Review Article

An Integrative Review of the Methods Used to Research the Prevalence of Violence against Women in Pakistan

Table 1

Summary of methodological research strategies among the studies reviewed.
(a)

Strategies Ali et al. [20] Ali and Bustamante-Gavino [26]Andersson et al. [21]Farid et al. [22]

Sample selection:
Study settingUrbanUrbanUrban and ruralUrban
Study sampleMarried, 25–60 yrsMarried, 15–45 yrs, at least 2 childrenWomen married or not >14 yrsRecently deliver, 15–49 yrs, living with partner
Sampling frame Multistage randomizationPurposive, nonrandomStratified cluster random Random
Sample size800 women400 women23430500

Recruitment:
Recruitment site 2 low SES communities5 low SES communities100 communities 4 tertiary care public hospitals
Recruitment strategyMidwives/health workersCHW*CHW*Absent
Response (refusal) rate (%)93.7 (6.3)92.5 (7.5)(3)Absent

Data collection:
Data source Survey interviewSurvey interviewS. interview/FGD*Survey interview
Data collection toolMulticountry
Study on Women’s Health and Life Experiences Questionnaire
Designed based on FGD*Designed for survey and FGD*WHO-DV* module
(modified version)
Tool validityAssuredAssuredAssuredAssured
Interviewers/training Experienced/extensive Experienced/extensive Experienced/extensive Absent/extensive
Privacy during interview Home, nearby school, NGO facilityIn absence of husbandIn absence of male and senior womenOutside visiting hours
Data quality controlReinterviewed 5% randomly selected participantsData cleaning, validation, double enteredData cleaning, validation, double entered Implicit

Data analysis:
Methods of analysis/limitationsExplicit Explicit Explicit Explicit
Interpretation of finding Explicit Explicit Explicit Explicit

CHW: community health worker, FGD: focus group discussion, WHO: World Health Organization, DV: domestic violence.
(b)

Strategies Fikree et al. [23] Fikree and Bhatti [8] Hussain and Khan [28] Karmaliani et al. [24]

Sample selection:
Study settingUrbanUrbanUrbanUrban
Study sampleRecently deliver womenMarried women living with husbandCKI* and women experiencing violencePregnant women
(20–26 wks gestation)
Sampling frame Random Convenience CKI*: snowball
women: purposive
Random
Sample size3001508 key informants
3 FGD*: 23 women
in-depth interview: 10 women
1324 women

Recruitment:
Recruitment site A large tertiary public hospitalOutpatient clinics2 middle and lower middle
SES* communities
Low to middle SES* community
Recruitment strategy Absent Absent CKILHW*
Response (refusal) rate (%)(<1%)Absent Absent96.7%

Data collection:
Data source Survey interview Survey interviewFGD*, CKI*, and in-depth interviewsSurvey interview
Data collection toolConflict Tactic ScaleDesigned for the studySemistructured
questionnaire designed
WHO-DV* module (modified)
Tool validityAssuredAssured AssuredAssured
Interviewers/training Absent Absent Implicit Experienced/extensive
Privacy during interview Absent Assured CKI’s residenceResearch clinic
Data quality controlImplicit Absent Implicit Data cleaning, double entered

Data analysis:
Methods of analysis/limitationsExplicit Explicit Explicit Explicit
Interpretation of finding Explicit Explicit Explicit Explicit

CKI: community key informants, DV: domestic violence, FGD: focus group discussion, LHW: Lady Health Worker, SES: Socioeconomic Status, WHO: World Health Organization.
(c)

Strategies Naeem et al. [25]Rabbani et al. [29] Shaikh [27]

Sample selection:
Study settingUrbanUrbanUrban
Study sampleMarried women CKI* and women
experiencing violence
Married women
Sampling frame Random CKI* and FGD*: purposive
Survey interview: convenience
Convenience
Sample size6578 CKI* 
13 FGD*: 8 women and 5 men
in-depth interview: 108 women
216 women

Recruitment:
Recruitment site Women from PHC* clinicAbsent OPC* of public hospital
Recruitment strategyAbsent CHW* and CKI*Absent
Response (refusal) rate (%)(18.6%)Absent 70.3%

Data collection:
Data source Survey interview CKI, FGD, and in-depth interviewSurvey interview
Data collection toolWEB and DACSemistructured questionnaire designed based on CKIs’ interview and FGDDesign structured questionnaire
Tool validityAssuredAbsent Absent
Interviewers/training Experienced/extensive Absent/extensive Implicit
Privacy during interview Absent CKIs’ residenceAssured
Data quality controlImplicit Data cleaning, validation, double enteredAbsent

Data analysis:
Methods of analysis/limitationsExplicit ExplicitExplicit
Interpretation of finding Explicit Explicit Implicit

CHW: community health worker, CKI: community key informants, FGD: focus group discussion, OPC: outpatient clinic, PHC: primary health care.