COVID-19 and Quarantine: Indicators of Domestic Violence in Kosovo

© 2020 The Authors. This article is licensed under a Creative Commons Attribution 4.0 License Abstract. Like many other countries in the world, Kosovo has faced a severe public health situation as a result of COVID-19. Kosovar society has been quarantined to protect it from the spread of COVID-19. Putting the community into quarantine has had a positive effect on stopping the spread of COVID-19; however, it has harmed domestic violence in Kosovar society, increasing the number of cases. This study aims to show the extent of violence and the causes of domestic violence in Kosovar society. The survey results show that domestic violence in Kosovo has increased (by 19.75 %) during the COVID-19 pandemic compared with the same months in the previous year (2019). The leading causes of domestic violence are stress (18.9 %), socio-economic insecurity (11.4 %), and a lack of physical space in the house/apartment (4.4 %).


INTRODUCTION
The global society during 2020 has faced the unusual phenomenon of COVID-19. The spread of COVID-19 in Wuhan, China, in late 2019 seemed a priori to be the localized disease. Still, it spread rapidly in early 2020 to many parts of the world, alerting contemporary society that it faces an invisible, unknown enemy that will produce unforeseen consequences. Epidemics and pandemics have accompanied humanity throughout the developmental stages to the present day.
According to the World Health Organization (WHO), a pandemic is spreading a new disease across the world. A pandemic occurs when an epidemic spread between countries; in the case of COVID-19 specifically, the WHO claimed that it is the first pandemic caused by a coronavirus [1]. Also, "a pandemic is the highest possible level of disease or a measure of how many people have contracted a particular disease and how widespread it is. However, before a common disease can reach pandemic proportions, it must overcome several other levels, which according to the Centers for Disease Control and Prevention (CDC) are: sporadic, endemic, epidemic and pandemic" [1].
Pandemics have appeared and taken the lives of millions of people, changed the histories and geographies of many early civilizations, and occurred from time to time to the present day. Despite warnings from health experts about the possible spread of COVID-19, few countries believed that such a SARS could reach developed countries like those in Europe. On the one hand, this left many European countries unprepared to deal with such a pandemic; on the other hand, society and institutions ignoring this SARS resulted in many cases of infection and fatalities.
In Kosovo, the first cases of COVID-19 were identified in March 2020. Immediately after the identification of COVID-19 issues, Kosovo institutions put in place measures to prevent it from spreading, leading to the halting of teaching in school institutions and working (apart from essential staff) in the public and private sector, the closure of the hospitality industry, the stopping of other cultural, sports, and political activities and quarantine. During this period, the spread of COVID-19 cases was under institutional control and management; however, other social problems emerged in families and Kosovar society at this stage. The emergence of domestic violence was one of the social issues that the Kosovar organization was facing, and it was continually growing.
Domestic violence is a universal phenomenon to which individuals of all ages and genders are exposed in all communities and cultures. The social infrastructure of violence is also robust to the point of violent behaviour being accepted within a society because the community's culture in which an individual life reveals expectations regarding how he or she will behave, think, or act [6]. According to the World Health Organization, violence as "the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, which either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation [9]". In 1993, the United Nations General Assembly designated violence against women as an act of gender-based violence that results in or is likely to cause physical, sexual, or mental harm or suffering to women, including threats of such acts, coercion, or arbitrary deprivation of liberty, whether occurring in public or private life [8]. Studies have shown that violence against women and children increases with alcohol and drug use, mental health issues, and inadequate housing [5,3].
Within months, the local epidemic became a global pandemic that forced governments worldwide to demand social distancing and, ultimately, quarantine [4]. Quarantining the society has increased the number of cases of domestic violence. In quarantine, life has become more difficult for many Kosovar families because they face socialeconomic insecurity, stress, anxiety, and violent family members, who make their lives as dangerous as the pandemic itself.
This study aims to analyze, compare, and reflect on the dynamics of the increase in domestic violence in general and the causes of domestic violence in Kosovar society in a time of quarantine (COVID-19). The study does not focus on a particular type of domestic violence because this is not the task's interest; it concentrates more on the presence of domestic violence during quarantine and the issues that lead to domestic violence in Kosovo.

