Prevalence of Intimate Partner Violence and Associated Factors among ART user’s women Attending Adama Town Public Health Facility, Central Ethiopia 2019:

Abstract

Background: Intimate partner violence against women (IPVAW) is a behavior within an intimate relationship that causes physical, sexual or psychological harm to the victim. It is well recognized as a gross violation of human rights and affects the health of women, families and community at large. HIV infected women face increased risk of IPV than uninfected women. However, the level to which they experienced violence and its associated factor has not been well investigated in the local context. Objective: To determine prevalence and associated factors of IPV among ART users women visiting chronic care unit Adama town public health facility Methods: A facility-based cross-sectional study was conducted from March 1- April 1, 2019 among 396 ART users‟ women visiting chronic care unit of Adama town public health facility. Validated WHO tools were used to measure IPV and systematic random sampling technique was used to select individuals. The collected data were entered, using Epi data 4.4.1 and analyzed using SPSS version 24. Descriptive statistics were used to compute summary statistics and proportion. Variables at a cut off value (0.25) on bivariate and (0.05) on multivariable logisticregression were used to identify predictors of IPV. Result: A total of 396 women participated in the study, providing a response rate of 100%. The prevalence of current IPV 32.3% and lifetime IPV was 45.5%. Having history of exposure to first coerced sexual intercourse [AOR =3.0 (1.73, 5.44)], male multi-partnership [AOR = 2.2 (1.21, 4.06)], women who justified husband wife beating is normal when she refused to have sex with her husband [AOR = 2.3 (1.29, 4.12)], using contraceptive [AOR = 3.33 (1.67, 6.62)] and women whose partner were farmer [AOR = 3.9 (1.43, 10.79)] were found to be significant factors for IPV among ART user‟s women Conclusion: One in three women reported at least two or more forms of violence from their partner. Individual level factor (exposure to first coerced sex, partner‟s occupation, contraceptive use and women‟s acceptance of violence) were identified as a determinant. In addition relationship factor, male multi-partnership was identified as a predisposing factor. In view of this addressing risky behavior practiced among male partner and challenging women attitude toward violence was crucial in reducing violence among this population