Health Care Provider’s Screening for Intimate Partner Violence among Women: Rates, Barriers, and Tools in Anglophone Africa
摘要
This integrative review examined quantitative studies on health care provider’s screening practices for intimate partner violence (IPV) within clinical settings in Anglophone Africa. It explored screening rates among health care providers, barriers that hinder routine screening and tools used to identify IPV among women, pregnant or not.
MethodsFollowing Whittemore and Knafl’s integrative review framework, the authors systematically searched databases including CINAHL, PubMed, PubMed Central, PsycINFO, EBSCO, Cochrane, and ProQuest Nursing and Allied Health. The search yielded 1,590 studies. After applying inclusion criteria, 11 peer-reviewed articles published between 2010 and 2022 were included in the final analysis.
ResultsScreening rates for IPV were low, with only 0–35% of health care providers screening women in health care setting settings and 0–16% screening pregnant women in prenatal care. Barriers identified included a lack of standardized tools, insufficient training, and weak institutional support. Three studies supported the use of brief, validated and structured tools and Abuse Assessment Screen tool was cited by 15% participants in improving detection.
ConclusionsDespite guidelines recommending routine IPV screening, screening for intimate partner violence is low among health care providers in health care settings. Findings underscore the urgent need for systems-level strategies to support providers in integrating IPV screening into health care settings, especially in prenatal settings. Incorporating standardized protocols, enhancing provider education, and strengthening institutional support structures may help close this implementation gap. Future research should evaluate scalable interventions that promote consistent, effective IPV screening across diverse health care settings.