INTIMATE PARTNER VIOLENCE AND ASSOCIATED FACTORS AMONG CONTRACEPTIVE USERS ATTENDING PUBLIC HEALTH FACILITIES IN ADILO ZURIA DISTRICT, KAMBATA TAMBARO ZONE, SOUTHERN ETHIOPIA

Abstract

Background: Intimate partner violence (IPV) is any behavior within an intimate relationship that results in physical, psychological or sexual harm to those in the relationship. It occurs in all countries including Ethiopia, transcending different groups. IPV is one of the factors that affects women’s ability to control the number, timing and spacing of their children. There is paucity of research evidence on IPV among contraceptive users in the southern parts of Ethiopia in general and in the study area in particular. Objective: To assess magnitude and associated factors of current intimate partner violence among contraceptive users in Public Health Facilities of Adilo Zuria District, Southern Ethiopia from July 18, 2022 – August 17, 2022. Methods: A health facility-based cross-sectional study was conducted among 405 contraceptive users in Adilo Zuria District Public Health Facilities. Systematic random sampling was used to recruit study participants. Trained diploma female midwifery nurses collected data by face-to-face interview using pre tested questionnaire. The collected data was entered into Epi Data software and exported to SPSS for cleaning and analysis. Descriptive statistics was used to compute frequencies, proportion, and other summary statistics. Binary and multivariable logistic regressions were used to identify independent variables associated with IPV. Adjusted Odds Ratio (AOR) at 95% Confidence Interval (CI) was used to declare significance association. Results: The overall magnitude of IPV over the last 12 months among contraceptive users was 72.6% (95% CI; 68.1, 76.8). The current psychological and physical forms of IPV were 39.3% and 38.5%, respectively. Women’s experience of IPV was significantly associated with women being rural resident (AOR: 3.19, 95%CI: 1.69, 6.02), partners alcohol consumption (AOR: 3.32, 95%CI: 1.89, 5.84), partners Khat chewing (AOR: 7.22, 95%CI: 4.12, 12.65), and. But the odds of women’s experience of IPV was 63% less among women who attended formal education compared to women who do not attended formal education (AOR: 0.37, 95%CI: 0.19, 0.70) and 59.4% less among women who had good social support( AOR 0.406, 95%CI 0.234, 0.699). Conclusion: The IPV among contraceptive users was found to be high. This needs urgent attention of stakeholders like district health office, district women, children and youth office, police institutions and others to improve women’s educational status, the social support system, and the behavior of partners regarding substance use.