Domestic violence related disclosure among women and girls in Ethiopia: a systematic review and meta-analysis
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REVIEW
Open Access
Domestic violence related disclosure among women and girls in Ethiopia: a systematic review and meta-analysis Berhanu Boru Bifftu1*, Berihun Assefa Dachew2,3, Bewket Tadesse Tiruneh1, Lemma Derseh Gezie1 and Yonas Deressa Guracho4
Abstract Background: Domestic violence is common public health problem. Domestic violence related disclosure is an important first step in the process of prevention, control and treatments of domestic violence related adverse effect. Thus, this systematic review and meta-analysis aimed to determine the pooled prevalence of domestic violence related disclosure and synthesize its associated factors. Methods: We followed the PRISMA Guidelines to report the results of the finding. Databases including PubMed, Cochrane Library and Web of Sciences were searched. The heterogeneity between studies was measured by the index of heterogeneity (I2 statistics) test. Funnel plots and Egger’s test were used to determine publication bias. Moreover, sensitivity analysis was carried out. To calculate the pooled prevalence, a random effects model was utilized. Results: Twenty one eligible studies were included in this systematic review and meta-analysis. The pooled prevalence of domestic violence related non-disclosure was found to be 36.2% (95% CI, 31.8–40.5%). Considering violence as normal or not serious, shame, embarrassment and fear of disclosure related consequences were the common barriers for non-disclosure. Conclusion: More than one third of women and girls were not disclosed their experience of domestic violence. The finding of this study suggests the need of evaluation and strengthening of the collaborative work among different sectors such as: policy-makers, service providers, administrative personnel and community leaders including the engagement of men partner. This study also suggests the needs of women empowerments against the traditional belief, attitude, and practice. Keywords: Barriers, Disclosure, Domestic violence, Ethiopia, Girls, Women
Plain English summary Domestic violence is common public health problem. In the prevention, control and treatment of domestic violence related adverse effect; disclosure is an important first step particularly for those who experienced. In Ethiopia, the available individual study findings regarding domestic violence related disclosure and its associated factors were inconsistent. Thus, this systematic review and meta-analysis aimed: to synthesize barriers to domestic violence nondisclosure and to determine the pooled prevalence of non* Correspondence: [email protected] 1 University of Gondar College of Medicine and Health Science, School of Nursing, Gondar, Ethiopia Full list of author information is available at the end of the article
disclosure. To synthesis the evidence, databases such as PubMed, Cochrane Library and Web of Sciences were searched. Twenty one eligible studies were included for the analysis. The results of this study showed that more than one third of survivors of domestic violence were not disclosed their ex
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