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Abstract：
BACKGROUND: Domestic violence is a leading cause of poor health outcomes during pregnancy and the postpartum period. Therefore, there is a need for integrated domestic violence interventions in reproductive health care settings. India has one of the highest maternal and child mortality rates. This review aimed to identify characteristics of existing evidence-based integrated domestic violence and reproductive healthcare interventions in India to identify gaps and components of interventions that demonstrate effectiveness for addressing domestic violence.
METHODS: A systematic review of intervention studies was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Three research team members performed independent screening of title, abstracts and full-texts.
RESULTS: The search resulted in 633 articles, of which 13 articles met inclusion criteria for full text screening and analysis. Common components of integrated violence and reproductive health interventions that were effective in addressing domestic violence included: psychoeducation/education (n = 5), skill building (n = 5), counseling (n = 5), engaging stakeholders with use of trained lay peer facilitators (n = 3), and engaging male spouses (n = 3).
CONCLUSIONS: Interventions in India for domestic violence that are integrated with reproductive health care remain few, and there are fewer with effective outcomes for domestic violence. Of those with effective outcomes, all of the interventions utilized psychoeducation/education, skill building, and counseling as part of the intervention.
Domestic violence is a leading cause of poor health outcomes during pregnancy and the time after pregnancy. Thus, there is a need for integrated domestic violence interventions in reproductive healthcare settings. India has one of the highest maternal and child death rates. This review aimed to identify features of existing evidence-based integrated domestic violence and reproductive healthcare interventions in India to identify gaps and components of interventions that demonstrate effectiveness for addressing the problem of domestic violence among women in reproductive healthcare settings. A systematic review of intervention studies was conducted. The search resulted in 633 articles, of which 13 articles met the criteria to be included in this review. Common components of effective integrated domestic violence and reproductive health interventions included: psychoeducation/education (n = 5), skill building (n = 5), counseling (n = 5), engaging stakeholders with use of trained lay peer facilitators (n = 3), and engaging male spouses (n = 3). The key takeaways are that interventions in India for domestic violence that are integrated with reproductive healthcare remain few, and there are fewer with effective outcomes for domestic violence. Psychoeducation/education, skill building, and counseling were commonly used strategies in interventions that were effective in addressing domestic violence.
METHODS: A systematic review of intervention studies was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Three research team members performed independent screening of title, abstracts and full-texts.
RESULTS: The search resulted in 633 articles, of which 13 articles met inclusion criteria for full text screening and analysis. Common components of integrated violence and reproductive health interventions that were effective in addressing domestic violence included: psychoeducation/education (n = 5), skill building (n = 5), counseling (n = 5), engaging stakeholders with use of trained lay peer facilitators (n = 3), and engaging male spouses (n = 3).
CONCLUSIONS: Interventions in India for domestic violence that are integrated with reproductive health care remain few, and there are fewer with effective outcomes for domestic violence. Of those with effective outcomes, all of the interventions utilized psychoeducation/education, skill building, and counseling as part of the intervention.
Domestic violence is a leading cause of poor health outcomes during pregnancy and the time after pregnancy. Thus, there is a need for integrated domestic violence interventions in reproductive healthcare settings. India has one of the highest maternal and child death rates. This review aimed to identify features of existing evidence-based integrated domestic violence and reproductive healthcare interventions in India to identify gaps and components of interventions that demonstrate effectiveness for addressing the problem of domestic violence among women in reproductive healthcare settings. A systematic review of intervention studies was conducted. The search resulted in 633 articles, of which 13 articles met the criteria to be included in this review. Common components of effective integrated domestic violence and reproductive health interventions included: psychoeducation/education (n = 5), skill building (n = 5), counseling (n = 5), engaging stakeholders with use of trained lay peer facilitators (n = 3), and engaging male spouses (n = 3). The key takeaways are that interventions in India for domestic violence that are integrated with reproductive healthcare remain few, and there are fewer with effective outcomes for domestic violence. Psychoeducation/education, skill building, and counseling were commonly used strategies in interventions that were effective in addressing domestic violence.
