Health systems Health care settings Clinical care Health care management
PREVALENCE AND DETERMINANTS OF INTIMATE PARTNER VIOLENCE AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE AT COLIN SAUNDERS HOSPITAL, CHIREDZI, ZIMBABWE

How to Cite

1.
Danda G, Manenji C. PREVALENCE AND DETERMINANTS OF INTIMATE PARTNER VIOLENCE AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE AT COLIN SAUNDERS HOSPITAL, CHIREDZI, ZIMBABWE. Keffi Hospital J. [Internet]. 2026 Feb. 12 [cited 2026 Sep. 5];1(1). Available from: https://keffihospitaljournal.fmckkonsult.org/index.php/khj/article/view/37

Abstract

Introduction: Intimate Partner Violence (IPV) is a major contributor to maternal illness and mortality worldwide. During pregnancy, IPV has been associated with reduced antenatal clinic attendance, psychological trauma, and adverse pregnancy outcomes including low birth weight and preterm birth. In Zimbabwe, cultural expectations, patriarchal norms, and economic constraints contribute to IPV risk, yet evidence specific to antenatal populations remains limited. 

Methods: A quantitative descriptive cross‑sectional study was conducted at Colin Saunders Hospital. Participants comprised 30 pregnant women sampled conveniently, and eight midwives and four healthcare administrators selected purposively. Structured questionnaires captured demographics, IPV experiences, and perceived causes and effects. Ethical approval and informed consent were obtained. Data were summarized using descriptive statistics.

Results: All pregnant participants reported experiencing IPV. Emotional abuse was universal, while most also reported physical and sexual violence. Major contributing factors included financial dependency, partner alcohol and drug use, and patriarchal cultural structures. Impact of IPV included psychological distress, missed antenatal appointments, and obstetric complications such as preterm labour.

Discussion: These findings align with other researches globally and in Africa demonstrating high IPV rates in pregnancy and strong links to economic vulnerability and gender norms. Emotional violence frequently precedes physical abuse, underscoring the need for healthcare providers to recognise non‑physical forms of IPV. The adverse maternal and fetal outcomes observed reinforce global evidence linking IPV to poor reproductive health outcomes. Strengthening routine IPV screening in antenatal clinics and enhancing provider capacity to respond sensitively is crucial.

References

1. World Health Organization (WHO) (2021) Violence against women prevalence estimates, 2018. Available at: https://www.who.int/publications/i/item/9789240022256 (Accessed: 19 May 2025).

2. Centers for Disease Control and Prevention (CDC) (2017) Risk factors associated with intimate partner violence. Available at: https://www.cdc.gov/violenceprevention/intimatepartnerviolence/riskprotectivefactors.html (Accessed: 19 May 2025).

3. Bazargan, M. (2021) 'Intimate partner violence among pregnant women: A review of risk factors and health outcomes', Journal of Women's Health, 30(4), pp. 456–465.

4. Arkins, B., Begley, C., and Higgins, A. (2016) Measures for screening for intimate partner violence: a systematic review. Journal of Psychiatric and Mental Health Nursing, 23 (3-4), pp217-235. https://doi.org/10.1111/jpm.12289

5. Martinez, D., Zayas, L.H. and Valentine, J. (2020) 'Substance use and intimate partner violence: A systematic review', Journal of Substance Use, 25(1), pp. 1–10.

6. Campbell, J.C. (2022) 'Health consequences of intimate partner violence', The Lancet, 359(9314), pp. 1331–1336.

7. Chen, Y., Chen, X. and Zhang, J. (2020) 'Intimate partner violence and mental health among women: A systematic review and meta-analysis', Journal of Women's Health, 29(10), pp. 1421–1433.

8. Devries, K.M. et al. (2019) 'The global prevalence of intimate partner violence during pregnancy: A systematic review', The Lancet Global Health.

9. Martin, C.E., Houston, A.M. and Mmari, K.N. (2018) 'Intimate partner violence and women's physical and mental health: A systematic review', Trauma, Violence & Abuse, 19(2), pp. 155–171.

10. Shamu, S. et al. (2018) 'Intimate partner violence during pregnancy in Sub-Saharan Africa: A multi-country study', BMC Reproductive Health, 15(1), p. 157.

11. Durevall, D., Lindskog, A. and Matovu, F. (2015) 'Intimate partner violence and HIV in Sub-Saharan Africa', World Development, 72, pp. 27–42.

12. Jewkes, R., Flood, M. and Lang, J. (2022) 'Intimate partner violence: Causes and prevention', The Lancet, 359(9315), pp. 1423–1429.

13. Khalifeh, H. (2018) 'Prevalence and correlates of intimate partner violence during pregnancy in Zimbabwe', BMC Women’s Health.

14. Heise, L.L. (1998) 'Violence against women: An integrated, ecological framework', Violence Against Women, 4(3), pp. 262–290.

15. Kindy, D.M., Chae, S. and Kim, Y. (2016) 'Population and sampling', in MacCallum, R.C. and Shapiro, R.Y. (eds.) Research methods in psychology. Abingdon: Routledge, pp. 147–164.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2026 Grace Danda, Confidence Manenji