CONFERENCE PROCEEDING
Barriers to implementing screening for intimate partner violence in Papua New Guinea: Health care providers perspectives
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1
University of Technology Sydney, Faculty of Health - Nursing and Midwifery, Sydney, Australia
2
Pacific Adventist University, School of Health Science, Port Moresby, Papua new Guinea
Eur J Midwifery 2026;10(Supplement 1):A1
ABSTRACT
BACKGROUND:
Intimate partner violence (IPV) is a significant global public health and human rights issue. Papua New Guinea (PNG) has the highest prevalence of IPV in the Western Pacific Region (WPR). Efforts to address IPV in PNG have been ongoing with various strategies and programs aimed at enhancing the healthcare sector’s capacity to respond effectively to IPV.
OBJECTIVES:
This study identifies the barriers to implementing screening for IPV in the antenatal period by healthcare providers (HCPs) in PNG.
METHODS:
This study is the qualitative component of the broader research inquiry that evaluated the knowledge, attitudes and preparedness of HCPs to respond to IPV in PNG. This study utilised a mixed methods design to examine HCPs knowledge, attitudes and preparedness to respond to IPV. This presentation will focus on the qualitative component only. We conducted 21 semi-structured interviews with a range of HCPs from May to September 2024. Interviews were digitally recorded, transcribed verbatim, and analysed thematically using Braun and Clarke’s (Braun & Clarke, 2022) approach and guided by the World Health Organization’s socioecological framework (World Health Organization, 2010).
Ethics approvals were obtained from University of Technology Sydney ETH23-8572 and from PNG MRAC#24.5.
RESULTS:
This study found that PNG under resourced health system is the overarching barrier to implementing IPV screening by HCPs. Key challenges include workforce shortages, high workload, limited knowledge and lack of training, time and space constraints, and absence of a national clinical guidelines. Additional barriers identified were cultural norms to violence, lack of leadership and poor interagency collaboration all of which prevent routine IPV screening during antenatal care.
CONCLUSIONS:
These findings emphasize the urgent need to strengthen PNG's health system to address IPV as a public health priority.
KEY MESSAGE:
Efforts to address IPV within the health sector should be informed by local research findings.
Abuse - domestic violence