Impact of Covid-19 pandemic on Prevalence of complaints related to violence against women in India - A cross-sectional comparative research study from 2014 to 2022?

Violence against women is a global problem, affecting women around the world irrespective of age, races, education, ethnicity, groups, economy classes and nationalities. Sometimes in situation of disaster like covid-19 pandemic it may be a life-threatening situation for an individual woman. In India due to a huge female population, illiteracy, equity issues, gender issues, religious issues, lack of positive deviance, illiteracy, socio-economic factors, migration after marriage and in search of job from rural to urban areas, inaccessibility to seek legal help, the safety of women is of prime concern. The key aim of this observational retrospective cross-sectional comparative mixed research study is to �nd out impact of SARS-CoV-2/Covid-19 Pandemic era on Prevalence of complaints of violence against women in India, across 36 different states and union territories from the beginning of the pandemic i.e. January 2020 and comparing it with previous six pre-pandemic years. The objective is to �nd out that the ongoing covid-19 pandemic years has a positive or negative effect over prevalence of complaints of violence against women. Data from NCW (National Commission for Women) which set up by Act No. 20 of 1990 of Govt. of India as constitutional/ legislative body in January 1992 under the (National Commission for Women) NCW Act, 1990, is extracted, observed, analysed for this research study with Microsoft o�ce and stata software. The period of study is from January 2014 to 2022 December (projected). This is an observational retrospective cross-sectional comparative mixed research study. The ongoing three years of covid-19 pandemic i.e. 2020 and 2021, 2022 is compared to previous pre-pandemic years to know the impact of covid-19 on complaints of violence against women in India. Increase in prevalence of complaint of violence against women in India is revealed in this research study during covid-19 pandemic years as compared to pre-pandemic era under observation except 2014. During the 2021, second year of covid-19 pandemic the total numbers of violence complaint Report of the Complaints Received by NCW was 30865 which is an increase by 55.03 percent compared to 2018 and 56.43% as compared to 2019. This research study found


Background / rationale
Violence against women is a global problem, affecting women around the world irrespective of age, races, education, ethnicity, groups, economy classes and nationalities [1].Sometimes in situation of disaster like covid-19 pandemic it may be a life-threatening situation for an individual woman.In India due to a huge female population, illiteracy, equity issues, gender issues, religious issues, lack of positive deviance, illiteracy, socio-economic factors, migration in search of job from rural to urban areas, inaccessibility to seek legal help, the safety of women is of prime concern.The SARS-CoV-2 led ongoing pandemic had presented a challenge to women safety even for developed nations as well as LMICs (low and middle income countries) like India [2].Violence is a burden of social system and affects the progress of a nation.It affects nations income in terms of health provision, law enforcement, DALYs (disability adjusted life years) and overall progress in development [3].The violence based on gender discrimination is usually in icted upon a female on the basis of her sex.Act of violence includes multiple acts like physical, mental, social, or sexual harm [3].Such acts may have adverse effect on health status of a woman, her productivity, belief of self-esteem, su ciency, con dence as well as overall quality of life.
The global burden of violence against women estimated by WHO states that globally about 1 in 3 (30%) of women have encountered either physical and/or sexual abuse or non-partner sexual violence during their lifespan.The enforcement and implementation of lockdowns to control the COVID-19 has social and economic impacts [4].This may have increased the exposure of females to abusive inmates and restricting their access to protective services.This is a situation of humanitarian crises and displacement due to covid-19 which may increase existing violence, as well as other-partner sexual violence, leading to increase of violence against women [5].Domestic abuse/domestic violence or intimate partner violence is de ned as the act/type of behaviour in any relationship used to gain power and control over an intimate partner which may be directed physically, sexually, emotionally, economically or psychologically or threats of activities that can in uence another person.These acts include any kind of behaviour causing frightening, intimidating, terrorizing, manipulating, hurting, humiliating, blaming, injuring, or wounding someone [6].Domestic abuse can happen to anyone of any race, age, ethnicity, sexual orientation, religion, or gender.This can occur in different range of relationships including married couples, living together or dating.Domestic violence/abuse can affects people of all socioeconomic-strata backgrounds and education levels [5].
WHO has made the assessment stated in WHO Director-General's-Dr Tedros opening remarks at the media brie ng on COVID-19-11 March 2020 that COVID-19 can be characterized as a pandemic [7].India has reported rst covid-19 case in January 2020 (hence author is considering period up to December 2019 as pre-pandemic era for India) [8].The women and children are special vulnerable group [9].

