Mental health counselling for abused women Naved RT et al. after the session and made her reveal what was dis- cussed at the session. tentively. [Rahela, age 36 years, grade 3, non- poor, victim of physical and sexual violence] The positive reactions were expressed as follows: I liked it. ... I felt good talking, and afa listened to me, which helped me overcome my pain. ... I don’t quite have people who I could open my heart to. ... I found such a person and I talked, which made me feel great. ... My heart felt light, and I had this good feeling even after I returned home. [Ruma, age 19 years, grade 6, non-poor, victim of physical violence] I was monmora (depressed). I felt a little better after talking to her. ... Being able to talk to some- body lightens your heart. [Nazma, age 32 years, grade 8, non-poor, victim of sexual violence] Rahela elaborating why she had the same kind of feeling said: I liked that she asked me questions—questions that nobody asks and nobody listens to so at- One of the recognized indicators of appreciation for service is the willingness to uptake the service again. As it was mentioned above that only nine women came for a second session. In response to the question why the others did not come for a sec- ond sessions, 53% of the women said that they did not need it. It is not clear from this response wheth- er they did not need another session or whether they could not justify attending subsequent ses- sions. If we consider the proportion of women who said that the first session was useful, it seems that at least a proportion of the women who said that they did not need it must have referred to a second session. Among the women who did not come for a second session but did not say that it was not nec- essary, 50% did not realize that a second session was available to them; 27% had not time to come for a second session; 11% could not obtain permission or had family problems that did not allow them to come; and 5% were either sick or upset. Table 6. Logistic regression results identifying factors associated with usefulness of mental health coun- selling session conducted by paramedics Odds ratios 95% confidence interval Independent variable Age (year) <20 (Ref) 20-24 25-29 30+ Education None (Ref) Primary Secondary Post-secondary Wealth quintiles Quintile I (Ref) Quintile Quintile III Quintile IV Quintile V Maintenance of privacy rated very good, Yes-No Encouraged a lot to explore a way out, Yes-No Discussion topic was considered very important, Yes-No Encouraged to be self-confidence, Yes-No Exposure to lifetime physical abuse by husband, Yes-No Exposure to lifetime sexual abuse by husband, Yes-No Constant Ref=Reference 486 0.389 0.897 0.643 0.145 0.252 0.263 1.072 0.711 0.726 0.865 1.291 7.670 2.396 3.991 0.660 1.102 0.178 0.094-1.609 0.367-2.193 0.276-1.501 0.007-3.018 0.012-5.240 0.013-5.208 0.294-3.911 0.207-2.436 0.196-2.686 0.209-3.578 0.646-2.580 3.648-16.126 1.200-4.782 0.508-31.336 0.262-1.663 0.523-2.321 JHPN