Evidence map›Paper›PMID 25885635›Full record

ArticleBMC public health2015

Training Sri Lankan public health midwives on intimate partner violence: a pre- and post-intervention study.

Achini Chinthika Jayatilleke, Kayoko Yoshikawa, Junko Yasuoka, Krishna C Poudel, Nilani Fernando, Achala Upendra Jayatilleke, Masamine Jimba

Abstract read
In one paragraph

Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Achini Chinthika JayatillekeDepartment of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. achi_cj@yahoo.com.
Kayoko YoshikawaDepartment of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. kayokoyoshikawa@gmail.com.
Junko YasuokaDepartment of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. jyasuoka@m.u-tokyo.ac.jp.
Krishna C PoudelDepartment of Health Promotion and Policy, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA, USA. kcpoudel@hotmail.com.
Nilani FernandoRegional Director of Health Services Office, Ministry of Health, Kandy, Sri Lanka. nilani1954@yahoo.co.nz.
Achala Upendra JayatillekePostgraduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka. achalauj@gmail.com.
Masamine JimbaDepartment of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. mjimba@m.u-tokyo.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn many developing countries, intimate partner violence (IPV) training is not available for health providers. As a pioneer among developing countries, in 2009, the Sri Lankan Ministry of Health trained a group of community health providers known as public health midwives (PHMs) on IPV. We evaluated that training program's efficacy in improving PHMs' identification and management of IPV sufferers in Kandy, Sri Lanka.

methodsWe conducted this study from August 2009 to September 2010. We used a self-administered structured questionnaire to examine the following variables among 408 PHMs: self-reported IPV practices, IPV knowledge, perceived barriers, perceived responsibility, and self-confidence in identifying and assisting IPV sufferers. We used McNemar's test to compare PHMs' pre- and post-intervention IPV practices. Using the Wilcoxon signed-rank test, we compared PHMs' pre-and post-intervention IPV knowledge, as well as their perceived barriers, responsibility, and self-confidence scores.

resultsThe IPV training program improved PHMs' IPV practices significantly. Six months after the intervention, 98.5% (n = 402) of the 408 PHMs identified at least one IPV sufferer in the previous three months, compared to 73.3% (n = 299) in the pre-intervention (p < 0.001). At post-intervention, 96.5% (n = 387) of the PHMs discussed IPV with identified sufferers and suggested solutions; only 67.3% (n = 201) did so at the pre-intervention (p < 0.001). In addition, after the intervention, there were significant increases (p < 0.001) in the median total scores of PHMs' IPV knowledge (0.62 vs. 0.88), perceived responsibility (3.20 vs. 4.60), and self-confidence (1.81 vs. 2.75). PHMs' perceived barriers decreased from 2.43 to 1.14 (p < 0.001).

conclusionsAn IPV training program for PHMs improved identification and assistance of IPV sufferers in Kandy, Sri Lanka. This training program has the potential to improve PHMs' skills in preventing IPV and supporting sufferers in other regions of Sri Lanka. Other developing countries might learn lessons from Sri Lanka's IPV training.

Indexed as

Clinical CompetencePublic Health NursingSpouse AbuseAdultEducation, ContinuingFemaleHumansMidwiferyPregnancySri LankaSurveys and Questionnaires

Identifiers

PMID25885635
PMCPMC4394591

What OpenQuestion holds

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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.