 Now, it gives me great pleasure to introduce Session 14 and I'm going to go ahead and tell you a little bit about Dr. Ayeshetu Musa-Maliki PhD. Ayeshetu is a lecturer in the Department of Nursing Science at Amadu Bello University in Kaduna, Nigeria. She holds a Bachelor of Nursing degree and is a registered nurse and midwife in Nigeria. She's very experienced and has doctoral studies from the University of Cape Town and has also developed a screening tool for intimate partner violence. She obtained her PhD nursing degree in 2019. She's been published in both local and international journals and has attended several local and international conferences. Her interests are in maternal and child health, disaster emergency preparedness, gender-based violence, clinical nursing and ethical issues in nursing. It gives me great pleasure to introduce Dr. Ayeshetu Musa-Maliki and I will hand you over the presenter. Thank you, Jane, for this introduction. Welcome, everyone, wherever you're watching from, to the Bachelor's in the Nationality of Midwives. The public is a routine screening for intimate partner violence at pregnancy women in the nursing area. Our staff from the background may select who is at the end of the time the reforming mission. In intimate partner learning, it will see a public act issued. It affects women's rights and because of basic knowledge the fundamental rights of women and it's the major cause of mortality, mobility and disability globally. And yes, this intimate partner violence can be prevented or mitigated when and where identified early. The students design a behavior that can cause physical or sexual or psychological harm including aggressive or corrective controlling behavior to an intimate partner either currently in relationship or partner. In the developed country, the prevalence of intimate partner violence among partner elements range 1% to 50%. And in Africa, the prevalence of sexual violence is 7% in Uganda and 50%. But prevalence in Africa may be issued right due to this type of method of data collision and type in. In Nigeria, here the study was conducted. The IS-17 in Nigeria, which is 9% and 2% in North Nigeria. They put North Nigeria where the study was conducted is where the blue screen being done and the system is not being done and not reporting of violence in each facility. They have to accept to be cared if it really represents what is happening in the North. But besides of intimate partner violence from pregnancy to children and girls, it affects the political and negative and unborn child. It can lead to conflict. It can also lead to sexual and physical disease. I am post-traumatic stress. It also leads to pre-term labor of the child in abortion or miscarriage. On the side, as the non-left has also. The effect on the child, the unborn child is that it can lead to low weight stress syndrome. It also leads to the initiating of breastfeeding for the newborn child as such, after the mental and physical development of the child. And pre-natal death also leads to pre-natal death. The of the right questions of symptom-free women, according to a procedure that is not very from the place of the police. They receive free access to all the L.I.S.I.D.s of IPVs. Also leads to management and reserve of the page of IPVs of the L.I.S.I.D.s. You can also revend future inheritance in intervention of the first place. It also leads to a reunion and sensitization of IPVs of the final two minutes. It also reviews the social stigma associated with IPVs. All final two minutes will be screened for any personal violence. So it doesn't mean that you go that comes on you later, partner violence or distance. But the social stigmaization will be reviewed. And studies have shown that it is cost-effective and not harmful to women. It's the position of L.I.S.I.D.s of IPVs to meet. L.I.S.I.D.s are in a unique position to keep L.I.S.I.D.s women. Because you are the L.I.S.I.D.s of IPVs, this is the L.I.S.I.D.s clinic. And due to this L.I.S.I.D.s, L.I.S.I.D.s and L.I.S.I.D.s to meet a health special relationship in which L.I.S.I.D.s can easily comply on the L.I.S.I.D.s. And also, there are organizations that are in those which are screening, and also which are screening for IPVs by midwife. So I have the American notice, a station, we have a metamorphosis of the station as an oncologist, and we have the American College of Human-Midwife. In developed countries such as the United States and United States of America, United States of Europe, Australia and India are accepted with their screening for the COVID-19 and COVID-19. And it's good to know that we think we need to be part of this country. In Nigeria, the study is being conducted, a journal and a college conducted a study, and they found that the accessibility rate of COVID-19 is the same. Although this means that it's not sure that it's not sure that the digital fact that it's the same in Nigeria is actually the same for partner value. So with the co-development of knowledge and the accessibility rate of the screening, among foreigners in Nigeria, this study and the respondents who are personally being escorted to screening before collecting data from them. In addition to the structure of the question given to the foreigners, there was an open end-to-end question through which the foreign language police were escorted to screening. The article of Pura, the article of Pura was obtained from the recite. The phone consent was obtained before the commencement of the college. Though research-based methodology and utilizing the midwives to gather information from the patients within their existing practice, they may have knowledge and expertise in their field and they know the finance domain, the attendee, and this also brings