Maya Ragavan

Perceptions of Options Available for Victims of Physical Intimate Partner Violence in Northern India

We used qualitative methodologies to understand perceptions regarding options available for victims of physical intimate partner violence (IPV) in northern India. We interviewed male and female community members along with IPV experts. Interviews were transcribed, coded, and analyzed using grounded theory. Participants emphasized that a victim of physical IPV should bear the violence, modify her husbands’ behaviors, or seek help from her natal family. Accessing external resources such as the police or nongovernmental organizations was viewed as both socially inappropriate and infeasible. These results have widespread implications and lay the foundation for the development of IPV prevention initiatives in India.

Physical Intimate Partner Violence in Northern India

In this article, we examine perceptions about the definition of physical intimate partner violence (IPV) in northern India utilizing feminist perspectives as a framework. We interviewed 56 women and 52 men affiliated with a health services nongovernmental organization in the Udaipur district of Rajasthan. We transcribed, coded, and analyzed the interviews utilizing grounded theory. We found that perceptions regarding physical IPV were associated with both structural and ideological patriarchal beliefs and microlevel constructs such as alcohol use. We discovered multiple types of physical IPV in the study region, including rationalized violence (socially condoned violence perpetrated by a husband against his wife), unjustified violence (socially prohibited violence perpetrated by a husband against his wife), and majboori violence (violence perpetrated by a wife against her husband). Our results add to the breadth of research available about IPV in India and create a framework for future research and IPV prevention initiatives.

Violence Perpetrated by Mothers-in-Law in Northern India: Perceived Frequency, Acceptability, and Options for Survivors

In India, physical and psychological abuse perpetrated by a mother-in-law against a daughter-in-law is well documented. However, there is a dearth of literature exploring the perceived frequency and acceptability of mother-in-law abuse or options available for survivors of this type of abuse. The goal of this qualitative study was to add to the in-law abuse literature by exploring men’s and women’s perspectives about physical and psychological abuse perpetrated by mothers-in-law against daughters-in-law in northern India. Forty-four women and 34 men residing in rural and urban areas of the Udaipur district in the northwest state of Rajasthan participated in semistructured interviews. Women, but not men, thought mother-in-law abuse was common in their communities. Psychological abuse was accepted in certain situations; however, few male or female participants agreed with physical mother-in-law abuse. Men were described as mediators in the context of mother-in-law abuse, and male participants thought that disrespecting a mother-in-law was a justifiable reason for a man to hit his wife. Both male and female participants described few options available for a woman experiencing mother-in-law abuse, apart from asking her husband to intervene or living as a separate, nuclear family. Grassroots initiatives and legislative policy should focus on addressing the immediate needs of women experiencing mother-in-law abuse and developing intergenerational interventions to educate men and women about the dynamics of law abuse.

A systematic review of community-based research interventions for domestic violence survivors.

Objectives: Community-based research is a broad approach in which researchers work closely with practitioners and community members to enhance the understanding of a given phenomenon and promote positive outcomes. In the domestic violence (DV) field, community-based research is a particularly useful strategy to develop and evaluate interventions that address unique community needs. Despite the potential benefits of this approach, to our knowledge, no systematic review has synthesized DV-focused interventions and evaluations designed using a community-based research approach. This study aimed to fill that gap. Method: Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted a systematic review of the literature, retrieving articles that described the collaborative development and evaluation of interventions for DV survivors residing in the United States. Articles were identified from peer-reviewed databases, bibliographies, and experts. Twenty of the 199 articles assessed for eligibility were included. Results: Interventions primarily consisted of small-group sessions focusing on survivors’ mental health and safety needs. Evaluations focused on process metrics, although approximately half reported changes in survivors’ outcomes. Collaboration generally occurred between DV advocates and applied health care academic teams. Authors described the promotion of collaboration in multiple ways and to varying degrees. Common examples included shared decision-making, recognizing and addressing potential power imbalances, longitudinal relationship building, changing programs based on stakeholder feedback, and co-owned project outputs including coauthorship of manuscripts. Conclusions: This is the first systematic review of interventions to support DV survivors, developed using a community-based research approach. Implications include promoting community-based outcome evaluations and developing guidelines for teams publishing community-based research in the peer-reviewed literature.

