Entre la negación y la impotencia: prestadores de servicios de salud ante la violencia contra las mujeres en México

Abstract

Health care providers were categorized based on the extent to which they reproduced four"discourses about violence". These discourses influence their daily practice and are related to the informants' gender values and social positions. Most informants expressed their willingness to address the issue of domestic violence. CONCLUSIONS. Attention to and care for domestic violence is insufficient in health services; this may be due more closely related to a predominant discourse tolerating domestic violence among decision-makers, than to the attitudes of health care providers; the latter demonstrated greater awareness of women's rights.

“I feel it is not enough…” Health providers’ perspectives on services for victims of intimate partner violence in Malaysia

“…This was particularly true among staff at lower levels of hospital care, particularly where they had scarce resources, lack of local support services and limited access to training on IPV. Studies from other fields of health care also reported how some providers find offering emotional care to patients more difficult than any other aspects of clinical care [26,48]. The medicalised approach focuses mainly on the physical aspects of abuse and cannot help resolve women’s problem in the long term.…”

“…Others have shown that their judgmental and directive attitudes and their lack of knowledge represent a major obstacle for abused women, often resulting in low disclosure [14-18]. Misconceptions and stereotypes around IPV are present among many clinicians, who may feel that violence is normal, who may hold negative views about providing services for IPV, or think that women are to blame for their husband’s aggression, [2,19-25], or who seem to be more focused on physical illness [7,26]. Health care providers’ clinical responses are shaped by own personal experiences and socio-cultural beliefs [27].…”

Dilemas del personal médico ante la violencia de pareja en México

“…Los tipos resultantes fueron: (1) discurso dominante basado en estereotipos rígidos de género; (2) anti-violencia basado en valores tradicionales de género; (3) anti-violencia basado en ideas sobre "lo moderno"; y (4) anti-violencia basado en los derechos de la mujer. Para un análisis de esta tipología nos remitimos a Herrera et al 12 .…”

Percepções de médicos e enfermeiros acerca da violência contra a mulher: uma análise comparativa

“…Diversas medidas vêm sendo tomadas nos últimos anos com o intuito de combater esse problema, que tem um impacto cada vez maior na vida da população. Como já foi citado anteriormente, conferências, declarações e convenções vem sendo realizadas nacional e internacionalmente, em busca de soluções para coibir as práticas de violência de gênero (HERRERA, 2006;MARTIN, 2003;RODRIGUES-BOLAÑOS et al, 2005).…”

“…Há questões macro e micro-sociais que explicam as dificuldades de percepção e atenção à violência, tais como fatores pessoais e aspectos culturais e sociais derivados do sistema de gênero dominante e das representações sociais a isso vinculadas (HERRERA et al, 2006). Os profissionais de saúde são, antes de tudo, pessoas que compartilham os mesmos valores culturais e, às vezes vivem os mesmo níveis de violência daqueles a quem devem tratar e dar apoio.…”