Objectives
The key objective of this observational research study is to know impact of SARS-CoV-2/Covid-19 ongoing Pandemic years on prevalence of complaints of violence against women in India across 36 states and union territories from the beginning of pandemic due to covid-19 i.e.January2020 by comparing the observation with pre-pandemic years.The author hypothesise that lockdown and stressful situation arising from the constraints of ongoing covid-19 pandemic can increase the prevalence of domestic violence is also evaluated from the data.

Study Design
This is an observational retrospective cross-sectional comparative mixed research study.Data from January2014 to January 2022 is taken for this observational research study in order to have a comparative analysis of third years of pandemic era i.e. 2020 and 2021, 2022 (data for January 2022 is available and forecasted up to December 2022 with previous data of pandemic era i.e. 2020-2021-Jan 2022) with pre-pandemic years i.e., 2014, 2015, 2016, 2017, 2018, 2019.Setting Data from NCW (National Commission for Women) which set up by Act No. 20 of 1990 of Govt. of India as constitutional/ legislative body in January 1992 under the (National Commission for Women) NCW Act, 1990, is extracted, observed, analysed for this research study with Microsoft o ce and stata software.
The period of study is from January 2014 to 2022 December (projected).

Locations
All 36 different states and union territories in India are included in this research study.

Relevant dates
The exact period of study is 1st January2014 to 31st December 2022 (projected with excel software) Exposure Any complain of violence against women in India, across 36 different states and union territories exposed to following types of violence and reported it to NCW, India is included in this research study (see table -1 below) The data is collected continuously and repeatedly investigated for speci city, accuracy, measurability, timeliness, reproducibility from electronic source of accredited National commission for women, India in this research study.The nature-wise data indicating complaints registered with National Commission for Women in India (NCW) under different categories were collected-analysed with Microsoft o ce and stata software.The period of study is from 1st January 2014 to 31st December 2022(projected with data of pandemic years 2020, 2021and Jan 2022).The data is compared to pre-pandemic years.The ongoing three years of covid-19 pandemic i.e. 2020 and 2021, 2022 is compared to previous pre-pandemic years to know the impact of covid-19 on complaints of violence against women in India.

Participants Eligibility criteria
All the female population residing in India of all ages (data is taken from World Bank) in different years of study.

Sources and method of selection
Assuming that the whole female population across India have actively participated in reporting violence against them to NCW purposive sampling is done to know the number of complaints registered with NCW.The author admits that India being a LMICs (low and middle income countries) there may be huge underreporting due to lack of knowledge of the process of reporting, illiteracy, inaccessibility and other factors like socio-economic factors and different barriers of communications to report the complaint.

Variables
The variables studied in this research study are listed in table-1.

Data Availability Data Sources
The data for number of complaints of violence against women is collected from electronic records of NCW.The female population data is collected from electronic records of World Bank.A link for the data source is available below: http://ncwapps.nic.in/frmComp_stat_Overview.aspx -NCW https://data.worldbank.org/indicator/SP.POP.TOTL.FE.ZS?locations=IN -The world Bank-for female population data-projected up to 2022 with previous data using excel For comparative analysis the total of all the violence complaints registered with NCW is taken to avoid discrepancies in different nature of crimes as some new entities are added whereas some are removed or added to some other categories of crime in different years.

Data Analysis / Measurements
The analysis is done with Microsoft o ce and stata software.

Bias
To address bias in the study the data available is forecasted with the help of Microsoft o ce and stata software.

Study Size
The period of study is from 1st January 2014 to 31st December 2022(projected with data of pandemic years 2020, 2021and Jan 2022).All the female population living in India of all ages (data is taken from World Bank) in different years of study.Since this research study is observing only violence complaints against women the female (all ages) population of India is taken for the study and the most accredited, latest available data sources mentioned above is taken for the study.