Statistics of domestic violence in Kosovo
Recent studies have shown an increase in the number of domestic violence cases in many parts of the world. India, Canada, and the UK have witnessed a surge in violence against women, especially domestic violence, in the context of the COVID-19 pandemic lockdown [2]. According to the most recent update, in India, in the first four phases of lockdown (between March 25 and May 31, 2020), 1,477 complaints of domestic violence were made by women. This 68-day period recorded more complaints than those received between March and May in the previous ten years. However, reports have indicated that this alarming rise is just the tip of the iceberg as 86 % of women who experience domestic violence do not usually seek help in India [2]. There is a similar situation in Canada. The federal government stated that there had been a 20 to 30 % increase in gender-based violence. The police in Toronto reported that domestic incidents have increased by between 18 and 22 %. The Native Women's Association of Canada conducted a nationwide, grassroots consultation and found that one in five indigenous women had been a victim of violence over the previous three months of the pandemic. Indigenous women reported being more concerned about domestic violence risks than those of COVID-19 [2].
In the UK, in the first four weeks of the lockdown, the number of domestic killings doubled -13 women and four children. London's Metropolitan Force reported that calls about domestic abuse had risen by about a third. Its officers were making around 100 arrests a day for such offences in the six weeks of the lockdown leading up to April 19; more than 4,000 arrests were made across London. West Yorkshire Police reported that, during the lockdown period between March 17 and April 19, it had responded to 6,704 domestic abuse calls -a rise of 1.2 % compared with the previous month [2].
At the time when Kosovo entered quarantine, the number of cases of domestic violence increased. From March to June 2020, 691 cases of domestic violence were registered with the Kosovo Police. Compared with the same period in the previous year (2019), the number of domestic violence cases increased by 19.75 %. Domestic violence has affected all age groups, but, unlike last year, there has been an increase in the number of violence cases among children and young people (0-18 years old) and age groups over 71 years old.
The fact that domestic violence has increased among children and the elderly remains a matter of concern. Cases of violence against children have increased by about 276.9 %, and these statistics show an alarming situation in Kosovar society. See the chart below.  The study was comprehensive and was conducted with a representative sample. Based on the sample number (N=908) and the inclusion, we can reach conclusions.
The authors designed the instrument and implemented online (Google Form), distributed via the Internet and social media. The participants were asked to rate each question on a Likert scale -(4) a lot, (3) average, (2) little, and (1) not at all -and in some cases to select one of the given solutions. At the end of the instrument, open space was left where the respondents could express their free opinion. This part helped us considerably in understanding the respondents' thoughts and experiences. According to Cronbach's alpha score, we have good questionnaire reliability, with 820. The statistical package used in this study was SPSS Version 20.0.

RESULTS AND DISCUSSIONS
Many social topics related to epidemics and global pandemics have been discussed, and one of those topics has undoubtedly been domestic violence. Domestic violence has had an important place since it has been influenced by the pandemic's new situation (COVID-19). Citizens were not prepared for the changes in the way of life resulting from the pandemic and had difficulty accepting these social changes, leading to increased domestic violence cases.
Of course, this situation has brought many unknowns to society. To understand more about society's awareness of global epidemics and pandemics and their discipline in facing the constraints that prevent the spread of COVID-19, the study starts with a specific question: do you know about global epidemics and pandemics? In those countries where there was a lack of awareness and discipline of citizens and in those societies that did not act in time to prevent the spread of COVID-19 or ignored this need, COVID-19 spread rapidly, and consequently; there were many cases of infection and fatalities (Italy, etc. The study results show a high average level of knowledge about global epidemics and pandemics among citizens; however, this highlights the fact that most of the survey participants are highly educated, and it is natural to some extent for the results to be above average. The results show that 12 % of citizens have little or no knowledge of global epidemics and pandemics. Between those who have no understanding of global epidemics and pandemics and those who do not believe in the existence of COVID-19, there is a significant positive correlation: r =.267 **, p<0.01. Of the total number of study participants (N=908), 11.9 % do not believe in or do not have an attitude toward the existence of COVID-19. Citizens' doubt about COVID-19 makes it more difficult for public institutions to work since this category of society follows the guidelines of institutions aimed at preventing the spread of COVID-19 only partially or not at all and thus has a direct impact on the space of COVID-19 to society.
About two-thirds of citizens before the COVID-19 pandemic did not believe that a pandemic (COVID-19) could occur in Kosovo. Citizens associated the disbelief that COVID-19 could not arise in Kosovo because it is part of Europe. This is the 21st century, when science, medicine, and technology have evolved so much that they can prevent global pandemics like COVID-19. According to them, pandemics like COVID-19 can occur in the poorest countries but not on the European continent. The appearance of the first cases in Europe (Italy) and later in Kosovo (March 2020) led Kosovar institutions to take preventive measures to maintain public health by imposing restrictions on travelling to and from work, closing schools, maintaining personal hygiene and physical and social distance, and putting the country into quarantine. Quarantining, the government changed the course of ordinary life, and society is facing many unknowns in the social, economic, and political fields and the central area of public health. Circumstances like these have caused fear, social anxiety, and stress among citizens. The study results show that the quarantine (blocking) has been very stressful for Kosovar society.   Quarantine has introduced many unknowns into the Kosovar society, leading to stress, socio-economic insecurity, and a lack of separation of duties and responsibilities in the family. All these have led to domestic violence.

CONCLUSIONS
Domestic violence is not new; it has accompanied society through all the stages of its development. In many conservative institutions and the Kosovar community, topics such as domestic violence have been taboo. However, with the increase in the level of education and social emancipation in general and the liberation of women in particular, domestic violence is being discussed more and more, and cases of domestic violence are increasingly being denounced in the relevant institutions.
Domestic violence in Kosovo increased (by 19.75 %) during quarantine (COVID-19) compared with the same months (March to June) of last year (2019). Domestic violence has affected all social structures; however, it has mainly affected people aged 20 and 40 and women. Domestic violence against women during the quarantine period marked a slight decrease compared with the same months last year. Otherwise, the number of domestic violence cases during the time of quarantine has increased among men (male victims). Based on the study results, every third interviewee in Kosovo experienced domestic violence during quarantine (COVID-19). The causes of domestic violence in Kosovar society are many and varied. Increased stress, socioeconomic insecurity, the division of duties and responsibilities among family members, and the lack of physical space (housing) are the main issues that have led to domestic violence in Kosovo.