The Maldives Study on Women's Health and Life Experiences

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The Maldives Study on Women's Health and Life Experiences The Maldives Study on Women’s Health and Life Experiences Initial results on prevalence, health outcomes and women’s responses to violence Emma Fulu © Ministry of Gender and Family The Maldives Study on Women’s Health and Life Experiences: Initial Results on Prevalence, Health Outcomes and Women’s Responses to Violence. ISBN 99915-95-01-5 CONTENTS EXECUTIVE SUMMARY ..........................................................................................................................V ORGANIZATION OF THE STUDY................................................................................................................... V PREVALENCE AND PATTERNS OF VIOLENCE ............................................................................................... VI ASSOCIATIONS OF VIOLENCE WITH SPECIFIC HEALTH OUTCOMES............................................................ VIII WOMEN’S COPING STRATEGIES AND USE OF SERVICES .............................................................................. IX IMPACT OF THE TSUNAMI ON VIOLENCE AGAINST WOMEN.......................................................................... X RECOMMENDATIONS .................................................................................................................................. X CHAPTER 1: INTRODUCTION ............................................................................................................... 1 INTERNATIONAL CONVENTIONS AND AGREEMENTS................................................................................... 2 DEFINITIONS............................................................................................................................................... 2 THE CULTURAL CONTEXT OF THE MALDIVES ............................................................................................. 2 VIOLENCE AGAINST WOMEN IN THE MALDIVES.......................................................................................... 6 CHAPTER 2: RESEARCH OBJECTIVES AND QUESTIONNAIRE................................................... 8 OBJECTIVES OF RESEARCH ......................................................................................................................... 8 RESEARCH QUESTIONS ............................................................................................................................... 8 MEASURING VIOLENCE............................................................................................................................. 10 CHAPTER 3: METHODOLOGY ............................................................................................................ 14 FORMATIVE QUALITATIVE RESEARCH....................................................................................................... 14 QUESTIONNAIRE DEVELOPMENT AND TRANSLATION ................................................................................ 15 INTERVIEWER SELECTION AND TRAINING ................................................................................................. 16 SAMPLE DESIGN........................................................................................................................................ 18 SAMPLE REDESIGN.................................................................................................................................... 19 ORGANIZATION OF THE SURVEY AND FIELDWORK PROCEDURES .............................................................. 20 MECHANISM FOR QUALITY CONTROL ....................................................................................................... 21 DATA PROCESSING ................................................................................................................................... 22 ETHICAL AND SAFETY CONSIDERATIONS .................................................................................................. 23 INTERVIEW GUIDELINES ........................................................................................................................... 24 STRENGTHS AND LIMITATIONS OF THE STUDY.......................................................................................... 24 CHAPTER 4: RESPONSE RATE AND SAMPLE DEMOGRAPHIC................................................. 26 RESPONDENT’S SATISFACTION WITH INTERVIEW ...................................................................................... 28 CHARACTERISTICS OF RESPONDENTS........................................................................................................ 29 STATISTICS AND TABLES........................................................................................................................... 31 CHAPTER 5: PREVALENCE OF INTIMATE PARTNER VIOLENCE ........................................... 32 NATIONAL LEVEL PREVALENCE RATES ..................................................................................................... 33 EMOTIONAL ABUSE AND CONTROLLING BEHAVIOUR ................................................................................ 35 OVERLAP OF PHYSICAL AND SEXUAL PARTNER VIOLENCE........................................................................ 37 CURRENT AND LIFETIME PHYSICAL AND/OR SEXUAL VIOLENCE ............................................................... 38 SEVERITY AND FREQUENCY OF PHYSICAL VIOLENCE ................................................................................ 38 DEMOGRAPHIC FACTORS ASSOCIATED WITH INTIMATE PARTNER VIOLENCE. ........................................... 40 SITUATIONS LEADING TO VIOLENCE ......................................................................................................... 42 WOMEN’S ATTITUDES TOWARDS VIOLENCE ............................................................................................. 42 WEIGHTED ANALYSIS ............................................................................................................................... 44 DISCUSSION.............................................................................................................................................. 45 CHAPTER 6: PREVALENCE OF VIOLENCE BY PERPETRATORS OTHER THAN INTIMATE PARTNERS, SINCE AGE 15.................................................................................................................... 48 PERPETRATORS OF NON-PARTNER VIOLENCE............................................................................................ 49 i PARTNER VIOLENCE COMPARED WITH NON-PARTNER VIOLENCE.............................................................. 50 DISCUSSION.............................................................................................................................................. 51 CHAPTER 7: GIRL CHILD SEXUAL ABUSE PRIOR TO AGE 15................................................... 53 PREVALENCE OF GIRL CHILD SEXUAL ABUSE (UNDER AGE 15) ................................................................. 53 PHYSICAL AND SEXUAL ABUSE OF GIRLS UNDER 18 YEARS OF AGE .......................................................... 54 PERPETRATORS OF GIRL CHILD SEXUAL ABUSE......................................................................................... 55 FIRST SEXUAL EXPERIENCE ...................................................................................................................... 56 COMBINING ALL TYPES OF VIOLENCE AGAINST WOMEN TO GET A NATIONAL PREVALENCE RATE............. 57 DISCUSSION.............................................................................................................................................. 58 CHAPTER 8: ASSOCIATIONS BETWEEN VIOLENCE BY INTIMATE PARTNERS AND WOMEN’S PHYSICAL AND MENTAL HEALTH .............................................................................. 59 INJURIES AS A RESULT OF INTIMATE PARTNER VIOLENCE ......................................................................... 61 PARTNER VIOLENCE AND WOMEN’S GENERAL HEALTH ............................................................................ 62 VIOLENCE AND MENTAL HEALTH ............................................................................................................. 64 DISCUSSION.............................................................................................................................................. 66 CHAPTER 9: INTIMATE PARTNER VIOLENCE, WOMEN’S REPRODUCTIVE HEALTH AND THEIR CHILDREN................................................................................................................................... 68 REPRODUCTIVE HEALTH OUTCOMES......................................................................................................... 69 PARITY ..................................................................................................................................................... 70 CONTRACEPTIVE USE................................................................................................................................72 UNPLANNED PREGNANCIES ...................................................................................................................... 73 ANTENATAL AND POST-NATAL CARE........................................................................................................ 74 EFFECTS OF PARTNER VIOLENCE ON CHILDREN ........................................................................................ 75 DISCUSSION.............................................................................................................................................. 78 CHAPTER 10: WOMEN’S COPING
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