This qualitative study captured South African
female health provider perspectives of intimate partner violence in female
patients, gender norms and consequences for patients' health.
Findings
indicated female patients' health behaviours were predicated on sociocultural
norms of submission to men's authority and economic dependence on their
partners. Respondents described how men's preferences and health
decision-making in clinics affected their patients' health. Adverse gender
norms and gender inequalities affected women's opportunities to be healthy,
contributing to HIV risk and undermining effective HIV management in this
context.
Some providers, seeking to deliver a standard of quality healthcare to
their female patients, demonstrated a willingness to challenge patriarchal
gender relations. Findings enhance understanding of how socially-sanctioned
gender norms, intimate partner violence and HIV are synergistic, also
reaffirming the need for integrated HIV-intimate partner violence responses in
multi-sector national strategic plans.
Health providers' intimate knowledge of
the lived experiences of female patients with intimate partner violence and/or
HIV deepens understanding of how adverse gender norms generate health risks for
women in ways that may inform policy and clinical practice in South Africa and
other high-HIV prevalence settings.
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By:
- 1a Department of Conflict Resolution, Human Security & Global Governance , McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston , Boston , USA.
- 2b Department of Nursing , College of Nursing and Health Sciences, University of Massachusetts Boston , Boston , USA.
- 3c Wits Reproductive Health and HIV Institute, Faculty of Health Sciences , University of the Witwatersrand , Hillbrow Johannesburg , South Africa.
- 4d Bixby Center for Global Reproductive Health , University of California San Francisco , San Francisco , USA.
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