Amobi L. Ilika

Intimate Partner Violence among Women of Childbearing Age in a Primary Health Care Centre in Nigeria

This study assessed the prevalence and characteristics of intimate partner violence among women of childbearing age in a primary health centre. With interviewer-administered questionnaire, information on partner violence was elicited from three hundred women of childbearing age selected by systematic sampling in a primary health care (PHC) centre. Over 40% had experienced violence within the last 12 months. Type of marriage and partners education had effect on violence. Perceived reasons for violence were economic demand (56.1%), reproductive issues (42.5%), alcohol and drugs (61.2%). Forty eight per cent reported to family members. Only 1% reported to the Police. Intimate partner violence is a prevalent public health problem in eastern Nigeria. Health workers and social organisations should recognise the problem and offer necessary support, and women should be empowered to navigate through the problem.

Women's perception of partner violence in a rural Igbo community

Partner violence is a serious public health problem affecting mostly women. This qualitative study assessed the perceptions of rural Igbo women of Nigeria of intimate partner violence. Information was elicited using in-depth interviews and focus group discussion. Women of childbearing age were selected from the various women age grades in Ozubulu, Anambra State, Nigeria. Findings revealed that the women generally condone and are complacent with intimate partner violence, perceiving it as cultural and religious norms. The women felt that reprimands, beating and forced sex affecting their physical, mental and reproductive wellbeing are normal in marriage. They did not support reporting such cases to the police or divorcing the man, they would rather prefer reporting to family members. They felt that exiting the marriage would not gain the support of family members. They also expressed fear for the uncertainty in re-marrying, means of livelihood after re-marriage, social stigmatisation, and concern for their children. Socio-cultural norms and structures favour partner violence in Anambra State of Nigeria. There is a need for advocacy and concerted action that will involve the educational, health, civil and religious sectors of the society to evolve sustainable structures that will empower women and provide support to enable victims to react appropriately to violence.

Unintended Pregnancy Among Unmarried Adolescents and Young Women In Anambra State, South East Nigeria

This study identified the characteristics and factors influencing unintended pregnancy among unmarried young women in a rural community in south-east Nigeria. One hundred and thirty six unmarried teens with unintended pregnancy attending a Christian hospital in Ozubulu, a rural community in south-east Nigeria, from January 1998 to December 2001 were included in the study. Information was obtained using a semi-structured questionnaire and in-depth interview. Over 75% of the girls had their first sexual intercourse by 19 years, and over 69% had multiple partners. Over 95% had sex for economic reasons and exchanged sex for money or gifts. Only 13.5% ever used condoms. Ninety seven per cent suffered violence such as beating and verbal abuse from family members because of the pregnancy. Most of the adolescents or young women experienced major stressors, most importantly school and job termination, partners negative attitude, religious sanction, discrimination and stigmatisation as a result of the unintended pregnancy. Unmarried pregnant adolescents or young women have particular health and psychosocial problems. Stakeholders in adolescent health, namely, parents, teachers, religious groups and health care providers, should recognise these problems and advocate for the provision of appropriate care and youth-friendly services to help youths navigate through these problems.

Eliminating gender-based violence: learning from the widowhood practices elimination initiative of a women organisation in Ozubulu, Anambra State of Nigeria

Gender-based violence has received increased international focus since after the International Conference on Population and Devlopment in Cairo 1994 and the Fourth World Conference on Women in Beijing in 1995. This paper reports the activities and outcome of a Christian women group initiative to eliminate dehumanising widowhood practices, a prevalent type of gender-based violence among the Igbos in Eastern Nigeria. Through in-depth interviews, group discussions, participant observations and membership records, information was elicited on the processes and outcome of the women group initiative. Evaluation was done using the community action cycle framework model for community mobilisation. The women group was able to identify and eliminate major dehumanising widowhood practices. Though women were the victims of violence, they were surprisingly also the perpetrators and astute enforcers of the practice, as well as those who vehemently opposed any form of change. Superstitious beliefs and associated fears were major reasons for opposition to change. Women can play key and effective roles in eliminating gender-based violence and in initiating and implementing programmes that guarantee their reproductive and human rights. They should, therefore, be strengthened and encouraged to champion issues that affect their well-being.