Missing Data
The data of variable which is not categorised yet reported in January 2022 is considered as mean for all the consecutive months.
with the help of Microsoft excels utilizing available data of previous years since 1960.For each variable the data available with NCW is compared with same variable of previous years.This research study found that National Commission for Women is expected to receive 35287 complaints of crimes committed against women in 2022 as per current trends, the highest in the last eight years.1).
Table 1 and Fig. 1 shows that the numbers of complaints were declining after 2014 with minimum complaints registered during 2017.From year 2017 there is a trend of increase in complaints of violence which in 2019 before pandemic year 2020.The prevalence of violence complaints fuelled during covid-19 pandemic years by various situations and started increasing again from 2020 and expected to cross the 2014 numbers in 2022 as per projected data analysis.The author states that this is not necessary to happen if the covid-19 situation improves or if the government is deploying more resources and activities to control this violence against women pandemic in India.

Discussion
This research study revealed that there was a declining trend of complaints of violence against women after 2014 up to 2017 ( gure-2).After 2017 the trend changed and except for slight decrease in 2019 it increased continuously and projected to be maximum in the end of 2022.Notably during the covid-19 pandemic there is a steep increase in domestic violence making it in top two most registered violence complaints.Right to live with related complaints of is at the top.
In the 1983, abuse/ violence was criminal offence in India.Mere punishment and imprisonment of the culprits is not enough to say that justice has been delivered.Recovery and rehabilitation of the victim to be able to lead a productive normal life should be the key goal.The Crime rate in India reported by the National Crime Records Bureau (NCRB) says that crime against women occurs at the rate of one crime against women per 1.7 minutes, and domestic abuse/violence at rate of one per 4.4 minutes [10].During lock down women may be subjected to mental-psychological abuse like threats of being abandoned, demeaning, belittlement and insults and threats of hurting their loved ones, babies or increased general in delity of the husband.
The moral-psychological effects on physical-mental health due to abuse are more deep-seated in the brain and unrealized.Usually domestic abuse victims report with depression and PTSD (post traumatic stress disorder).Violence led depression in abused women can be chronic and has a life-long effect on the victim even in the absence of abuse for a long time.Several working women have lost their jobs during the covid-19 pandemic and sources of earning, which can lead to the loss of empowerment that these women had earlier [11].
Illiterate women may not have knowledge to reporting system as well as women from poor background with remote village areas with less communication mechanisms.The World Health Organization published that one-fourth of women between age 15-49 years have been in a relationship and subjected to physical and/or sexual violence at least once in their lifetime (since age 15).According to the WHO (World Health Organization), the prevalence of lifetime intimate partner related violence range is about 20% in Western Paci c, 22% in high-income countries and Europe (HIC) and 25% in WHO Americas Regions, 33% in WHO African region, 31% in WHO Eastern Mediterranean region, and like American region 33% in the WHO South-East Asia 38% of women murders are committed by intimate partners as per WHO as well as regarding violence, worldwide 6% of women report to be sexually harassedassaulted by someone other than a partner, although the WHO found that data for non-partner sexual violence are more limited.The Intimate partners as well as sexual violence are mostly found to be perpetrated by men against women [5].

Limitations and Strength of the research study
The author would like to make it clear that the complaints of violence are matters of investigation by police department and other concerned authorities.The author already stated in this article that actual acts of violence complaints are not being registered by everyone who suffers due to several reasons.Hence the secondary data obtained and projected may only represent the iceberg of violence complaints and the real number of such complaints may be several times bigger due to under-reporting as well as unable to report by the victims.The author con rms that more research and analysis with eld investigation in real is required to get full scenario and answer to the research question mention in the title of this research study.The author has found several studies related to violence against women but this is a unique study in doing research over complaints of violence.The data is from an accredited source is one of the strength of the research study.More research with primary data collection is needed for better understanding of causality and association of complaints of violence against women.
Funding -The author has not received any fund for this research study from any sources.

LAWS DEALING WITH DOMESTIC VIOLENCE IN INDIA
There are several laws in the constitution of India which ensure protection of woman from being abused by anyone.Discussing laws is beyond the scope of this article.Since there is an exceptional increase in complaints of domestic violence a little discussion is presented by the authors regarding section 498A IPC.