us between the process and the structure. The design of the study was a cross-sectional study and the reciting of the academic clinic of the statutory institute in Nigeria, for the state of Nigeria, the public, the study population is pregnant women. The institution of this criteria are pregnant women who have the screen for intimate partner violence with abuse, assessment, screening through the midwives in the intimate clinic. The pregnant women that were escorted from this studies, they doze through a 56-week pregnancy due to the seasonal age of the pregnancy and with the doctor, I think, to those more before others. So we will not be able to obtain the data from them and they will not be able to wait to fill the questionnaire. So we are then headed from the study. I'm pregnant women that may be sick or out of the state of Nigeria. I think that was a simple random sample. We have 50 papers in the board. We will work to one and some papers are left behind. We have the statement of the piece of paper. There will be even no question. We have to wait for the doctor to begin. The sample size was 19. The sample size was the same even in a ring. We have a confidence level of 5% and even 5%. So we derived that based on the sample size. The sample size was 150. We have the average of 20 and 30.9% in the intimate clinic. It's important to use the center of the questionnaire after being screened by the abuse assessment screening through the data collection suffered of 40th of January 2017. The abuse assessment screening through. And also the abuse assessment screening through who also translated to the local language, which is AUTA, and back translated back to English by two individuals from the Department of Nigeria and African culture in Bulgaria. On the comment of the screening, I was introduced to the phenomenon by the midwife during the health talk in the hospital. In Nigeria, we do our health talk in the hospital, which we don't have. The partner of the phenomenon, we are not allowing them to enter the clinic. They are they are just out of the hospital. Already the pregnant women are allowing them to enter the clinic. So this is also important. So I was introduced to them by the midwife. I will explain the research process. I will also speak for voluntary participation of the pregnant women to be screened. Then after after after the review of the screen, those women that volunteer interest, we are taking to you and giving you full permission to read and explain further and obtain consent. Also obtain consent from the pregnant women. We are taking to another private room where there is screened by the midwife themselves. The screened women for internet partner violence. This is the abuse assessment screening through. The after screening, the pregnant women will ask to see if the people separate from the girls to see if there will be given the questionnaire or not. And those that selected one will, given the question, those that could not speak English, they use their houses and abuse assessment screening through for them. And if the people aren't from the girls, they will also give in. So in fact, assistant also, also invited. So they are also working for the study and we work here for the study. These are assistants translate the questionnaire and explain the process to them and also write it for those that cannot speak, but could not write their response. When you're speaking out, she writes it in the questionnaire. But this was done for few because those that couldn't, couldn't write. And this process was prepared over two months. It was this one because we have to explain the screened women before we give them the questionnaire. So if they are not through, they're not given the questionnaire and use the type schedule of the midwife in the internet clinic. We don't want to drop your number of things. So we give them the allowance to the type schedule of the midwife. We allow them to screen for always two months, for almost two months. And when the screen was given the questionnaire, they are ready to collect the use of this assessment screened through and to collect the questionnaire. The question concerns social demonstrators and the question on the screen and an open question on reasons to explain their answers. The where I'm from where we have very reliable internet. So it can be problematic. Hello, this is Jane. I'm one of the facilitators helping out. Our other facilitator, Jimmy, is also with us and she was hoping to present as well. But she is also in Nigeria. So we're having a lot of connection problems. Thanks, Caroline. It's much appreciated. So if it's okay, I'll share too. I'm going to go ahead and take the presenter back and look through your slides while you re-establish your connection. I think she's actually gone again. That's exactly right. There's Halima. Hi, Halima. Yeah, I'm going to meet myself now. Okay, that's great. I think we've lost Aisha again, Aisha too. So I'm going to go ahead and take the presenter. As we can see, it does appear that we need to do routine screening for intimate partner violence. And that would be wherever we are in the world. That would be so super important. And all pregnant women, irrespective of ethnicity, religion and background, really accepted this screening policy. Pregnant women do feel that routine screening for intimate partner violence will ensure safe life for both them and their unborn child. And I'm seeing, oh, good, you're back. Hooray! Let me unmute you. That's so awesome. I don't see that you've got, you don't have your microphone back yet. Can you speak Aisha too? Yeah, I know. You have a lot of sister midwives from Nigeria. We are very, very sympathetic. So I was just speaking. If you'd like to chat in the chat box, I