External Barriers to Help-Seeking Behaviour among Intimate Partner Violence Women Survivors in Nairobi: A Study at Mama Lucy Kibaki Hospital

Abstract

This study investigates the external barriers that hamper help-seeking behaviour among survivors of Intimate Partner Violence (IPV) at Mama Lucy Kibaki Hospital, a key referral facility in Nairobi’s Eastlands region. By examining institutional, socio-cultural, and systemic obstacles, this research aims to provide insights into the structural constraints that prevent survivors from accessing timely and appropriate support. The study population comprised 390 women survivors of IPV and 12 key informants who were purposively selected. The study was guided by the Barrier Model, which provided a framework for understanding the social and structural factors that shape survivors’ help-seeking behaviour. Adopting a mixed-methods research design, the study integrated both quantitative and qualitative data collection techniques informed by the positivist philosophy and interpretivist philosophy, respectively. Key findings showed that the most significant obstacles were logistical inconveniences (M = 2.86), financial constraints (M = 2.25), societal pressures, language barriers, and stigma. Cultural norms and religious teachings also discouraged survivors from seeking help. The study concludes that addressing external barriers is essential for improving help-seeking among IPV survivors. Understanding these barriers is critical for informing policy, improving service delivery, and ultimately enhancing the safety and well-being of IPV survivors in Kenya.  The study recommends offering transport and childcare support, providing multilingual materials, and involving religious and community leaders to change perceptions and encourage help-seeking.