SECTION 498A OF INDIA PENAL CODE
As per section 498A IPC, if a woman's is subjected to any kind of harassment by husband or his relatives or if there is any act of cruelty against her, the culprits will be liable for imprisonment up to 03 years as well as monetary ne.Cruelty under the same section is stated as any act leading to compulsion for dowry demands from the woman or her family members or any act that forces the woman to commit suicide or in ict grievous injury herself (mental or .2005-PWDVA prohibits a broad range of sexual, mental, physical, and economic violence against women.This Act also includes women in a live-in relationship as well.Under this Act, a woman has the full right to be from abuse and can choose herself from different recourses.Act provides the right to get a restrictive order against her husband and his relatives, to be able to continue living in the same house, to claim maintenance, to have custody of her children and to claim compensation and to not be terri ed out of her marital home [13].

FAMILY COURT ACT, 1984
Law Commission 59 th report laid signi cance on the establishment of distinct courts for matrimonial, personal and family issues, for speedy disposal of matrimonial and personal issues pending in civil and criminal courts [14].

Conclusion And Recommendation
India should make for ensuring safety of women in such pandemic like situations.It seems present laws and regulations are insu cient.The barriers of legal-protective system and delivery of services constraints should be recti ed.India should develop an exclusive plan for establishment of cadre of worker for women protection services.India is having huge women's population vulnerable to violence so the Government must give top priority in making India a safe place for women's.The violence have a serious impact on mental health especially in pandemic and lockdown situations in which its di cult to get help and relief.The COVID-19 pandemic seems to worsen the situation of the violence against women in India.The migrant women walked several miles due to lockdown strategy, some with their children in pregnancy, without availability of basic amenities like water, food etc. Due to the pandemic, about half a billion women are at risk of violence in India.Special policy or detailed COVID plan for this special vulnerable group should be framed by the government to control the situation.
Establishment of special women protection cell at central level as well as at all the states and union territories of India.

gender equity in society
Women constitute a large portion of population.Country must have a separate department to ensure protection to this vulnerable section of the population.
India, the second most populous country in the world should have a robust women protection strategy to operate in any situations.
The issue of mental health as well as socio-economic impacts of violence and lockdown should be properly taken care in pandemic like situation to protect women as well as their children.

Declarations
Note: -article is available only as pre-print and not published by any peer-reviewed journals.The author has written previously on this research but this research study is unique and different from previous research of author.There are chances of text and data overlapping with my previous works available as preprints are mentioned below in the references [15, 16, 17, 18, 19, 20, 21, 22, 23, and 24].
-This version of paper has not been previously published in any peer reviewed journal and is not currently under consideration by any journal.The document is Microsoft word with English (United States) language & 4583words (excluding reference-declaration) (5086 words Total).
-Ethics approval and consent to participate: applicable.This study has not involved human or animals in real or for experiments.
-Consent for publication: The provide consent for publication.
- -Acknowledgements-I am thankful to Advocate Anupama my wife and daughters Aathmika-Atheeva for cooperation.
-Author information: The author is currently working as Senior General Medical O cer for the government of Bihar, co-author is senior lawyer.
-Financial Support & sponsorship: Nil -Author contact information Department of Health, Government of Bihar, MOBILE -+919955301119/+917677833752, Email drpiyush003@gmail.comTotal prevalence of complaints per 100000 female year-wise physical)[12].PROTECTION OF WOMEN FROM DOMESTIC VIOLENCE ACT 2005-PWDVA The PWDVA (Protection of Women from Domestic Violence Act) 2005 is an Act passed by the Parliament of India and enacted to protect women from domestic abuse/violence.It was brought into force on 26 October 2006 by the Indian government and MoWCD (Ministry of Women and Child Development)

Figures
Figures

Figure 1 total
Figure 1 total numbers of complaints of violence against women received by NCW in different Year

Table 1 -
Various nature of violence against women , and 679672034.8respectively (see table-2).These numbers mentioned above represents the total female population of India in different years across 36 states and union territories.The source of female population data is the World Bank and for the year 2021 and 2022 the population is forecasted

