Practice of intimate partner violence screening & associated factors among health care providers in Antenatal care settings , cross sectional study in 5 Teaching Hospitals in Addis Ababa, 2024/25 G.C.

Background - According to WHO, about one in three women (30%) worldwide experience IPV in their lifetime. It can negatively affect women’s overall health. The fact is, Violence against women is preventable. The health sector has an important role as an entry point for referring women to other sectors and support services they may need.Objective – To evaluate the practice of intimate partner violence screening and associated factors in Antenatal care setting in 5 Teaching Hospitals in Addis Ababa in 2024/25 G. C.Methods – Institution-based Cross sectional study was conducted among antenatal healthcare providers at 5 Addis Ababa teaching hospitals, namely TASH, ZMH, GMH, Abebech gobena MCH hospital and St paulos millennium medical college (SPMMC) in 2024/25 G. C. Structured questionnaire was used for data collection. All Healthcare providers of these 5 teaching hospitals having more than 1 month of experience at ANC who gave informed consent were included in the study (N = 274). Healthcare providers who were not willing to give informed consent and who were on break or sick leave during the study period was excluded binary logistic regression analyses was employed to identify factors associated with the practice of IPV screening. Using 95% Confidence level and variables with a p-value < 0.05 was identified as statistically significant factors.Result : 274 participants were involved. The practice of IPV screening is alarmingly poor (17.9%). Consultants(AOR = 16.8) and female providers(AOR = 3.82) were more likely to screen than reference category. Having a confidential atmosphere (AOR = 12.3), those who took any form of GBV training (AOR = 11.1) and those who were aware of available guideline in their facility (AOR = 7.67) showed better practice. Marital status(P = 0.16), Religion(p = 0.998), Age (p = 0.630–0.887), the level of self-reported confidence did not show a statistically significant association with screening practice in the multivariable model.There is a huge gap between recommendations and actual clinical practice which underscored the need for institutional and policy-level interventions.