Improving care for victims of violence in resource-poor settings such as Lusaka, Zambia: results of a low-budget intervention

Schober, Michael; Mtonga, Robert E; Valenti, Maria Teresa; Hametner, Stephanie

doi:10.1136/injuryprev-2014-041386

Cited by 3 publications

(8 citation statements)

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“…A total of 31 programs reported across 34 articles were included in this scoping review. 18–51 These programs targeted low-resource areas across the world, with the majority in Africa (Figure 2). Slightly less than half of the programs (n = 14; 45%) included a randomized controlled trial or clustered randomized controlled trial (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…An equal number of programs had a singular focus on IPV victimization or pereptration, 18–20,27–29,32,34,37,38,39,44,46 and a focus on IPV and an additional health issue, 21–26,30,31,33,41,42,45 such as reproductive health, 24,26 general well-being, 21–23,30 and food insecurity. 25 Approximately one-quarter of the studies included a combined focus on IPV victimization, perpetration, risk or protective factors, or sequela and HIV/AIDS.…”

Section: Resultsmentioning

confidence: 99%

“…Group-based skill-development or education was the most common intervention activity (n = 14, 41.9%). 18,24,29,33,35,36,40,42–44,46–50 Screening, 19,30,34,35,38,39,51 referral to community resources, 19,28,30,31,34,39 and financial or resource support 21,22,25,41,44,45,49,50 were also common (n = 6, 19.4% for each activity). Screening and referral activities were commonly conducted in healthcare settings, such as perinatal care clinics 34,38 and outpatient care clinics.…”

Section: Resultsmentioning

confidence: 99%

“…Slightly less than half of the programs (n = 14; 45%) included a randomized controlled trial or clustered randomized controlled trial (Table 2). 19,21,22,24,25,28,33,35,36,40,[44][45][46][47][49][50][51] Most of the remaining studies were qualitative evaluations 26,27,30,[37][38][39]43 or mixedmethods evaluations, 18,31,34 and some used a communitybased participatory research approach. 20,32 The other evaluation designs included quasi-experimental designs, pre/posttest designs, and other non-randomized quantitative designs.…”

Section: Resultsmentioning

confidence: 99%

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Screening, management, and treatment of intimate partner violence among women in low-resource settings

Schwab‐Reese

Renner

2018

Womens Health (Lond Engl)

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The prevention of intimate partner violence continues to be a high priority for health practitioners and researchers around the world. Screening practices and intervention efforts utilized within high- and/or middle-income areas may not translate effectively to low-resource areas due to differences in financial, social, and physical context. However, little is known about the evidence-base of intervention efforts in such areas. Using the Arksey and O'Malley framework for scoping reviews, the purpose of this review was to synthesize what is known about intimate partner violence screening, management, and treatment in low-resource areas. A total of 31 programs reported across 34 articles were included in this scoping review. The programs incorporated a range of intervention activities, including group-based education and skill-development combined with microfinance to screening and referral to community resources. Slightly less than half of the studies (n = 14) were randomized controlled trials or clustered randomized controlled trials. Many barriers were common across the programs, including limited financial support, lack of community support, and lack of coordination across programs. Despite considerable barriers related to the limited available resources, the literature base had many strengths, such as strong evaluation methodologies, inclusion of a theoretical or conceptual framework to guide the intervention, and community engagement before and during the intervention implementation. However, insufficient statistical power and barriers related to cultural differences or inadequate cultural sensitivity were also common. With a variety of barriers to program implementation noted within the articles, it is important for researchers and practitioners to consider the geographic, social, cultural, and economic contexts when implementing intimate partner violence programs in low-resource areas. Given the significant differences in context across low-resource areas, additional research to establish effective protocols for tailoring and implementing evidence-based programs using a community-engaged framework would be beneficial to future research and practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Screening, management, and treatment of intimate partner violence among women in low-resource settings

