Impact of Behavioral Intervention Package on the health status of married abused pregnant women, LN Hospital, New Delhi

INTERVENTION: Intervention1: The Study Group will receive Behavioural intervention Package (BIP) and Standard Care While the control group will receive Standard care only: The intervention package has five components: 1. Information sharing, Awareness generation and 2. Counseling of the women respondent 3. Advice (Safety plan, choice making and problem solving) 4. Skill Development (Assertiveness, communication skill, Self care etc) 5. Body‐ Mind relaxation and Stress Management The standard care will focus on the routine care provided by the health professional at antenatal clinic. Control Intervention1: The Study arm will receive Behavioural intervention Package (BIP) and Standard care While the control arm will receive standard care only: The intervention package has five components: 1. Information sharing, Awareness generation and 2. Counseling of the women respondent 3. Advice (Safety plan, choice making and problem solving) 4. Skill Development (Assertiveness, communication skill, Self care etc) 5. Body‐ Mind relaxation and Stress Management The intervention period will be for 7 months from date of recruitment to 6 weeks postnatal. A total of 14 sessions with the women will be done. Each one‐to‐one session for administration of the intervention package will last about 30‐45 minutes, in an excluded room which is located near OPD without the male partner or other individuals being present. CONDITION: Women attending Antenatal Care PRIMARY OUTCOME: 1. Change in health domain scale, the composite measures of physical and mental component score as assessed through survey scale SF‐36 before and after interventionTimepoint: From the date of recruitment of the subject to 6 weeks post‐natal period. The subject/ women will be recruited before the completion of 16 weeks of pregnancy SECONDARY OUTCOME: 1. The socio‐economic and demographic profile of the women. ; ; 2. To describe the profile and severity of abuse experienced and response to the abuse by these women, the Abuse Screening tool. ; ; 3. To document the improvement in level of awareness of these women. ; 4. To assess the change in coping style of women. ; 5. To record Maternal Health Indicators ; Timepoint: one year ; INCLUSION CRITERIA: 1. All married pregnant women (first contact of confirmation of pregnancy, preferably i.e. 18‐ 20 weeks) attending Obstetrics OPD of MAMC, LN hospital for antenatal registration 2. Both primigravida/ multigravida will be considered. 3. Consented for participation in the study by signing the informed consent form 4. Screened positive for domestic violence during last year using Abuse Screening Tool (AST). 5. Staying with the husband/ in‐laws (family) for at least 2 years 6. Likely to stay in the area till delivery and attend LNJP hospital OPD for ANC 7. Willing to come to hospital for follow up as per schedule 8. Willing to allow study staff visiting her home for contact, if needed