support group meetings.”MMs acknowledged the occurrence of DV among their clients:“Yes, we have had such cases before where husbands beat up theirwives, what we normally do is that we counsel the man and try toreconcile them but some of the men do not stop being violent totheir wives.”MMs were in favor of screening clients for DV: “Yes! Not justscreening but also training us on what to do. After the screening,how do we help them out, what do we tell them? How do we goabout it? Where do we link them to get some certain support forthose that are willing to share their stories with others, those thatneed support, how do we help them?”Interpretation: MMs recommended same-gender counselors forMPs. There was willingness to provide DV screening and to linkvictims to further services. Further studies are needed to determineDV prevalence among HIV-positive women so that DV program-ming could be integrated with HIV and/or MCH services.Source of Funding: INSPIRE grant from WHO and GlobalAffairs, Canada.Abstract #: 1.004_WOMThe Association between Intimate Partner Violence andDepression Symptoms in a Cohort of Adolescent Girls andYoung Women in Lilongwe, MalawiS. Brar1, N. Rosenberg1, T. Phanga1, B. Maseko1, N. bhushan1,D. Vansia1, M. Chikhungu1, T. Nthani1, C. Bamuya1, C. Libale1,E. Madomola1, L.-G. Bekker2, A. Pettifor3; 1UNC Project-Malawi,Lilongwe, Malawi, 2Desmond Tutu HIV Foundation, Cape Town,South Africa, 3Carolina Population Center and UNC Chapel Hill,Chapel Hill, NC, USABackground: Gender power differentials contribute to the highprevalence of intimate partner violence in sub-Saharan Africancountries such as Malawi. Adolescent girls and young womenwho are victims of such intimate partner violence may experiencegreat psychological and emotional distress. The objective of thisstudy is to examine the relationship between intimate partnerviolence (IPV) and symptoms of depression in a cohort of sexuallyactive adolescent girls and women, aged 15-24 years.Methods: A behavioral survey was conducted at four semi-urban/urban health clinics around Lilongwe, Malawi. The survey wasa baseline assessment of a one-year comparison of four models ofyouth friendly health services, each offered in one clinic. At eachclinic, 250 adolescent girls and young women, aged 15-24 yearswere enrolled (N¼1000). The Modified Conflict Tactic Scale(CTS), composed of 17 questions, was used to assess prevalenceof emotional, physical, and sexual IPV. The Center for Epidemio-logic Studies Short Depression Scale (CES-D10), composed of 10questions, was used to assess probable symptoms of depression. ACES-D score of 10 suggested “significant” depression symptoms.Generalized linear models with a log-link and binomial distribution,adjusting for age, measured associations between IPV anddepression.Findings: Mean age in the cohort was 19.2 years. The prevalenceof emotional, physical, sexual, and all three types of IPV, respec-tively, was 83%, 36%, 46%, and 22%. 89% of participants reportedhaving experienced at least one type of IPV. The median IPV scorewas 4 [IQR 2-7]. The median CES-D10 score was 10 [IQR 8-12].The prevalence of probable depression in the cohort was 54%. Therisk of depression was greater in participants exposed to each type ofIPV: emotional, RR 1.32 (95% CI 1.09-1.61); physical, RR 1.19(95% CI 1.06-1.33); sexual, RR 1.28 (95% CI 1.14-1.44); all threetypes, RR 1.31 (95% CI 1.16-1.47).

Mentor Mothers’ Willingness to Engage Male Partners and Screen for Domestic Violence among HIV-Positive Women in Rural Nigeria

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Mentor Mothers’ Willingness to Engage Male Partners and Screen for Domestic Violence among HIV-Positive Women in Rural Nigeria

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