Evidence map›Paper›PMID 25226420›Full record

ArticleGlobal health action2014

Perceptions of the mental health impact of intimate partner violence and health service responses in Malawi.

Lignet Chepuka, Miriam Taegtmeyer, Genesis Chorwe-Sungani, Janet Mambulasa, Ellen Chirwa, Rachel Tolhurst

Abstract read
In one paragraph

Article in Global health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The relationship between intimate partner violence and HIV outcomes among pregnant women living with HIV in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2021
    Article
  7. Prevalence and associated factors of intimate partner violence amongst women attending prevention of mother to child transmission services in Blantyre, Malawi.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Intimate Partner Violence Among Rwandan Women With HIV: A Cross-Sectional Study.The Journal of the Association of Nurses in AIDS Care : JANAC
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lignet ChepukaMedical and Surgical Nursing department, Kamuzu College of Nursing, Blantyre, Malawi; chepukal@yahoo.co.uk.
Miriam TaegtmeyerDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Genesis Chorwe-SunganiMedical and Surgical Nursing department, Kamuzu College of Nursing, Blantyre, Malawi.
Janet MambulasaMedical and Surgical Nursing department, Kamuzu College of Nursing, Blantyre, Malawi.
Ellen ChirwaMedical and Surgical Nursing department, Kamuzu College of Nursing, Blantyre, Malawi.
Rachel TolhurstDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThis study explores the perceptions of a wide range of stakeholders in Malawi towards the mental health impact of intimate partner violence (IPV) and the capacity of health services for addressing these.

designIn-depth interviews (IDIs) and focus group discussions (FGDs) were conducted in three areas of Blantyre district, and in two additional districts. A total of 10 FGDs, 1 small group, and 14 IDIs with health care providers; 18 FGDs and 1 small group with male and female, urban and rural community members; 7 IDIs with female survivors; and 26 key informant interviews and 1 small group with government ministry staff, donors, gender-based violence service providers, religious institutions, and police were conducted. A thematic framework analysis method was applied to emerging themes.

resultsThe significant mental health impact of IPV was mentioned by all participants and formal care seeking was thought to be impeded by social pressures to resolve conflict, and fear of judgemental attitudes. Providers felt inadequately prepared to handle the psychosocial and mental health consequences of IPV; this was complicated by staff shortages, a lack of clarity on the mandate of the health sector, as well as confusion over the definition and need for 'counselling'. Referral options to other sectors for mental health support were perceived as limited but the restructuring of the Ministry of Health to cover violence prevention, mental health, and alcohol and drug misuse under a single unit provides an opportunity.

conclusionDespite widespread recognition of the burden of IPV-associated mental health problems in Malawi, there is limited capacity to support affected individuals at community or health sector level. Participants highlighted potential entry points to health services as well as local and national opportunities for interventions that are culturally appropriate and are built on local structures and resilience.

Indexed as

Mental HealthPerceptionDelivery of Health CareFemaleHumansInterviews as TopicMalawiMaleMental Health ServicesPatient Acceptance of Health CareReferral and ConsultationResidence CharacteristicsSpouse AbusecounsellingGBV serviceshealth care providersintimate partner violenceMalawimental health

Identifiers

PMID25226420
PMCPMC4165047

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.