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      Escaping domestic violence: A qualitative study of women who left their abusive husbands

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          Abstract

          Objectives

          This qualitative study aims to discover the factors that influenced the decisions of women who successfully escaped domestic violence by attaining a divorce.

          Methods

          In-depth interviews were conducted with 17 women, ages 21-56 who were either divorced or currently in the process of getting divorced in Kelantan, Malaysia.

          Results

          Several themes emerged, indicating the following five reasons for divorce: 1) reaching the point of ultimatum, 2) having adequate support pre- and post-divorce, 3) concern for children's welfare, 4) seeking financial independence, and 5) fear of harm.

          Conclusion

          The identification of the driving factors for divorce may spark a change in our society's mindset to empower female divorcees and allow them to lead happy, abuse-free lives.

          الملخص

          أهداف البحث

          تهدف هذه الدراسة النوعية لاكتشاف العوامل التي تؤثر على قرار السيدات اللواتي نجحن في النجاة من العنف الأسري بالحصول على الطلاق.

          طرق البحث

          أجريت مقابلة مطولة مع ١٧ سيدة تتراوح أعمارهن بين ٢١-٥٦ من اللواتي حصلن على الطلاق أو حاليا في عملية الحصول عليه في كلنتان، ماليزيا.

          النتائج

          ظهرت عدة مواضيع تشير إلى خمسة أسباب رئيسة للطلاق؛ الوصول إلى نقطة الإنذار الأخير، ووجود دعم كاف قبل وبعد الطلاق، والقلق بشأن رعاية الأطفال، والسعي وراء الاستقلال المالي، والخوف من الأذى.

          الاستنتاجات

          إن تحديد عدد من عوامل الخطر للطلاق قد يُحدث شرارة التغيير في عقلية مجتمعنا، الأمر الذي قد يساعد في تمكين المطلقات من الإناث والسماح لهن بالعيش حياة سعيدة خالية-من الإساءة.

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          Most cited references21

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          Help-seeking behaviors and reasons for help seeking reported by a representative sample of women victims of intimate partner violence in New Zealand.

          Efforts to understand and support the process of help seeking by victims of intimate partner violence are of considerable urgency if we are to design systems and responses that are capable of actively and appropriately meeting the needs of victims. Using data from the New Zealand Violence Against Women Study, which drew from a representative general population sample of women aged 18 to 64 years, the authors report on the help-seeking behaviors of the women who had ever in their lifetime experienced physical and/or sexual violence by an intimate partner (n = 956). More than 75% of respondents reported that they had told someone about the violence, indicating that it is not necessarily a "secret and private" problem. However, more than 40% of women indicated that no one had helped them. Informal sources of support (family and friends) were most frequently told about the violence but not all provided helpful responses. Fewer women told formal sources of help such as police, health care providers, and not all provided helpful responses. Women's reasons for seeking help and for leaving violent relationships were similar and included "could not endure more," being badly injured, fear or threat of death, and concern for children. Women's reasons for staying in or returning to violent relationships included perception of the violence as "normal/not serious," her emotional investment in the relationship, or staying for the sake of the children. The findings suggest that broader community outreach is required to ensure that family and friends are able to provide appropriate support for women in abusive relationships who are seeking help. Continued improvement in institutional responses is also required.
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            Effect of Women’s autonomy on maternal health service utilization in Nepal: a cross sectional study

            Background Women’s role has been a priority area not only for sustainable development, but also in reproductive health since ICPD 1994. However, very little empirical evidence is available about women’s role on maternal health service utilization in Nepal. This paper explores dimensions of women’s autonomy and their relationship to utilization of maternal health services. Methods The analysis uses data from the Nepal Demographic and Health Survey, 2011. The analysis is confined to women who had given birth in the 5 years preceding the survey (n = 4,148). Women’s autonomy related variables are taken from the standard DHS questionnaire and measured based on decision in household about obtaining health care, large household purchases and visit to family or relative. The net effect of women’s autonomy on utilization of maternal health services after controlling for the effect of other predictors has been measured through multivariate logistic regression analysis. Results The findings indicate only about a half of the women who had given birth in the past 5 years preceding the survey had 4 or more ANC check up for their last birth. Similarly, 40 % of the women had delivered their last child in the health facilities. Furthermore, slightly higher than two-fifth women (43 %) had postnatal check up for their last child. Only slightly higher than a fourth woman (27 %) had utilized all the services (adequate ANC visit, delivered at health institution and post natal check up) for their last child. This study found that many socio-demographic variables such as age of women, number of children born, level of education, ethnicity, place of residence and wealth index are predicators of utilizing the maternal health services of recent child. Notably, higher level autonomy was associated with higher use of maternal health services [adjusted odds ratio (aOR) =1.40; CI 1.18–1.65]. Conclusions Utilization of maternal health services for the recent child among women is very low. The study results suggest that policy actions that increase women’s autonomy at home could be effective in helping assure good maternal health.
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              Counteracting abuse and breaking free: the process of leaving revealed through women's voices.

              In a feminist, grounded-theory study, we interviewed rural survivors of abusive relationships to discover a substantive theory to explain the process of leaving. The central process for survivors was reclaiming self. In this article, we discuss the initial stages of reclaiming self: counteracting abuse and breaking free. Our findings reveal that the abused women were not passive victims. From the beginning, they counteracted abuse by relinquishing parts of self, minimizing abuse, and fortifying their defenses. The work of counteracting abuse prepared the survivor for testing the exits in the process of breaking free. These findings support the view of abused women as survivors and clearly demonstrate the societal infrastructure required to support women's efforts to counteract abuse until they have acquired the strength and resources to leave. In addition, questions are raised about the roles of lay and professional helpers in facilitating and inhibiting the process of reclaiming self.
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                Author and article information

                Contributors
                Journal
                J Taibah Univ Med Sci
                J Taibah Univ Med Sci
                Journal of Taibah University Medical Sciences
                Taibah University
                1658-3612
                20 June 2017
                December 2017
                20 June 2017
                : 12
                : 6
                : 477-482
                Affiliations
                [a ]Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
                [b ]Seberang Perai Utara District Health Office, Wisma Persekutuan, Kepala Batas, Pulau Pinang, Malaysia
                Author notes
                []Corresponding address: Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia. surianti@ 123456usm.my
                Article
                S1658-3612(17)30091-4
                10.1016/j.jtumed.2017.05.009
                6694897
                96b2421e-8f40-427f-977f-e812f354cfca
                © 2017 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 13 February 2017
                : 16 May 2017
                : 21 May 2017
                Categories
                Original Article

                الطلاق,العنف الأسري,مقابلة مطولة,ماليزيا,divorce,domestic violence,in-depth interview,malaysia,dv, domestic violence

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