• African health sciences · Mar 2019

    Preparing medical students to recognize and respond to gender based violence in Nigeria.

    • Olufunmilayo I Fawole, Jacqueline M van Wyk, Busola O Balogun, O J Akinsola, and Adebola Adejimi.
    • Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria (fawoleo@ymail.com).
    • Afr Health Sci. 2019 Mar 1; 19 (1): 148614981486-1498.

    BackgroundMedical practitioners are ideally positioned to mitigate the impact of gender based violence (GBV) on the health of victims. However, there is a lack of information on students' ability and willingness to do so.ObjectiveTo identify factors which impact on students' attainment of the knowledge and perceived ability to manage victims.MethodsA cross-sectional survey was conducted on 388 (91.5%) final year medical students from three medical schools in South West, Nigeria.ResultsStudents were knowledgeable on sexual (63.7%) and physical (54.6%) forms of GBV and unfamiliar with other forms. The mean scores for knowledge (7.1 ± 2.5 out of 11); attitude (52.6 ± 10.3 out of 80); personal comfort (44.1 ± 10.0 out of 65) and skills (3.1 ± 2.6 out of 7) were calculated. Younger respondents, females and married students reported less skill to manage victims. The location of school, previous training and personal comfort remained significant determinants of students' self reported skills on GBV. Respondents with prior training on GBV and comfortable with managing patients, were four times more likely to perceive they were more skilled than their peers [AOR = 4.33, 95% CI: 2.37 - 7.90 and AOR 3.53; 95% CI 2.16-5.78 respectively].ConclusionFormalised skills training on GBV is a necessity, especially for young, female students and training cannot be left to serendipity. The medical curriculum should be reviewed.

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