# Knowledge, Attitudes, and Practices of Domestic Violence and Abuse (DVA) Among Healthcare Providers of a Tertiary Referral Hospital: A Cross-Sectional Study

## TL;DR

This study examines healthcare workers' understanding and experiences of domestic violence, revealing gaps in knowledge and high personal and witnessed exposure to abuse.

## Contribution

The study provides novel insights into DVA awareness and prevalence among hospital staff in a maternity care setting.

## Key findings

- 25.93% of respondents reported experiencing domestic violence.
- 46.45% had witnessed DVA in their close environment.
- Misconceptions and patriarchal attitudes about DVA persist among healthcare providers.

## Abstract

Introduction: Domestic violence and abuse (DVA) is often viewed as a social issue rather than a public health concern, despite evidence to the contrary. Survivors are more likely to seek help in hospitals than at police stations, making hospital staff crucial in identifying DVA.

Aim and objective: This study aimed to assess the knowledge, attitudes, and practices related to DVA among employees of a tertiary care hospital. A secondary objective was to determine the prevalence of DVA within this group.

Materials and methods: A prospective, survey-based study was conducted among all employees of a tertiary maternity center. An online questionnaire assessing DVA-related knowledge, attitudes, and practices was distributed, with anonymous responses collected. Additional questions explored the prevalence of DVA among respondents. Results were reported as percentages.

Results: Of 1,683 employees, 1,005 responded (60%). Most respondents were women aged 18-30 years (84.78%). Healthcare providers comprised 57.61%, followed by administrative (11.64%), paramedical (10.45%), and support staff (20.3%). Responses revealed persistent misconceptions and patriarchal influences surrounding DVA. Overall, 25.93% reported experiencing DVA, and 46.45% had witnessed DVA in their close environment.

Conclusion: The study highlights existing gaps in knowledge and attitudes toward DVA within a maternity care setting and shows that healthcare providers themselves are not immune to interpersonal violence. Regular training, sensitization, and routine DVA screening during hospital visits are essential to ensure timely care, accurate documentation, and appropriate referrals for survivors.