Domestic Violence Attitudes and Culturally Appropriate Prevention in Pakistan

巴基斯坦对家庭暴力的态度和文化上适当的预防措施

• 批准号: 9354371
• 负责人: Lisa Michelle Bates
• 金额: $ 21.27万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2020-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9354371
• 关键词: Address; Attention; Attitude; Child; Chronic; Collaborations; Communities; Community Health; Community Health Aides; Community Outreach; Development; Domestic Violence; Environment; Exposure to; Family; Family member; Female; Focus Groups; Foundations; Health; Health education; Healthcare Systems; High Prevalence; Human Development; Individual; Injury; Institution; International; Intervention; Investigation; Knowledge; Maternal and Child Health; Measurement; Measures; Mental Health; Methods; Morbidity - disease rate; Nature; Outcome; Pakistan; Perception; Population; Pregnancy; Pregnant Women; Prevalence; Prevention; Prevention approach; Prevention strategy; Research; Research Design; Research Infrastructure; Rights; Risk Factors; Role; Rural; Services; Site; Source; Subgroup; Surveys; System; Testing; Time; Universities; Violence; Woman; base; critical period; early childhood; global health; health care delivery; innovation; insight; instrument; instrumentation; intimate partner violence; knowledge base; male; member; men; novel; peer; prenatal exposure; prevent; psychologic; psychological outcomes; research and development; response; violence prevention; volunteer

Intimate partner violence (IPV) is a pervasive global health problem and a major source of physical injury and psychological harm to women. It is also increasingly recognized as a significant determinant of poor developmental outcomes among children who witness IPV in early childhood or who are exposed in utero, and pregnancy has been demonstrated to be a period of increased vulnerability to IPV. Prevalence of IPV in Pakistan, as elsewhere in the region, is high yet it is understudied and interventions to prevent or respond to IPV are extremely limited. This project seeks to address the dearth of even formative knowledge needed to provide the basis for effective IPV prevention in this context. Using a rigorous mixed-methods approach, this project will conduct exploratory research designed to a) measure attitudes and perceived norms regarding IPV among male and female community members and female community health workers and b) explore potential culturally-appropriate IPV prevention strategies, including a health-focused intervention targeted at pregnant women and their families and administered through the community health worker infrastructure. Building on a successful collaboration between Columbia University, Duke University, and the Human Development Research Foundation (HDRF) in Islamabad, Pakistan, this project will also have as a key objective the development of capacity within this team, and at HDRF specifically, to conduct in-depth research on the topic of IPV, to develop insights regarding the potential for effective prevention efforts through the extant health care system, and to lay the foundation for successful application for a R01 proposal to formally test the intervention strategies expected to emerge from this project. The combination of exploratory qualitative investigation (focus group discussions) and robust quantitative assessment (individual surveys) using novel instrumentation will enable this project to elicit and better understand both perceptions of and actual IPV attitudes of community members and health workers. It will also facilitate an understanding of the perceived barriers to and opportunities for community-based IPV prevention strategies in rural Pakistan, with relevance for other, comparable settings in which patriarchal norms are still strongly entrenched and programmatic attention to IPV is historically limited.

亲密伴侣暴力（IPV）是一个普遍存在的全球健康问题，也是身体伤害和暴力的主要来源