Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Chepuka, Lignet; Taegtmeyer, Miriam; Chorwe-Sungani, Genesis; Mambulasa, Janet; Chirwa, Ellen; Tolhurst, Rachel (2014)
Publisher: Co-Action Publishing
Journal: Global Health Action
Languages: English
Types: Article
Subjects: GBV services, f0e481db, mental health, health care providers; intimate partner violence; Malawi; mental health; counselling; GBV services, wa_305, counselling, Intimate Partner Violence and Mental Health, Malawi, wa_309, wm_100, RA1-1270, Community Health, Public aspects of medicine, intimate partner violence, health care providers
Background and objectives: This study explores the perceptions of a wide range of stakeholders in Malawi towards the mental health impact of intimate partner violence (IPV) and the capacity of health services for addressing these.Design: In-depth interviews (IDIs) and focus group discussions (FGDs) were conducted in three areas of Blantyre district, and in two additional districts. A total of 10 FGDs, 1 small group, and 14 IDIs with health care providers; 18 FGDs and 1 small group with male and female, urban and rural community members; 7 IDIs with female survivors; and 26 key informant interviews and 1 small group with government ministry staff, donors, gender-based violence service providers, religious institutions, and police were conducted. A thematic framework analysis method was applied to emerging themes.Results: The significant mental health impact of IPV was mentioned by all participants and formal care seeking was thought to be impeded by social pressures to resolve conflict, and fear of judgemental attitudes. Providers felt inadequately prepared to handle the psychosocial and mental health consequences of IPV; this was complicated by staff shortages, a lack of clarity on the mandate of the health sector, as well as confusion over the definition and need for ‘counselling’. Referral options to other sectors for mental health support were perceived as limited but the restructuring of the Ministry of Health to cover violence prevention, mental health, and alcohol and drug misuse under a single unit provides an opportunity.Conclusion: Despite widespread recognition of the burden of IPV-associated mental health problems in Malawi, there is limited capacity to support affected individuals at community or health sector level. Participants highlighted potential entry points to health services as well as local and national opportunities for interventions that are culturally appropriate and are built on local structures and resilience.Keywords: health care providers; intimate partner violence; Malawi; mental health; counselling; GBV servicesCitation: Glob Health Action 2014, 7: 24816 - http://dx.doi.org/10.3402/gha.v7.24816SPECIAL ISSUE: This paper is part of the Special Issue: Intimate Partner Violence and Mental Health. More papers from this issue can be found at http://www.globalhealthaction.net
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Lancet 2002; 360: 1083 8.
    • 2. Devries KM, Mak JY, Bacchus LJ, Child JC, Falder G, Petzold M, et al. Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Med. 2013; 10: e1001439.
    • 3. Rosen D, Seng J, Tolman R, Mallinger G. Intimate partner violence, depression, and posttraumatic stress disorder as additional predictors of low birth weight infants among low-income mothers. J Interpers Violence 2007; 22: 1305 14.
    • 4. Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C. Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence: an observational study. Lancet 2008; 371: 1165 72.
    • 5. Humphreys C, Thiara R. Mental health and domestic violence: 'I call it symptoms of sbuse'. Br J Soc Work 2003; 33: 209 26.
    • 6. Jina R, Jewkes R, Hoffman S, Dunkle KL, Nduna M, Shai NJ. Adverse mental health outcomes associated with emotional abuse in young rural South African women: a cross-sectional study. J Interpers Violence 2012; 27: 862 80.
    • 7. Devries K, Watts C, Yoshihama M, Kiss L, Schraiber LB, Deyessa N, et al. WHO Multi-Country Study Team Violence against women is strongly associated with suicide attempts: evidence from the WHO multi-country study on women's health and domestic violence against women. Soc Sci Med 2011; 73: 79 86.
    • 8. Bengtsson-Tops A, Tops D. Self-reported consequences and needs for support associated with abuse in female users of psychiatric care. Int J Ment Health Nurs 2007; 16: 35 43.
