Domestic Violence Attitudes and Culturally Appropriate Prevention in Pakistan

亲密伴侣暴力(IPV)是一个普遍存在的全球健康问题，也是造成身体伤害和 对女性的心理伤害。它也越来越被认为是贫穷的一个重要决定因素 在儿童早期目睹IPV或在宫内暴露的儿童的发育结果， 怀孕已被证明是感染IPV的易感性增加的时期。IPV在中国的流行情况 与该地区其他地区一样，巴基斯坦的人口密度很高，但对此研究不足，也没有采取干预措施来预防或应对 IPV是极其有限的。这个项目试图解决甚至缺乏所需的形成性知识的问题 在此背景下，为有效预防IPV提供基础。使用严格的混合方法，这是 该项目将进行探索性研究，旨在a)测量人们对IPV的态度和感知的规范 在男性和女性社区成员和女性社区卫生工作者之间，并b)探索潜力 适合文化的IPV预防战略，包括针对孕妇的以健康为重点的干预措施 妇女及其家庭，并通过社区卫生工作者基础设施管理。在基础上建设 哥伦比亚大学、杜克大学与人类发展的成功合作 在巴基斯坦伊斯兰堡的研究基金会(HDRF)，该项目也将作为一个关键目标 在该小组内，特别是在人类发展基金内发展能力，就这一专题进行深入研究 关于通过现有的健康进行有效的预防工作的潜力的见解 CARE系统，并为R01提案的成功申请奠定基础，正式测试 预计将从该项目中产生干预策略。探索性与定性相结合 调查(焦点小组讨论)和稳健的量化评估(个人调查)使用新颖的 仪表化将使该项目能够引发和更好地理解对IPV的感知和实际 社区成员和卫生工作者的态度。它还将有助于理解所感知的 巴基斯坦农村社区IPV预防战略的障碍和机会 对于父权规范仍然根深蒂固和具有纲领性的其他可比环境 对IPV的关注在历史上是有限的。

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.