Table - 1
The total numbers of Nature-Wise Report of the Complaints Received by NCW in the Year: 2014 was 33906 whereas it reduced during 2015 during which it was 23370.The total numbers of Nature-Wise Report of the Complaints Received by NCW in the Year:2016,  2017, 2018, 2019, 2020, 2021, 2022(forecast) is 19088, 14591, 19908, 19730, 23722, 30865, 35287respectively (table-1, Fig. 1).-total numbers of complaints of against women received by NCW in different Year During the rst year of this study i.e. 2014 the total numbers of Nature-Wise Report of the Complaints Received by NCW was 33906.During the second year of this study i.e. 2015 the total numbers of Nature-Wise Report of the Complaints Received by NCW were 23370 which is a decrease by 31.07%compared to In the third year of this study i.e. 2016 the total numbers of Nature-Wise Report of the Complaints Received by NCW were 19088 which is a decrease by 18.32% to 2015.For the year 2017 the total numbers of Nature-Wise Report of the Complaints Received by NCW were 14591 which is a decrease by 23.56% compared to 2016.For the year 2018 the total numbers of Nature-Wise Report of the Complaints Received by NCW were 19908 which is an increase by 36.44% compared to 2017.Just before the pandemic era i.e. 2019 the Complaints Received by NCW were 19730 which is a slight decrease by 0.89% compared to 2018 (table-1, Fig. 1).During the rst year of pandemic i.e. 2020 the total numbers of Nature-Wise Report of the Complaints Received by NCW was 23722 which is an increase by 20.23% compared to 2019.During the second year of pandemic i.e. 2021 the total numbers of Nature-Wise Report of the Complaints Received by NCW was 30865 which is an increase by 30.11% compared to 2020.During the third year of pandemic i.e. 2022 the total numbers of Nature-Wise Report of the Complaints Received by NCW is forecasted to be 35287 which is an increase by 14.32% compared to 2021(table-1, Fig.

Table 2 -
Total prevalence and top two complaints prevalence year-wise It is di cult to discuss all the nature of violence complaints in an article type of presentation, hence author is discussing little about top two violence complaints registered since 2014.For the years 2014 to 2017 the top two violence complaints are Police Apathy against women, Right to live with dignity whereas for the year 2018 it was Right to live with dignity, Dowry harassment / dowry death.For year 2019 the top two were Right to live with dignity, Harassment of married women/Dowry harassment.During the ongoing pandemic years 2020, 2021, 2022 the study revealed that domestic violence related complain increased considerably making its place in top two after the complain related to right to live with dignity (see-table-2).The Prevalence of violence complain per 100000 female were 5.452414012, 3.715840384, 3.00167053, 3.064717906, 3.006301268 3.614570638, 4.600601237, 5.191785 respectively for the years 2014 to 2022 respectively (see-table-2 and gure-2).Table − 3 and 4 shows that the mean Prevalence [95% Con dence Interval − 2.931444-4.605851] of complain per 100000 during the period of study is 3.768647, Std.Dev.1.089161,min.Prevalence of violence complain per 100000 is 2.269926(year-2017) and max.Prevalence of violence complain per 100000 is 5.452414 (year-2014).The mean complaints [95% Con dence Interval − 18936.46-30056.23] of total 09 of observation are 24496.34,Std.Dev 7233.145,min.Total complaints during study period was 14591(2017) and maximum 35287.1 (year-2022).Hence it is concluded from the above observation research study that the complaints of violence against women in India have increased in covid-19 pandemic era as compared to immediate years of pre-pandemic era except 2014.The number received in all the nine years of observation is of Right to live with dignity and the covid-19 pandemic era second year i.e. 2021 have maximum numbers of such Complaints Received by NCW (see Table2).
Protection of Women against Domestic Violence is next to the above mentioned complain during covid-19 pandemic era.
Availability of data and Electronic records from National Commission for Women, World Bank http://ncwapps.nic.in/frmComp_stat_Overview.aspx -NCW https://data.worldbank.org/indicator/SP.POP.TOTL.FE.ZS?locations=IN -The world Bank-for female population data-projected up to 2022 with previous data using excel -Con icts of Interest/ Competing Interest: There are no con icts / competing of interest -Funding-Self sponsored.No aid taken from individual or agency etc. -Authors' contributions: The whole work is done by the Author -Dr Piyush Kumar, M.B.B.S., E.M.O.C., P.G.D.P.H.M., -Senior General Medical O cer-Bihar Health Services-Health Department-Government of Bihar, India and Advocate Anupama, Senior Lawyer, Bihar, India.