Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa
“Traumatic events can negatively affect clinical outcomes among HIV positive women, particularly when those events result in ongoing psychological distress. Consequently, there have been calls to integrate screening and treatment of traumatic experiences and associated mental health disorders into HIV care. In South Africa, screening for traumatic experiences and mental health is not a routine part of HIV care. […]
Participants [of this study] almost unanimously agreed that it would be appropriate and acceptable to screen all women in the clinic setting for trauma and mental health symptoms. […]
The high prevalence of traumatic experiences and psychological distress in this study highlights an urgent need to integrate screening into routine HIV care. The study provides evidence of the acceptability of screening for trauma and mental health symptoms among HIV positive women, at the critical points of care engagement when they are initiating ART or have defaulted on ART. In addition, there is need to link women screened to interventions and services, as part of trauma informed HIV care.”
Full text available on Sage Journals
Intimate partner violence (IPV) during or before pregnancy is associated with many adverse health outcomes.
Pregnancy-related complications or poor infant health outcomes can arise from direct trauma as well as physiological effects of stress, both of which impact maternal health and fetal growth and development.
Antenatal care can be a key entry point within the health system for many women, particularly in low-resource settings. Interventions to identify violence during pregnancy and offer women support and counselling may reduce the occurrence of violence and mitigate its consequences.
This research will provide much-needed evidence on whether a short counselling intervention delivered by nurses is efficacious and feasible in low-resource settings that have a high prevalence of IPV and HIV.
Source: BMC Health Services ResearchBMC series
Follow the project: BioMed Central
Abuse at the hands of one’s partner is rife across the world. And even though South Africa has the highest levels of this type of violence, healthcare providers are not trained to deal with it and it is still regarded as a taboo subject.
In South Africa, shocking statistics reveal that:
– half of all women killed are slain by their intimate partners
– this is the highest femicide rate in the world
– more than 50% of women report experiencing intimate partner violence, often during pregnancy
– 20% of women surveyed in antenatal clinics in Soweto reported sexual violence by an intimate partner
– 68% reported psychological abuse and
– more than a third of girls report having been sexually violated and
– 45% of children have witnessed their mothers being beaten
Simone Honikman, director of the Perinatal Mental Health Project (PMHP) in Cape Town, has hailed the new open-source curriculum, saying it will be very useful in South Africa. “I think this is an excellent resource for capacity building that may be easily adapted for our local setting. Over the years of working with health and social development workers of all types, we at the PMHP, have been struck by the need for improved access to accessible, competency-based training on addressing intimate partner violence and sexual violence.”
A Systematic Review of Interventions
Background: Intimate partner violence (IPV) around the time of pregnancy is a widespread global health problem with many negative consequences. Nevertheless, a lot remains unclear about which interventions are effective and might be adopted in the perinatal care context.
Conclusions and implications: Strong evidence of effective interventions for IPV during the perinatal period is lacking, but some interventions show promising results. Additional large-scale, high-quality research is essential to provide further evidence about the effect of certain interventions and clarify which interventions should be adopted in the perinatal care context.
Published: January 17, 2014
for more details and the full article go to the PLOS ONE blog: here
Just released: the latest PLOS-one article on
Intimate Partner Violence and Pregnancy: A Systematic Review of Interventions
by An-Sofie Van Parys, Annelien Verhamme, Marleen Temmerman, Hans Verstraelen
Department of Obstetrics and Gynaecology/International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Ghent University, Ghent, Belgium
“Intimate partner violence (IPV) around the time of pregnancy is a widespread global health problem with many negative consequences. Nevertheless, a lot remains unclear about which interventions are effective and might be adopted in the perinatal care context.”
Read the full article here