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June 3, 2026Annals of Medicine and Surgery0 citationsOpen Access

Determinants of physical violence among women of reproductive age in Rwanda: evidence from the 2019/20 Rwanda Demographic and Health Survey (RDHS)

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IMIsrael Cyubahiro MunyambaragaPDPasteur DushimimanaPMPhilemon Manishimwe

Key Points

  • This study aims to explore the socio-demographic, economic, and behavioral factors associated with intimate partner physical violence among women aged 15–49 in Rwanda.
  • Cross-sectional analysis using data from the 2019–20 Rwanda Demographic and Health Survey.
  • Sample included 2763 women aged 15–49 years with two-stage stratified sampling for national representativeness.
  • Multivariate analysis was employed to identify significant risk factors.
  • The prevalence of physical violence among the sampled women was 38.7% (95% CI: 36.6–40.7%).
  • Women from wealthier households had a lower risk of violence (AOR = 0.73, 95% CI: 0.54–0.99).
  • Husbands' alcohol consumption was linked to a higher risk of violence (AOR = 2.74, 95% CI: 2.17–3.47).

Abstract

Background: Violence against women remains a critical issue worldwide, with physical violence affecting about 27% of women of reproductive age. In Rwanda, intimate partner physical violence remains high despite various interventions; however, evidence on the socio-demographic, economic, and behavioral factors contributing to this violence is limited, particularly among unmarried women in relationships. This study uses nationally representative 2019–2020 Rwanda Demographic and Health Survey (RDHS) data to examine factors associated with intimate partner physical violence among women of age 15–49 years. Method: This cross-sectional study used data from the 2019–20 RDHS, sampling 2763 women of age 15–49 years. A two-stage stratified sampling method ensured national representativeness. Data collection involved structured questionnaires. Physical violence was defined as reported experiences of slapping or beating. The analysis focused on identifying associated socio-demographic and economic factors using multivariate analysis. Result: The prevalence of physical violence was 38.7% (95% CI: 36.6–40.7%). Multivariate analysis revealed significant risk factors: women from wealthier households had a lower risk (AOR = 0.73, 95% CI: 0.54–0.99), as did those with higher-educated husbands (AOR = 0.44, 95% CI: 0.20–0.95). Joint decision-making reduced the risk (AOR = 0.62, 95% CI: 0.49–0.78), while husbands’ alcohol consumption increased the risk of physical violence (AOR = 2.74, 95% CI: 2.17–3.47). Conclusion: The study revealed that wealthier households, joint decision-making, and higher partner education were associated with a reduced risk of physical violence, whereas alcohol consumption was associated with an increased risk of physical violence among reproductive-age women in Rwanda. Strengthening policies, addressing alcohol abuse, and promoting gender equality are crucial steps for policymakers to mitigate risks and effectively combat this public health issue.

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Cite This Study

Munyambaraga et al. (2026) studied this question.

synapsesocial.com/papers/6a1fc6f7dee9eb8c0dce7d67https://doi.org/10.1097/ms9.0000000000005194
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