    • 9. Tadegge AD. The mental health consequences of intimate partner violence against women in Agaro Town, southwest Ethiopia. Trop Doctor 2008; 38: 228 9.
    • 10. Gelaye B, Arnold D, Williams MA, Goshu M, Berhane Y. Depressive symptoms among female college students experiencing gender-based violence in Awassa, Ethiopia. J Interpers Violence. 2009; 24: 464 81.
    • 11. Deyessa N, Berhane Y, Alem A, Ellsberg M, Emmelin M, Hogberg U, et al. Intimate partner violence and depression among women in rural Ethiopia: a cross-sectional study. Clin Pract Epidemiol Ment Health 2009; 5: 8.
    • 12. Rehm J, Shield KD, Joharchi N, Shuper PA. Alcohol consumption and the intention to engage in unprotected sex: systematic review and meta-analysis of experimental studies. Addiction 2012; 107: 51 9.
    • 13. Li Y, Marshall CM, Rees HC, Nunez A, Ezeanolue E, Ehiri J. Intimate partner violence and HIV infection among women: a systematic review and meta-analysis. JIAS 2014; 17: 18845.
    • 14. Cagney H. Intimate partner violence and HIV: unwelcome accomplices. Lancet 2014; 383: 395.
    • 15. Limaye RJ, Rutkow L, Rimal RN, Jernigan DH. Informal alcohol in Malawi: stakeholder perceptions and policy recommendations. J Public Health Policy 2014; 35: 119 31.
    • 16. Romito P, Grassi M. Does violence affect one gender more than the other? The mental health impact of violence among male and female university students. Soc Sci Med 2007; 65: 1222 34.
    • 17. Tran T, Tran T, Wynter K, Fisher J. Interactions among alcohol dependence, perinatal common mental disorders and violence in couples in rural Vietnam: a cross-sectional study using structural equation modeling. BMC Psychiatry 2012; 12: 148.
    • 18. National Statistical Office (NSO) & MACRO (2005). Malawi Demographic and Health Survey 2004. Calverton, MD: NSO and ORC Macro.
    • 19. WHO (2013). Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. Geneva: WHO.
    • 20. Kauye F. Management of mental health services in Malawi. Int Psychiatry 2008; 5: 29 31.
    • 21. GOM (2011). Malawi health sector strategic plan 2011 2016 moving towards equity and quality. Blantyre: Government of Malawi.
    • 22. MOH (2012). Guidelines for Provision of Comprehensive services for survivors of physical and sexual violence at Health Facilities in Malawi (One-Stop Centres). Blantyre: Government of Malawi.
    • 23. Tim Mercer and MCI. MCI SOCIAL SECTOR WORKING PAPER SERIES Gender Needs Assessment for Blantyre City, Malawi; 2010. Available from http://mci.ei.columbia.edu [cited 23 March 2013].
    • 24. United Nations Human Settlements Programme Malawi (2011). Available from http://www.unmalawi.org/agencies/unhabitat. html [cited 22 August 2014].
    • 25. Bandawe LR. Managing the HIV and AIDS pandemic at the local level: experience from the Blantyre City Assembly; 2006. Available from http://mirror.unhabitat.org/downloads/docs/4058_ 97151_Blantyre.pdf [cited 22 August 2014].
    • 26. Krueger RA, Casey MA. Focus Group A practical guide for applied reseach. 3rd ed. London: Sage; 2000.
    • 27. Kitzinger J, Barbour RS. Developing focus group research: politics, theory, and practice. London: Sage; 1999, xiii, 225 p.
    • 28. Tough A. Oral culture, written records and understanding the twentieth-century colonial archive. The significance of understanding from within. Arch Sci 2012; 12: 245 65.
    • 29. Theobald S, Nyirenda L, Tulloch O, Makwiza I, Soonthorndhada A, Tolhurst R, et al. Sharing experiences and dilemmas of conducting focus group discussions on HIV and tuberculosis in resource-poor settings. Int Health 2011; 3: 7 14.
