Mapping the health systems response to violence against women: key learnings from five LMIC settings (2015–2020)

Sikder, Shegufta Shefa; Ghoshal, Rakhi; Bhate-Deosthali, Padma; Jaishwal, Chandni; Roy, Nobhojit

doi:10.1186/s12905-021-01499-8

Cited by 7 publications

(4 citation statements)

References 34 publications

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“…The health sector plays a crucial role in providing or referring to medical treatment and psychological care for survivors of violence ( Sikder et al ., 2021 ) and serves as an entry point for referral to other support services that they may require beyond immediate medical care ( World Health Organization, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Assessing the Nepalese health system’s readiness to manage gender-based violence and deliver psychosocial counselling

Deuba,

Shrestha,

Koju

et al. 2024

Health Policy and Planning

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Violence against women (VAW), particularly intimate partner violence (IPV) or domestic violence, is a major public health issue, garnering more attention globally post-COVID-19 lockdowns. Health providers often represent the first point of contact for IPV victims. Thus, health systems and health providers must be equipped to address survivors’ physical, sexual, and mental healthcare needs. However, there is a notable lack of evidence regarding such readiness in Nepal. This study, utilizing a concurrent triangulation design, evaluated the readiness of public health facilities in Nepal’s Madhesh Province in managing VAW, focusing on providers’ motivation to offer psychosocial counselling to survivors. A cross-sectional study was conducted across 11 hospitals and 17 primary health care centres, where 46 health care providers were interviewed in February-April 2022. The study employed the WHO’s tools for policy readiness and the Physician Readiness to Manage IPV Survey for data collection. Quantitative and qualitative data were collected via face-to-face interviews and analysed using descriptive and content analysis, respectively. Only around 28% of health facilities had trained their staff in the management of VAW. Two out of 11 hospitals had a psychiatrist, and a psychosocial counsellor was available in four hospitals and two out of 17 primary health care centres. Two-thirds of all health facilities had designated rooms for physical examinations, but only a minority had separate rooms for counselling. Though a few health facilities had guidelines for violence management, the implementation of these guidelines and the referral networks were notably weak. Hospitals with One-stop Crisis Management Centres demonstrated readiness in VAW management. Health providers acknowledged the burden of IPV or domestic violence and expressed motivation to deliver psychosocial counselling, but many had limited knowledge. This barrier can only be resolved through appropriate training and investment in violence management skills at all tiers of the health system.

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Section: Introductionmentioning

confidence: 99%

Assessing the Nepalese health system’s readiness to manage gender-based violence and deliver psychosocial counselling

Deuba,

Shrestha,

Koju

et al. 2024

Health Policy and Planning

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Section: Introductionmentioning

confidence: 99%

“…4 Violence against Women (VAW) becomes a serious public health issue 5 as it seriously affects survivors in the short-and long-term periods. 6 WHO multi-country study found that VAW is more common in low-and middle-income countries (LMIC) 7 and they face difficulties to provide the necessary care for survivors. 8 GBV has psychological (post-traumatic stress, anxiety, and suicide); 9 reproductive health-related (sexually transmitted infections, unplanned pregnancies, poor maternal health outcomes); and physical consequences.…”