Schwab‐Reese

Renner

2018

Womens Health (Lond Engl)

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“…Also, from the inception of the program, a commitment was made to have external faculty on-site in Addis Ababa for the duration of the program. This is the key feature of our program and one that distinguishes it from other attempts at training physicians in SPECIAL ARTICLE low-resource settings through distance learning or short-term, in-country courses (14)(15)(16). We felt that a continual presence was necessary to achieve a high level of competence as well as to model and instill a culture of professionalism in trainees (17)(18)(19).…”

Section: Genesis Of the East African Training Initiativementioning

confidence: 99%

The East African Training Initiative. A Model Training Program in Pulmonary and Critical Care Medicine for Low-Income Countries

Sherman

Carter

Braendli³

et al. 2016

Annals ATS

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Despite an extensive burden of lung disease in East Africa, there are remarkably few pulmonary physicians in the region and no pulmonary subspecialty training programs. We developed a unique training program for pulmonary medicine in Ethiopia. The East African Training Initiative (EATI) is a 2-year fellowship program at Tikur Anbessa (Black Lion) Specialized Teaching Hospital, the largest public hospital in Ethiopia and the teaching hospital for the Addis Ababa University School of Medicine. The first year is devoted to clinical care and procedural skills. Lectures, conferences, daily inpatient and outpatient rounds, and procedure supervision by visiting faculty provide the clinical knowledge foundation. In the second year, training in clinical research is added to ongoing clinical training. Before graduation, fellows must pass rigorous written and oral examinations and achieve high marks on faculty evaluations. Funding derives from several sources. Ethiopian trainees are paid by the Ethiopian Ministry of Health and the Addis Ababa University School of Medicine. The World Lung Foundation and the Swiss Lung Foundation supply travel and housing costs for visiting faculty, who receive no other stipend. The first two trainees graduated in January 2015, and a second class of three fellows completed training in January 2016. All five presented research abstracts at the annual meetings of the International Union Against Tuberculosis and Lung Disease in 2014 and 2015. The EATI has successfully provided pulmonary medicine training in Ethiopia and has capacity for local leadership. We believe that EATI could be a model for other resource-limited countries.

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A Scoping Review on Sexual and Gender-Based Violence Medicolegal Service Provision in East Africa

Rockowitz

Flowe

Bradbury‐Jones

2022

Trauma, Violence, & Abuse

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Sexual and gender-based violence (SGBV) is a leading cause of physical, emotional, and psychosocial problems around the world, with many countries in East Africa having rates above the global average. Despite the high prevalence in the region, service provision for post-SGBV care is often poorly funded, difficult to access, or simply nonexistent. This review reports the findings of a scoping review of literature from East Africa. The goals of this research were to evaluate existing service provision practices throughout the region, understand how provider bias may affect service provision, and compare existing practices to national policies and internationally agreed human rights treaties. This review identified 54 academic papers and reports through a search of electronic databases and grey literature sources, and four main themes emerged: (1) current models of service provision are inadequate to address the medical and psychosocial needs of survivors; (2) countries are not providing sufficient funding for services; (3) further research is needed into how to incorporate SGBV care into existing health systems and align with international human rights treaties; and (4) there is limited research in many countries in East Africa. The findings are likely to be of use to policy makers, nongovernmental organizations, and service providers working in the medical, legal, and justice systems.

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Improving care for victims of violence in resource-poor settings such as Lusaka, Zambia: results of a low-budget intervention

Abstract: low-cost interventions should continue to be explored to improve care for victims of IPEV in resource-poor settings.

Cited by 3 publications

References 5 publications

Screening, management, and treatment of intimate partner violence among women in low-resource settings

Screening, management, and treatment of intimate partner violence among women in low-resource settings

The East African Training Initiative. A Model Training Program in Pulmonary and Critical Care Medicine for Low-Income Countries

A Scoping Review on Sexual and Gender-Based Violence Medicolegal Service Provision in East Africa

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