    • 30. Mkandawire-Valhmu L, Stevens PE. The critical value of focus group discussions in research with women living with HIV in Malawi. Qual Health Res 2010; 20: 684 96.
    • 31. Mason J. Qualitatieve researching. 1st ed. London: Sage; 1998.
    • 32. Legard R, Keegan J, Ward K. Qualitative research practice: a guide for social science students and researchers In: Ritchie J, Lewis J, eds. Thousand Oaks: Sage; 2003, pp. 138 69.
    • 33. Pole C, Lampard R. Practical social investigation: qualitative and quantitative research methods in social research. Essex: Prentice Hall; 2002. p. 36.
    • 34. Ritchie J, Lewis J, editors. Qualitative research practice: a guide for social science students and researchers. 1st ed. London: Thousand Oaks, Sage; 2003.
    • 35. Stewart R, Umar E, Tomenson B, Creed F. A cross-sectional study of antenatal depression and associated factors in Malawi. Arch Women's Ment Health 2014; 17: 145 54.
    • 36. Heise L. Violence against women: an integrated, ecological framework. Violence Against Women 1998; 4: 262 90.
    • 37. Wolfe DA, Jaffe PG. Prevention of domestic violence and sexual assault. VAWnet, a project of the National Resource Center on Domestic Violence/Pennsylvania Coalition Against Domestic Violence; 2003. Available from: http://www.vawnet.org [cited 9 March 2014].
    • 38. Sikkema K, Neufeld S, Hansen N, Mohlahlane R, Van Rensburg M, Watt M, et al. Integrating HIV prevention into services for abused women in South Africa. AIDS Behav 2010; 14: 431 9.
    • 39. Fritz K, Gregowski A, Glenshaw M, DeLuca N, Hurwitz E, Cornman H, et al. Addressing the impact of alcohol on the prevention, care, and treatment of HIV in Southern and Eastern Africa: research, programming, and next steps-report on a PEPFAR technical consultation. USAID's AIDS Support and Technical Assistance Resources; April 12 14, 2011; Held in Windhoek, Namibia. Arlington, VA: AIDSTAR-One; 2012.
    • 40. McCollum EE, Stith SM. Couples treatment for interpersonal violence: a review of outcome research literature and current clinical practices. Violence Vict 2008; 23: 187 201.
    • 41. Hartmann M, Gilles K, Shattuck D, Kerner B, Guest G. Changes in couples' communication as a result of a male-involvement family planning intervention. J Health Commun 2012; 17: 802 19.
    • 42. Becker S, Mlay R, Schwandt H, Lyamuya E. Comparing couples' and individual voluntary counseling and testing for HIV at antenatal clinics in Tanzania: a randomized trial. AIDS Behav 2010; 14: 558 66.
    • 43. Semrau K, Kuhn L, Vwalika C, Kasonde P, Sinkala M, Kankasa C, et al. Women in couples antenatal HIV counseling and testing are not more likely to report adverse social events. AIDS 2005; 19: 603 9.
    • 44. Farquhar C, Kiarie JN, Richardson BA, Kabura MN, John FN, Nduati RW, et al. Antenatal couple counseling increases uptake of interventions to prevent HIV-1 transmission. J Acquir Immune Defic Syndr 2004; 37: 1620 6.
    • 45. Mercy JA, Rosenberg ML, Powell KE, Broome CV, Roper WL. Public health policy for preventing violence. Health Aff 1993; 12: 7 29.
    • 46. Stith SM, McCollum E, Amanor-Boadu Y, Smith D. Systemic perspectives on intimate partner violence treatment. J Marital Ther 2012; 38: 220 40.
    • 47. Kiser M, Escamilla V, Samuel J, Eichelberger K, Mkwaila J, Cairns B, et al. Sex differences in interpersonal violence in Malawi: analysis of a hospital-based trauma registry. World J Surg 2013; 37: 2972 8.
  • Inferred research data

    The results below are discovered through our pilot algorithms. Let us know how we are doing!

    Title Trust
  • No similar publications.

Share - Bookmark

Cite this article