Comparative analysis of prevalence of intimate partner violence against women in military and civilian communities in Abuja, Nigeria.

Introduction Intimate partner violence (IPV) occurs across the world, in various cultures, and affects people across societies irrespective of economic status or gender. Most data on IPV before World Health Organization multicountry study (WHOMCS) usually came from sources other than the military. Result of this study will contribute to the existing body of knowledge and may serve as a baseline for future studies in military populations. This study compares the prevalence of the different types of IPV against women in military and civilian communities in Abuja, Nigeria. Methods Using a multistage sampling technique, 260 women who had intimate male partners were selected from military and civilian communities of Abuja. Collected data on personal characteristics and different types of IPV experienced were analyzed to demonstrate comparison of the association between the different forms of IPV and the respondents’ sociodemographic and partner characteristics in the two study populations using percentages and χ-square statistics, and P-value was assumed to be significant at ≤0.05. Results The prevalence of the four major types of IPV was higher among the military respondents than among civilians: controlling behavior, 37.1% versus 29.1%; emotional/psychological abuse, 42.4% versus 13.4%; physical abuse, 19.7% versus 5.9%, and sexual abuse, 9.2% versus 8.8%. Significantly more respondents from the military population (59 [45.4%]) compared to civilians (21 [19.4%]) were prevented by their partners from seeing their friends (P=0.000). The situation is reversed with regard to permission to seek health care for self, with civilians reporting a significantly higher prevalence (35 [32.4%]) than did military respondents (20 [15.4%]) (P=0.002). The military respondents were clearly at a higher risk of experiencing all the variants of emotional violence than the civilians (P=0.00). The commonest form of physical violence against women was “being slapped or having something thrown at them, that could hurt”, which was markedly higher in the military (43 [33.1%]) than in the civilian population (10 [9.3%]), (P<0.05). Conclusion IPV is a significant public health problem in Abuja, and the military population is clearly at a higher risk of experiencing all forms of IPV compared to the civilian population. The military should encourage and finance research on effect of military operations and posttraumatic stress disorders on family relationships with a view of developing evidence-based treatment models for military personnel.

Cervical cancer: Knowledge of Risk Factors and Practice of Preventive Measures among Female Primary School Teachers in Urban Anambra State, Nigeria -

Aim / Background: Cervical cancer is one of the most common forms of cancer among women worldwide. This study was aimed at establishing baseline knowledge of cervical cancer risk factors and practice of its preventive measures among female primary school teachers in urban Anambra State, Nigeria. Methods: A descriptive cross-sectional study in which data on knowledge and practice variables were collected from 250 female school teachers aged 18 to 65 years, using self-administered questionnaires. Same was analysed and data presented in frequency tables. Result: Only 15(6.4%) of the respondents felt they were at risk of cervical cancer even as 149(59.6%) had no idea of any symptom of cervical cancer; and none knew early stages of the disease could present with no symptoms. Moreover, 137(58.3%) knew no risk factor for cervical cancer while a smaller proportion knew HPV infection 20(8.5%) and cigarette smoking 23(9.8%) as risk factors. Only 1(0.4%) respondent had ever had a cervical screening as over 75% of respondents reported not knowing about the screening test as their main reason for not doing the test. About 23% of respondents would recommend cervical screening to another woman. Conclusion: This study has shown very poor knowledge of cervical cancer and its risk factors; and even a poorer practice of cervical cancer screening among the respondents. Female teachers must be well informed about this disease in order for them to give the right information to their students. Therefore, in both formal and informal settings, regular and sustained health education on cervical cancer should be directed at this group.