摘要：
背景：家庭暴力是导致孕期和产后健康状况不佳的主要原因。因此,在生殖保健环境中需要综合的家庭暴力干预措施。印度是孕产妇和儿童死亡率最高的国家之一。这项审查旨在确定印度现有的循证综合家庭暴力和生殖保健干预措施的特征，以确定证明有效解决家庭暴力的干预措施的差距和组成部分。
方法：使用系统评价和荟萃分析的首选报告项目对干预研究进行系统评价。三名研究小组成员进行了独立的标题筛选，摘要和全文。
结果：搜索产生了633篇文章，其中13篇文章符合全文筛选和分析的纳入标准。有效解决家庭暴力的综合暴力和生殖健康干预措施的共同组成部分包括：心理教育/教育(n=5)，技能建设(n=5)，咨询（n=5），让利益相关者使用训练有素的外行同伴主持人(n=3)，和男性配偶（n=3）。
结论：在印度，将家庭暴力与生殖保健相结合的干预措施仍然很少，家庭暴力的有效结果较少。在那些有有效结果的人中，所有的干预措施都利用了心理教育/教育，技能建设,和咨询作为干预的一部分。
家庭暴力是怀孕期间和怀孕后健康状况不佳的主要原因。因此，在生殖保健环境中需要综合的家庭暴力干预措施。印度是孕产妇和儿童死亡率最高的国家之一。这项审查旨在确定印度现有的循证综合家庭暴力和生殖保健干预措施的特征，以确定干预措施的差距和组成部分，这些差距和组成部分证明了解决生殖保健环境中妇女家庭暴力问题的有效性。对干预研究进行了系统评价。搜索产生了633篇文章，其中13篇文章符合本次审查的标准。有效的综合家庭暴力和生殖健康干预措施的共同组成部分包括：心理教育/教育（n=5），技能建设(n=5)，咨询（n=5），让利益相关者使用训练有素的外行同伴主持人(n=3)，和男性配偶（n=3）。主要的收获是，在印度，与生殖保健相结合的家庭暴力干预措施仍然很少，家庭暴力的有效结果较少。心理教育/教育，技能建设,和咨询是有效解决家庭暴力的干预措施中常用的策略。
方法：使用系统评价和荟萃分析的首选报告项目对干预研究进行系统评价。三名研究小组成员进行了独立的标题筛选，摘要和全文。
结果：搜索产生了633篇文章，其中13篇文章符合全文筛选和分析的纳入标准。有效解决家庭暴力的综合暴力和生殖健康干预措施的共同组成部分包括：心理教育/教育(n=5)，技能建设(n=5)，咨询（n=5），让利益相关者使用训练有素的外行同伴主持人(n=3)，和男性配偶（n=3）。
结论：在印度，将家庭暴力与生殖保健相结合的干预措施仍然很少，家庭暴力的有效结果较少。在那些有有效结果的人中，所有的干预措施都利用了心理教育/教育，技能建设,和咨询作为干预的一部分。
家庭暴力是怀孕期间和怀孕后健康状况不佳的主要原因。因此，在生殖保健环境中需要综合的家庭暴力干预措施。印度是孕产妇和儿童死亡率最高的国家之一。这项审查旨在确定印度现有的循证综合家庭暴力和生殖保健干预措施的特征，以确定干预措施的差距和组成部分，这些差距和组成部分证明了解决生殖保健环境中妇女家庭暴力问题的有效性。对干预研究进行了系统评价。搜索产生了633篇文章，其中13篇文章符合本次审查的标准。有效的综合家庭暴力和生殖健康干预措施的共同组成部分包括：心理教育/教育（n=5），技能建设(n=5)，咨询（n=5），让利益相关者使用训练有素的外行同伴主持人(n=3)，和男性配偶（n=3）。主要的收获是，在印度，与生殖保健相结合的家庭暴力干预措施仍然很少，家庭暴力的有效结果较少。心理教育/教育，技能建设,和咨询是有效解决家庭暴力的干预措施中常用的策略。
