Community stakeholders' views on reducing violence against women in Pakistan.


Journal

BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690

Informations de publication

Date de publication:
07 05 2020
Historique:
received: 10 06 2019
accepted: 28 04 2020
entrez: 9 5 2020
pubmed: 10 5 2020
medline: 18 11 2020
Statut: epublish

Résumé

Nearly half of the women experience violence across their lifespan in all the provinces of Pakistan at an alarming rate. Despite knowing the prevalence, there has been meager progress in developing strategies to combat violence at individual, family, or community level. Many interventions suggested in other countries have been pilot tested but the effects of those interventions had been limited. Therefore, the aim of this study is to understand the voices of stakeholders to reduce Violence Against Women (VAW) and to explore the possible community-based strategies that could be implemented in Pakistan. A total of 14 Key Informant Interviews (KIIs) and 18 Focus Group Discussions (FGDs) were held across all four provinces of Pakistan. Participants were purposefully recruited and all the interviews were audio-recorded. Transcriptions were open coded and content analysis was done to emerge codes, categories and themes. Ethical approval was obtained from Aga Khan University Ethics Review Committee. Three major themes emerged on community members and stakeholders' views on VAW: a) community's perception of VAW b) the repercussions of VAW, and c) multiple voices regarding strategies to reduce VAW. Participants voiced the need of standing against the status quo, role of awareness and education: regarding capacity building skills, promotion of women rights and women empowerment through Life Skills Based Education (LSBE) through national health works program, has been proposed as an innovative strategy to reduce VAW. The responsibility to bring about a substantial change in behavior and attitudes must begin with engaging men in all the interventions that aim to reduce violence. Since, VAW is very much linked with the cultural norms, so, without community stakeholder's involvement and participation it could never be reduced. Keeping the existing socio-cultural dynamics in mind, the need of time is to design and implement innovative interventions that are culturally and contextually appropriate and can be expanded across the country.

Sections du résumé

BACKGROUND
Nearly half of the women experience violence across their lifespan in all the provinces of Pakistan at an alarming rate. Despite knowing the prevalence, there has been meager progress in developing strategies to combat violence at individual, family, or community level. Many interventions suggested in other countries have been pilot tested but the effects of those interventions had been limited. Therefore, the aim of this study is to understand the voices of stakeholders to reduce Violence Against Women (VAW) and to explore the possible community-based strategies that could be implemented in Pakistan.
METHODS
A total of 14 Key Informant Interviews (KIIs) and 18 Focus Group Discussions (FGDs) were held across all four provinces of Pakistan. Participants were purposefully recruited and all the interviews were audio-recorded. Transcriptions were open coded and content analysis was done to emerge codes, categories and themes. Ethical approval was obtained from Aga Khan University Ethics Review Committee.
RESULTS
Three major themes emerged on community members and stakeholders' views on VAW: a) community's perception of VAW b) the repercussions of VAW, and c) multiple voices regarding strategies to reduce VAW. Participants voiced the need of standing against the status quo, role of awareness and education: regarding capacity building skills, promotion of women rights and women empowerment through Life Skills Based Education (LSBE) through national health works program, has been proposed as an innovative strategy to reduce VAW.
CONCLUSIONS
The responsibility to bring about a substantial change in behavior and attitudes must begin with engaging men in all the interventions that aim to reduce violence. Since, VAW is very much linked with the cultural norms, so, without community stakeholder's involvement and participation it could never be reduced. Keeping the existing socio-cultural dynamics in mind, the need of time is to design and implement innovative interventions that are culturally and contextually appropriate and can be expanded across the country.

Identifiants

pubmed: 32380986
doi: 10.1186/s12905-020-00961-3
pii: 10.1186/s12905-020-00961-3
pmc: PMC7206774
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

98

Subventions

Organisme : Bill and Melinda Gates Foundation
ID : 2015-R1-A1-A3A0-4001267
Pays : International

Références

Lancet. 2015 Apr 25;385(9978):1685-95
pubmed: 25467579
Soc Sci Res. 2019 Jul;81:12-22
pubmed: 31130191
Violence Against Women. 2014 Jan;20(1):26-41
pubmed: 24476756
J Pak Med Assoc. 2008 Apr;58(4):198-203
pubmed: 18655430
PLoS One. 2018 Jan 19;13(1):e0190807
pubmed: 29351305
Glob Health Action. 2017;10(1):1342454
pubmed: 28758882
Int J Family Med. 2013;2013:313909
pubmed: 23431441
J Interpers Violence. 2017 Jan;32(1):76-100
pubmed: 25979535
Int J Womens Health. 2011 Mar 16;3:105-15
pubmed: 21573146
Bull World Health Organ. 2016 May 1;94(5):396-7
pubmed: 27147771

Auteurs

Tazeen Saeed Ali (TS)

School of Nursing and Midwifery, Aga Khan University (SONAM AKU), Stadium Road, Karachi, Sindh, Pakistan. tazeen.ali@aku.edu.

Rozina Karmaliani (R)

School of Nursing and Midwifery, Aga Khan University (SONAM AKU), Stadium Road, Karachi, Sindh, Pakistan.

Hussain Maqbool Ahmed Khuwaja (HMA)

School of Nursing and Midwifery, Aga Khan University (SONAM AKU), Stadium Road, Karachi, Sindh, Pakistan.

Nasim Zahid Shah (NZ)

Umeed-e-Nau Innovations Center of Excellence in Women and Child Health (COE), Aga Khan University (AKU), Karachi, Pakistan.

Zahid Hyder Wadani (ZH)

Umeed-e-Nau Innovations Center of Excellence in Women and Child Health (COE), Aga Khan University (AKU), Karachi, Pakistan.

Saher Aijaz (S)

School of Nursing and Midwifery, Aga Khan University (SONAM AKU), Stadium Road, Karachi, Sindh, Pakistan.

Asli Kulane (A)

Department of Equity and Policy Development at Karolinska Institutet, Stockholm, Sweden.

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