National Academies Press: OpenBook
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

Preventing
Intimate Partner
Violence
in Uganda, Kenya,
and Tanzania

Summary of a Joint Workshop by
the Institute of Medicine,
the National Research Council, and
the Uganda National Academy of Sciences

Louise Flavahan, Rapporteur

Forum on Global Violence Prevention

Board on Global Health

            INSTITUTE OF MEDICINE AND       
NATIONAL RESEARCH COUNCIL
                         OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.

www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

THE NATIONAL ACADEMIES PRESS    500 Fifth Street, NW    Washington, DC 20001

NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

This activity was supported by a contract between the National Academy of Sciences and a generous anonymous donor. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.

International Standard Book Number-13: 978-0-309-37451-4
International Standard Book Number-10: 0-309-37451-0

Additional copies of this workshop summary are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2015 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: IOM (Institute of Medicine) and NRC (National Research Council). 2015. Preventing intimate partner violence in Uganda, Kenya, and Tanzania: Summary of a joint workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Victor J. Dzau is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

PLANNING COMMITTEE FOR THE WORKSHOP
ON PREVENTING INTIMATE PARTNER VIOLENCE
IN UGANDA, KENYA, AND TANZANIA
1

JACQUELYN CAMPBELL (Co-Chair), Anna D. Wolfe Chair and Professor, Johns Hopkins University School of Nursing

EDWARD KIRUMIRA (Co-Chair), Principal, College of Humanities and Social Sciences, Makerere University

KARIM MANJI, Professor in Pediatrics, School of Medicine, Muhimbili University

JESSIE MBWAMBO, Senior Specialist Psychiatrist and Senior Researcher, Muhimbili University

TINA MUSUYA, Executive Director, Center for Domestic Violence Prevention, Uganda

CHI-CHI UNDIE, Associate, Population Council, Kenya

______________

1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

FORUM ON GLOBAL VIOLENCE PREVENTION1

JACQUELYN C. CAMPBELL (Co-Chair), Anna D. Wolf Chair and Professor, Johns Hopkins University School of Nursing

MARK L. ROSENBERG (Co-Chair), President and Chief Executive Officer, The Task Force for Global Health

ALBERT J. ALLEN, Senior Medical Fellow, Bioethics and Pediatric Capabilities, Global Medical Affairs and Development Center of Excellence, Eli Lilly and Company

FRANCES ASHE-GOINS, Deputy Director, Office on Women’s Health, U.S. Department of Health and Human Services

SUSAN BISSELL, Associate Director, Child Protection Section, United Nations Children’s Fund

ARTURO CERVANTES TREJO, National Institute of Educational Evaluation, Mexico

KATHY GREENLEE, Assistant Secretary for Aging, Administration on Aging, U.S. Department of Health and Human Services

RODRIGO V. GUERRERO, Mayor, Cali, Colombia

DAVID HEMENWAY, Professor of Health Policy; Director, Injury Control Research Center and the Youth Violence Prevention Center, Harvard University School of Public Health

FRANCES HENRY, Advisor, F. Felix Foundation

L. ROWELL HUESMANN, Amos N. Tversky Collegiate Professor of Psychology and Communication Studies; Director, Research Center for Group Dynamics, Institute for Social Research, University of Michigan

CAROL M. KURZIG, President, Avon Foundation for Women

VALERIE MAHOLMES, Chief, Pediatric Trauma and Critical Illness Branch, National Institutes of Health

BRIGID MCCAW, Medical Director, NCal Family Violence Prevention Program, Kaiser Permanente

JAMES A. MERCY, Special Advisor for Strategic Directions, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention

MICHELE MOLONEY-KITTS, Managing Director, Together for Girls

LAURA MOSQUEDA, Associate Dean of Primary Care, University of California, Irvine, School of Medicine

______________

1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

MARGARET M. MURRAY, Director, Global Alcohol Research Program, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health

JOHN T. PICARELLI, Program Manager for Transnational Issues, National Institute of Justice

COLLEEN SCANLON, Senior Vice President, Advocacy, Catholic Health Initiatives

MAISHA SIMMONS, Program Officer, Vulnerable Populations Team, Robert Wood Johnson Foundation

EVELYN TOMASZEWSKI, Senior Policy Advisor, Human Rights and International Affairs, National Association of Social Workers

