A qualitative analysis of psychosocial outcomes among women with sexual violence-related pregnancies in eastern Democratic Republic of Congo

• DOI: 10.1186/s13033-017-0171-1
• Publication Date: 2017-10-18T07:09:50Z
• Authors: Jennifer Scott; Colleen Mullen; Shada Rouhani; Philipp Kuwert; Ashley Greiner; Katherine Albutt; Gillian Burkhardt; Monica Onyango; Michael VanRooyen; Susan Bartels
• Keywords: Thematic Analysis

Sexual violence is prevalent in eastern Democratic Republic of Congo (DRC) and has potentially devastating psychosocial consequences. Previous studies have reported on sexual its impact the mental health survivors, but there are few conducted among women with violence-related pregnancies (SVRPs). Women SVRPs may be at greater risk complex outcomes, including social stigmatization. This study aimed to describe outcomes this subgroup survivors order inform future interventions. A mixed methods was Bukavu, DRC 2012 adult who self-reported an SVRP either (1) were currently raising a child from (parenting group) or (2) had terminated (termination group). manuscript presents qualitative findings study. Participants recruited using respondent-driven sampling proportion engaged semi-structured interviews by trained female interviewers. Thematic content analysis key themes identified. In total, 55 interviewed, whom 38 parenting group 17 termination group. experienced myriad emotional responses as they navigated their environments following SVRPs. Negative reactions, stigmatization and/or rejection, toward children born important influences psychological well-being. expressed both internalized emotionality intertwined externalized experiences environment. Many demonstrated resilience, what could termed post-traumatic growth, identifying avenues agency advance conditions for women. The study, particular, respondents' needs suggested strategies, useful research, programs, policies DRC. Future research move beyond cross-sectional assessments utilize innovative methodologies assess processes adaptation Multi-dimensional programs should consider basic such shelter, food, care within broader framework trauma-informed care. Participatory programming, guided beneficiaries, provide further