can move your slides for you, because we do need to start concluding. That would be great. Is that Jumi? Yeah, I'm here. I'm just wondering if Aisha is back. Aisha too is back. She is back, but her sound, she has no microphone. So would you like to just read through? I will make you the presenter again. That would be fantastic. Let me just find you again, Jumi. Yeah, Aisha too is here, but her, she doesn't have a microphone. So I'm going to just make you the presenter. There you go. And I'm going to just... Okay. My honor. All right. So from the study, she has identified that the prevalence of IPV in pregnant women visiting a tertiary hospital in northern Nigeria is quite high. The prevalence of pregnant women were satisfied and accepted routine screening for IPV to be incorporated into the ANC routine. That means they were well disposed to it. And the form of IPV that the women talked about or know about is the physical IPV, intimate partner violence. However, the screening tool failed to pick the sexual violence that could be experienced by some of these pregnant women. That's a limitation. And of course, this calls for the assessment tool that was used to be quite cultural sensitive to pregnant women in Nigeria. And of course, we need to appeal to the cultural sentiments of this women trying to see what's next. Okay. She has some recommendations here that routine screening for IPV is not being practiced in Nigeria. And that is the truth. It's quite... If this is incorporated into ANC on a routine basis, it will be very fantastic. And so that's our recommendations because the women are quite disposed to it. And it's actually a matter of urgency. We need to look at components of our ANC, see how badly affected some of these women are already, especially because they are not quite receptive to routine IPV screening. And she recommended that the hospital management to ensure efficient implementation of the policies by midwife. Also, she recommended that there should be training because this is quite novel for us. We don't do routine screening for pregnant women. Maybe for some women when we can't see these but it's for pregnant clients who want to enter clients. So, she's recommended me to be that IPX but they can bring women and... I see that your speaker is back. Do you want to give her a chance to see? Oh, she was back. Oh, yeah, there she is. Okay, go. I was having some challenges here. You can tell me what you have to think about. Hey, what are you thinking about? I'm thinking about the the Okay. I was having some challenges there. Internet connection. Okay, for my recommendation. As a matter of engineering, since we have seen that the prevalence is high, and also the accessibility rate is also high, the policy rate is at a higher level, which should make policy possible. So, including training for intimate partner violence, and you've seen in SNESA within. Also, the management has ensured that this policy will be implemented by the midwife. And also this midwife, they are not trained for intimate partner violence. So, it should be a training for the midwife to be able to file a screening effectively. And resources should be available for this movement. Because if it's hardly one screen somebody, and when you don't have, you don't have a ticket to give the person, you don't have anything to give the person. What that is the person's strength for this. So there should be resources for this movement. And also there should be collaboration between organizations and law assessment agency and digital assistance. They find that this remains, they might want to take a test order to fix court order else to get the police involved. So, if the hospital and collaboration will be difficult, it would be easy to assess it. I don't think it would be difficult because of our condition as well. You may turn the slide. Thank you. Is that you finished your presentation now? I'm taking the presentation right away. I can turn my slide. You can flip my slide. Oh, right. Okay, I've got it. Oh, Jane, you're back. That's fine. Yeah, thanks. Yeah, some reason Halima has the thing. Let me just find her out here. Sorry. I'm just trying to find our speaker in the long list of presenters here. Halima, if you can hear, if you can give the presenter button. Oh, there's Ayushita. There we are. There we go. Thanks, Linda. Okay. Thank you very much. Thank you. Well, what a beautiful presentation. Dr. Moussa Maliki, we are so honored to have you. I think it was actually great, Aisha, because we were able to really concentrate on your message from Nigeria and really a universal problem now for intimate partner violence. And as somebody said, not just for the women, but also we need to consider the men that are exposed to this as well. Are there any questions for Dr. Moussa Maliki? Everyone is saying very well done. Thank you. Thank you so much. Thank you. And we will be presenting this also in our YouTube channels and everything else. I'm going to just take back the presenter. Oh, Ayushita, could you say again the prevalence of IPV in this study? That's a question from Jinja Midwife. Okay. Prevening for IPV in this study, the lifetime prevalence is at 2% of 90 respondents. Why death in in-depth pregnancy is the 4% of 29 women that came down with HIV. Is that explaining? Okay, IPV is an intimate partner violence. And if you could just clarify for Denise, could you just say again how you define intimate partner violence? Okay. It was physical violence, sexual pathology, and a pregnant woman, but as a spouse or partner in a relationship. Okay. Thank you. We got that. Thank you so much for the clarification, Denise. And we really appreciate it again. I'm going to go ahead and turn off the record button. Thank you.