ELIZABETH WARD, Chair, Violence Prevention Alliance, University of the West Indies, Mona Campus

IOM Staff

AUDREY GROCE, Senior Program Assistant

RACHEL M. TAYLOR, Associate Program Officer

KIMBERLY SCOTT, Senior Program Officer

JULIE WILTSHIRE, Financial Associate

PATRICK W. KELLEY, Senior Board Director, Board on Global Health

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

TINA L. BLOOM, University of Missouri

JACQUELYN C. CAMPBELL, Johns Hopkins University

NANCY GLASS, Johns Hopkins University

JESSIE MBWAMBO, Muhimbili University

TINA MUSUYA, Center for Domestic Violence Prevention, Uganda

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Eli Y. Adashi, Professor of Medical Science and Former Dean of Medicine and Biological Sciences at the Warren Alpert Medical School of Brown University. Appointed by the Institute of Medicine, he

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteur and the institution.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

Acknowledgments

The Forum on Global Violence Prevention was established to develop multisectoral collaboration among stakeholders. Violence prevention is a cross-disciplinary field that could benefit from increased dialogue among researchers, policy makers, funders, and practitioners. As awareness of the insidious and pervasive nature of violence grows, so too does the imperative to mitigate and prevent it. The Forum seeks to illuminate and explore evidence-based approaches to the prevention of violence.

A number of individuals contributed to the development of this workshop and report. These include a number of staff members from the Institute of Medicine and the National Academies. The Forum staff, including Louise Flavahan, Kimberly Scott, and Rachel Taylor, put forth considerable effort to ensure this workshop and report’s success.

The planning committee contributed several hours of service to develop and execute the agenda, with the guidance of Forum membership. Reviewers also provided thoughtful remarks in reading the draft manuscript. Finally, these efforts would not be possible without the work of the Forum membership itself, an esteemed body of individuals dedicated to the concept that violence is preventable.

This workshop was made possible through the support of a generous anonymous donor. The overall successful functioning of the Forum and its activities depends on the generosity of its sponsors. Financial support for the Forum on Global Violence Prevention is provided by the U.S. Department of Health and Human Services: Administration on Community Living, Office on Women’s Health; Anheuser-Busch InBev; the Archstone Foundation; the Avon Foundation for Women; BD (Becton, Dickinson &

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

Company); Catholic Health Initiatives; the Centers for Disease Control and Prevention; the F. Felix Foundation, Kaiser Permanente; the National Institute for Educational Evaluation, Mexico; the National Institutes of Health: National Institute for Child Health and Human Development, National Institute on Alcoholism and Alcohol Abuse; the Robert Wood Johnson Foundation; the U.S. Agency for International Development (USAID); and the U.S. Department of Justice: National Institute of Justice.

Page xiii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×

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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Page xiii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania: Summary of a Joint Workshop by the Institute of Medicine, the National Research Council, and the Uganda National Academy of Sciences. Washington, DC: The National Academies Press. doi: 10.17226/21756.
×
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Globally, between 15-71 percent of women will experience physical and/or sexual abuse from an intimate partner at some point in their lifetime. Too often this preventable form of violence is repetitive in nature, occurring at multiple points across the lifespan. The prevalence of intimate partner violence is on the higher end of this spectrum in East Africa, with in-country demographic and health surveys indicating that approximately half of all women between the ages of 15-49 in Uganda, Kenya, and Tanzania having experienced physical or sexual abuse within a partnership.

It is now widely accepted that preventing intimate partner violence is possible and can be achieved through a greater understanding of the problem; its risk and protective factors; and effective evidence-informed primary, secondary, and tertiary prevention. To that end, on August 11-12, 2014, the Institute of Medicine's Forum on Global Violence Prevention, in a collaborative partnership with the Uganda National Academy of Sciences, convened a workshop focused on informing and creating synergies within a diverse community of researchers, health workers, and decision makers committed to promoting intimate partner violence-prevention efforts that are innovative, evidence-based, and crosscutting. This workshop brought together a variety of stakeholders and community workers from Uganda, Kenya, and Tanzania to engage in a meaningful, multidirectional dialogue regarding intimate partner violence in the region. Preventing Intimate Partner Violence in Uganda, Kenya, and Tanzania summarizes the presentations and discussion of the workshop.

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