Though both males and females have a high awareness level of IPV and SRHR, the prevalence of IPV and SRHR violation amongst females is still very high in the Fako Division, Cameroon.
Key Findings
Results
The vast majority of surveyed females had experienced at least one form of intimate partner violence.
818 out of 860 females surveyed (95.1%) had experienced at least one form of IPV.
Data collected from participants in Limbe and Buea health districts of the Fako Division, Cameroon.
A structured questionnaire was used with 860 female participants.
Participants were selected through a multistage sampling technique.
Results
Nearly two-thirds of surveyed females had experienced at least one form of sexual and reproductive health and rights violation.
556 out of 860 females surveyed (64.7%) had experienced at least one form of SRHR violation.
Data were collected using a structured questionnaire in a cross-sectional community-based quantitative study design.
Factors associated with SRHR violation were similar to those for IPV, with the additional factor of lower level of education.
Results
Being an internally displaced person was independently associated with experiencing a higher number of IPV incidents.
Internally displaced persons had an incidence rate ratio (IRR) of 1.38 for number of IPV experiences (p = 0.004).
This finding was identified using a Poisson regression model.
The Fako Division context includes displacement related to the ongoing Anglophone crisis in Cameroon.
Results
Being unskilled and divorced were independently associated with experiencing a higher number of IPV incidents, while being widowed and earning lower income were associated with fewer incidents.
Unskilled occupation was associated with a higher number of IPV experiences (p = 0.001, IRR = 1.48).
Being divorced was strongly associated with more IPV experiences (p < 0.001, IRR = 3.09).
Being widowed was associated with fewer IPV experiences (p < 0.001, IRR = 0.08).
Earning a lower income was associated with fewer IPV experiences (p = 0.003, IRR = 0.72).
Associations were identified using a Poisson regression model.
Results
Both males and females demonstrated high levels of awareness of IPV and female sexual and reproductive health and rights.
85.5% of males and 85% of females had high awareness of IPV.
83% of males and 87% of females had high awareness of female SRHR.
Awareness was assessed among 1487 male and female participants.
Awareness levels between males and females were compared using a Chi-squared test.
Despite high awareness, prevalence of IPV and SRHR violation remained very high.
Results
Level of education was significantly associated with IPV awareness in both females and males.
Level of education was a significant factor for IPV awareness in females (p = 0.015) and males (p = 0.038).
Having a skilled job was significantly associated with female SRHR awareness (p = 0.003).
Associations were identified using logistic regression models.
Lower level of education was also associated with SRHR violation experienced by females.
What This Means
This research suggests that intimate partner violence (IPV) and violations of women's sexual and reproductive health and rights (SRHR) are extremely common among women in the Fako Division of Cameroon, even though most men and women in the region are already aware that these rights exist. Specifically, 95% of the 860 women surveyed had experienced at least one form of IPV, and nearly 65% had experienced at least one SRHR violation. At the same time, roughly 85% or more of both men and women surveyed could identify what constitutes IPV and what women's SRHR entail — indicating a major disconnect between knowledge and behavior.
Certain groups of women were at higher risk: those who were displaced from their homes, those in unskilled occupations, and those who were divorced experienced IPV more frequently. Education level was an important factor — less educated individuals were less aware of IPV and SRHR, and lower education was also linked to experiencing more violations. Having a skilled job was associated with better awareness of women's SRHR rights.
This research suggests that simply informing people about women's rights is not enough to reduce violence and rights violations. Since awareness is already high but abuse continues at very high rates, the authors point to the need for interventions that go beyond education — specifically, programs directed at men that promote behavior change, challenge harmful social norms, and engage men as active supporters of women's rights. This could be especially important for vulnerable groups such as internally displaced women.
Nchong Achere N, Atanga S, Obinchemti Egbe T, Nicholas T. (2025). Prevalence and awareness of female sexual and reproductive health and rights and intimate partner violence in the Fako Division, Cameroon.. Reproductive health. https://doi.org/10.1186/s12978-025-01974-7