Family and community driven response to intimate partner violence in post-conflict settings

被引:36
|
作者
Kohli, Anjalee [1 ]
Perrin, Nancy
Mpanano, Remy Mitima
Banywesize, Luhazi
Mirindi, Alfred Bacikenge
Banywesize, Jean Heri
Mitima, Clovis Murhula
Binkurhorhwa, Arsene Kajabika
Bufole, Nadine Mwinja
Glass, Nancy [1 ]
机构
[1] Johns Hopkins Univ, Sch Nursing, Baltimore, MD 21205 USA
基金
美国国家卫生研究院;
关键词
Democratic Republic of Congo; Intimate partner violence; Post-conflict; Family and community response; RURAL SOUTH-AFRICA; SUB-SAHARAN AFRICA; DOMESTIC VIOLENCE; MENTAL-HEALTH; SEXUAL VIOLENCE; POLITICAL VIOLENCE; WOMENS HEALTH; INTERVENTION; ATTITUDES; IMMIGRANT;
D O I
10.1016/j.socscimed.2015.10.011
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study explores risk factors, individual and family consequences and community-driven responses to intimate partner violence (IPV) in post-conflict eastern Democratic Republic of Congo (DRC). This qualitative study was conducted in 3 rural villages in South Kivu Province of DRC, an area that has experienced prolonged conflict. Participants included 13 female survivors and 5 male perpetrators of IPV as reported during baseline data collection for the parent study, an impact evaluation of the Congoleseled livestock microfinance program, Pigs for Peace. Participants described social and behavioral circumstances that increase risk for IPV; social, health and economic consequences on women and their families; and resources to protect women and their families. Social and behavioral factors reported by survivors and perpetrators indicate that IPV was linked to husband's alcohol consumption, household economic instability, male desire to maintain his position as head of family and perceived disrespect of husband by wife. In addition to well-known health consequences of IPV, women reported negative social consequences, such as stigma, resulting in barriers for the well-being of the family. Survivors and perpetrators described the impact of IPV on their children, specifically the lack of proper parental guidance and lack of safety and stability that could result in the child(ren) misbehaving and using violence in their relationships resulting in further stigma towards the child and family. Strategies employed by survivors to protect themselves and family, include placating male behaviors (e.g., not responding to insults, trying to meet household demands). Perpetrators that tried to reduce the impact of IPV reported a preference for social and financial control of their partner rather than physical violence, believing this to be less severe. Participants described community and family based social support systems including couple's mediation, responsible partner and fatherhood programs and economic activities that can influence behavior, maintain confidentiality, address social stigma and other multi-level outcomes. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:276 / 284
页数:9
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