Section: Introductionmentioning

confidence: 99%

Gender-Based Violence – Magnitude and Types in Northwest Ethiopia

Gebresilassie¹,

Melesse²,

Birhan³

et al. 2023

IJWH

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Background Violence Against Women (VAW) becomes a serious public health issue as unnecessary morbidity and mortalities affect women and girls. Women who experience violence had the possibility of another of violence. Although gender-based violence (GBV) is a common problem in Ethiopia, the burden is not well studied. Objective This study determines the magnitude of Gender-Based Violence among women receiving Sexual and Reproductive Health Services in a Specialized Hospital. Methods Institution-based retrospective follow-up study was conducted at the University of Gondar Comprehensive Specialized Hospital among gender-based violence (GBV) service users from January 2017 to January 2022. Data were collected from register logbooks and also medical records for some variables, using a tool prepared by refereeing literature and adapting locally available resources and researchers experiences. Epi-info 7 was used to enter the data and exported it to SPSS V-23 for analysis. Descriptive statistics like frequencies, percentages, means and standard deviations are computed for all variables. Results The lifetime proportion of sexual and physical violence was found to be 81% and 5%, respectively, while 3% of women experienced both sexual and physical violence. One hundred seventy (29.4%) of the incidents were done by an intimate-partners (boyfriend/husband). The majority (86%) had extra genital injuries. After genital examination, about one-fourth (25%) of survivors had fresh hymenal tears. About three-fourths (75.1%) of the survivors visit the health facility within threes day after the incident. Conclusion The study found that GBV is common in Northwest Ethiopia. Future research should involve sensitive methods and grounded approaches to explore survivors’ experiences and views on local gender cultures and other contextual factors. Establishing One-stop-center could improve the quality of the services provided to the women.

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“…While research into health-care access and uptake in HICs indicates that women subjected to DV are more likely to seek health care than non-abused women (García-Moreno et al, 2015; WHO, 2013a), there is evidence that women in low-and middle-income cuntried (LMICs) experiencing violence are less likely to access timely and adequate antenatal care (García-Moreno et al, 2015; Metheny & Stephenson, 2017; Musa et al, 2019; WHO, 2013b). Despite this, health-care providers are often the first professionals women come into contact with, thus placing them in a unique position to support victim-survivors (Bhate-Deosthali et al, 2018; Hegarty et al, 2013; Sikder et al, 2021; Taft et al, 2021; Tavrow et al, 2020; Ting & Panchanadeswaran, 2009; WHO, 2013b). However, HCPs can be hesitant to inquire about DV, despite best practice guidelines advocating for the identification and care of victim-survivors in routine health care (Ramsay et al, 2012; Valpied et al, 2017; WHO, 2013b).…”

Section: Introductionmentioning

confidence: 99%

Seeking Help From Primary Health-Care Providers in High-Income Countries: A Scoping Review of the Experiences of Migrant and Refugee Survivors of Domestic Violence

Allen-Leap

Hooker

Wild

et al. 2022

Trauma, Violence, & Abuse

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Migrant and refugee women experiencing domestic violence (DV) may face compounding factors that impact their ability and experiences of seeking help. Health-care providers are in a unique position to identify and assist victims of DV, however, they often lack the confidence and training to do this well. Little is known of the health-care experiences of migrant and refugee women experiencing abuse when they access primary health care (PHC). Using scoping review methodology, we undertook a systematic search of seven databases (Medline, Scopus, ProQuest, CINAHL, Informit Complete, and Google Scholar). We sought peer-reviewed and grey literature, published in English between January 1980 and August 2021 that identified women (18+) who had experienced DV, from low- or middle-income countries (LMICs), seeking help or health care in a primary care setting of a high-income country (HIC). Nine articles met the inclusion criteria. Findings identify sociocultural and sociopolitical barriers for migrant and refugee women seeking help for DV, which are contextualized within the ecological model. Migration-related factors and fear were major barriers for migrant and refugee women, while kindness, empathy and trust in health-care providers, and children’s well-being were the strongest motivators for help-seeking and disclosure. This review provides insight into an under-researched and marginalized group of victim-survivors and highlights the need for increased awareness, guidance, and continuing education for health-care providers and health-care systems to provide best practice DV care for migrant and refugee women.

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Mapping the health systems response to violence against women: key learnings from five LMIC settings (2015–2020)

Cited by 7 publications

References 34 publications

Assessing the Nepalese health system’s readiness to manage gender-based violence and deliver psychosocial counselling

Assessing the Nepalese health system’s readiness to manage gender-based violence and deliver psychosocial counselling

Gender-Based Violence – Magnitude and Types in Northwest Ethiopia

Seeking Help From Primary Health-Care Providers in High-Income Countries: A Scoping Review of the Experiences of Migrant and Refugee Survivors of Domestic Violence

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