The health of women and children after surviving intimate partner violence

Few studies have explored the perspectives of survivors of intimate partner violence (IPV) regarding their health and their children’s health, their experiences accessing and utilizing health care, and health initiatives that would best serve their families’ needs. We facilitated focus groups with female IPV survivors and adolescents who witnessed IPV. Women described their health and their children’s health as poor and reported challenges with health care utilization, whereas teenagers generally perceived their health as typical for their age. Participants requested health education workshops, community resources, and social support. This study lays the foundation for further research and the development of health initiatives.

Building a Novel Health Curriculum for Survivors of Intimate Partner Violence Residing at a Transitional Housing Program

We used a community-based participatory research approach to develop, implement, and evaluate one of the first health curricula for female intimate partner violence (IPV) survivors residing at a transitional housing program. The curriculum comprised 12 workshops that were developed based on the survivors’ experiences, needs, and interests. Evaluation participants included 20 of the 37 women who attended at least one workshop, 12 workshop facilitators, and two housing center staff. Participants found the curriculum to be engaging, interactive, and helpful in building a supportive community. Suggestions for curricular improvement as well as opportunities for further research and curricular development are discussed.

The impact of domestic violence exposure on South Asian children in the United States: Perspectives of domestic violence agency staff

The South Asian community is the fastest growing ethnic group in the United States, and past research suggests that South Asian domestic violence (DV) survivors may require culturally-specific resources. Similarly, South Asian children in the US exposed to DV may have unique responses and needs, but this has not been explored to date. The objective of this study was to examine the specific needs of South Asian children exposed to DV from the vantage point of staff from South Asian DV agencies across the United States. Thirty interviews were conducted, with data coded and consolidated into larger themes using thematic analysis. Participants described several factors important to understanding the impact of DV on South Asian children including the role of the extended family, identifying with two cultures, fear about what the South Asian community will think, gender differences, and the importance of projecting an image of perfection. Participants also discussed development of culturally-tailored resources. This study suggests the importance of framing South Asian childrens experiences within the context of interweaving South Asian and American cultural values, with careful attention paid to how potential culture clashes between parents and children may impact the way children process trauma. Further work should triangulate these themes with children, parents, and extended family, as well as collaborate with South Asian DV agencies to design child-focused programs.

Health Education for Women and Children: A Community-Engaged Mutual Learning Curriculum for Health Trainees

Introduction Intimate partner violence (IPV) affects the physical and psychological health of survivors and their children; however, to our knowledge, no comprehensive health curriculum exists for this population. As a partnership between a transitional housing program (THP) and an academic medical center, we developed a health education curriculum for female IPV survivors using the principles of community-based participatory research (CBPR). Methods After partnering with a community-based organization, and recruiting participants (IPV survivors), the curriculum is then taught by health trainees. The materials needed to facilitate the 10 workshops are provided and include: a facilitators guide; workshop materials, including PowerPoint slides and handouts; a training guide for a community partner to teach facilitators about IPV; a sample focus group guide for curricular evaluation that aligns with CBPR methodologies; a sample time line for curricular implementation; and CBPR resources. Results The curriculum was implemented for two 9-month periods between September 2014 and June 2016. During the first session, 80% of women attended at least one workshop and during the second session, 65% of women did the same. Participants and staff at the THP found the curriculum engaging and requested that it be implemented yearly. Discussion The community-academic partnership offered prehealth and health trainees the opportunity to learn effective methods of delivering health education and to understand some of the challenges associated with surviving IPV. Such education can be provided to trainees at any stage and across multiple specialties (e.g., medical, nursing, public health, or social work). There is potential to replicate this mutual learning curriculum in a wide variety of other settings serving mothers and children.