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C
URRENT
O
PINION
Prevention of domestic violence against women
and children in low-income and middle-income
countries
Erminia Colucci
a
and Ghayda Hassan
b
Purpose of review
Violence against women and children is increasingly recognized as an important and urgent public health,
social and human rights issue cutting across geographical, socioeconomic and cultural boundaries. There is
a large and growing body of literature that demonstrates the negative impact of such violence on the
victim’s mental and physical health, as well as several other consequences on them, their families and
communities. However, this literature for the most part comes from the so-called ‘developed countries’. This
review, at the opposite, focused on current literature on prevention of domestic/family violence against
children and women in low and middle income countries (LMICs).
Recent findings
Establishing effective prevention programmes for domestic violence against women and children in LMICs
requires an understanding of the sociopolitical, economic and cultural settings and a multilevel
collaboration among various stakeholders.
Summary
This review confirms the lack of research in the so-called ‘developing countries’ and provides suggestions
for further research and prevention efforts in this setting.
Keywords
child maltreatment, domestic violence, LMICs, prevention, women
INTRODUCTION
Domestic/family violence, including child maltreat-
ment and intimate partner violence (IPV), are public
health concerns worldwide [1] and have been associ-
ated with acute short-term and long-term physical
and mental health, and social consequences on
victims [2,3
&
,4–8], as well as multiple consequences
and costs at the individual, family, community,
national and international levels. For instance,
the review by McLeigh and Melton [9] indicated
that, with only one exception, all of the studies
found a strong and consistent association between
IPV and suicidality. Short-term and long-term
consequences of maltreatment and exposure to
domestic violence on children and adolescents vary
by type of maltreatment, sex and country [10–17].
Several factors have emerged as increasing the
risk for domestic violence (e.g. [18
&&
]). The studies
we reviewed on child maltreatment and abuse
prevalence in the family/domestic setting reported
rates ranging from 23 to 77% and varied by type, sex,
country and community [11,19
&
,20]. Most of these
prevalence data came from institutional or clinical
samples. Boys were more at risk for experiencing
abuse as compared with girls [11,12,20].
Violence against women is increasingly
acknowledged as an important health, social and
human rights concern crossing regional, social and
cultural boundaries [21
&&
]. Nevertheless, also the
prevalence and the forms of violence vary across
countries and populations [22], with rates ranging
from 23% (IPV only) in Mexico to 47% in Bolivia
[23,24] and up to 80% in Uganda [25
&&
]. Roman and
a
Centre for Mental Health, Global and Cultural Mental Health Unit,
School of Population and Global Health, The University of Melbourne,
Melbourne, Australia and
b
Department of Psychology, University of
Quebec at Montreal, Montreal, Canada
Correspondence to Erminia Colucci, Centre for Mental Health, Global
and Cultural Mental Health Unit, School of Population and Global Health,
The University of Melbourne, Melbourne, Australia. Tel: +61 03 9035
3082; e-mail: ecolucci@unimelb.edu.au
Curr Opin Psychiatry 2014, 27:350–357
DOI:10.1097/YCO.0000000000000088
www.co-psychiatry.com Volume 27 Number 5 September 2014
REVIEW