Intimate partner violence and HIV risk among women in primary health care delivery services in Vhembe district, South Africa

Abstract

The aim of this study is to investigate intimate partner violence and HIV risk among women attending primary care health facilities in Vhembe District, South Africa. The sample included 389 women with a mean age of 28 years randomly selected from four primary care facilities. Results indicate high rates of intimate partner violence and HIV risk. 34% of the women reported a history of having STI in the past 12 months, 17% has consistently (every time) used a condom with their primary partner in the past three months, and 59% reports knowing that their primary partners placed them at risk for HIV transmission. Combining physical or sexual abuse 28.5% of the women reported that his IPV was perpetrated within the preceding 12 months. Logistic regression identified lower educational level, having had more sexual partners in the past 12 months, primary partner and having an STI as predictors for physical and sexual abuse. Among women who reported a history of physical and sexual abuse in the past 12 months only 26.9% has disclosed their abuse status to their health care provider and yet 47.1 % of the abused women agrees that a health care provider should routinely ask the patient about abuse. Accordingly, programmes for the prevention of intimate partner violence and HIV risk need to target the above identified underlying factors. Health care workers are in a unique position to routinely assess all female patients for abuse and offer effective interventions that can improve their health.