Assessment of health‐sector response to gender‐based violence at different levels of health facilities in Bhutan (2015–2016)

2021 ◽  
Author(s):  
Norbu Norbu ◽  
Kinley Zam
Keyword(s):  
Health Sector ◽  
Health Facilities ◽  
Gender Based Violence ◽  
Gender Based ◽  
Different Levels

scholarly journals Are we equipped with serving the right care? Implications for program responses regarding gender-based violence

2020 ◽  
Author(s):  
Khaing Nwe Tin ◽  
Myitzu Tin Oung ◽  
Su Su Yin ◽  
Kyaw Ko Ko Htet ◽  
Kyaw Thu Hein ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Violence ◽  
Health Care Providers ◽  
Health Sector ◽  
Health Facilities ◽  
Care Providers ◽  
Gender Based Violence ◽  
Management Guideline ◽  
Gender Based ◽  
Skilled Staff

Abstract Background Globally, 35% of women have experienced gender-based violence (GBV) which seriously affects all aspects of women’s health. While health sector must play a key role in response, there are many barriers for GBV survivors to access health services, especially in developing countries including Myanmar. Limitations of health sector in provision of quality services to GBV survivors, healthcare providers’ knowledge, attitude, experience and service availability and readiness, should be explored as an initial step for the improvement of health care response to GBV survivors. Methods This study was a cross-sectional descriptive study conducted in four purposively selected townships with higher number GBV cases. Face-to-face interviews were done to all health care providers (n=233) from public health facilities using a structured questionnaire. The findings were described as frequency and percentage for categorical data and mean and standard deviation for continuous data. Results Lady Health Visitors and Midwives were mainly involved (88.0%). About two-thirds had heard GBV without probing. Types of violence they mostly described were physical (81.1%) and sexual violence (8.5%). One-third wanted women to be patient to their partners’ violence to maintain family ties. Nearly two-third assumed conflict between husband and wife was not a matter that someone should involve. About 70% had given care to GBV survivors and they provided only injury treatment (76.1%). A quarter of them experienced sexual violence cases, but only 4.9% and 1.2% provided emergency contraception and Sexually Transmitted Infection treatment. Although nearly two third mentioned about psychological counseling in GBV management, 20% provided counseling services to survivors. Absence of standard GBV management guideline, trained and skilled staff for GBV and counseling room at health facilities were issues mostly stated by the respondents. Conclusions Inadequate knowledge, misconceptions and unfavorable attitudes of GBV among health care providers might deter the effectiveness of GBV management at the health sector. In addition, poor management practice together with no standard management guideline, limited skilled staff, inadequate drug supplies and absence of counseling facilities indicated insufficient readiness to provide quality health care responses to GBV surviours in Myanmar.

scholarly journals Are we equipped with serving the right care? Implications for program responses regarding gender-based violence

2019 ◽  
Author(s):  
Khaing Nwe Tin ◽  
Myitzu Tin Oung ◽  
Su Su Yin ◽  
Kyaw Ko Ko Htet ◽  
Kyaw Thu Hein ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Violence ◽  
Health Care Providers ◽  
Health Sector ◽  
Health Facilities ◽  
Care Providers ◽  
Gender Based Violence ◽  
Management Guideline ◽  
Gender Based ◽  
Skilled Staff

Abstract Background Globally, 35% of women have experienced gender-based violence (GBV) which seriously affects all aspects of women’s health. While health sector must play a key role in response, there are many barriers for GBV survivors to access health services, especially in developing countries including Myanmar. Limitations of health sector in provision of quality services to GBV survivors, healthcare providers’ knowledge, attitude, experience and service availability and readiness, should be explored as an initial step for the improvement of health care response to GBV survivors.Methods This study was a cross-sectional descriptive study conducted in four purposively selected townships with higher number GBV cases. Face-to-face interviews were done to all health care providers (n=233) from public health facilities using a structured questionnaire. The findings were described as frequency and percentage for categorical data and mean and standard deviation for continuous data.Results Lady Health Visitors and Midwives were mainly involved (88.0%). About two-thirds had heard GBV without probing. Types of violence they mostly described were physical (81.1%) and sexual violence (8.5%). One-third wanted women to be patient to their partners’ violence to maintain family ties. Nearly two-third assumed conflict between husband and wife was not a matter that someone should involve. About 70% had given care to GBV survivors and they provided only injury treatment (76.1%). A quarter of them experienced sexual violence cases, but only 4.9% and 1.2% provided emergency contraception and Sexually Transmitted Infection treatment. Although nearly two third mentioned about psychological counseling in GBV management, only 20% provided counseling services to survivors. Absence of standard GBV management guideline, trained and skilled staff for GBV and counseling room at health facilities were issues mostly stated by the respondents.Conclusions Inadequate knowledge, misconceptions and unfavorable attitudes of GBV among health care providers might deter the effectiveness of GBV management at the health sector. In addition, poor management practice together with no standard management guideline, limited skilled staff, inadequate drug supplies and absence of counseling facilities indicated insufficient readiness to provide quality health care responses to GBV surviours in Myanmar.

scholarly journals Vision 2030 and the Gender Question in Kenya

2018 ◽  
Vol 1 (1) ◽  
pp. 18
Author(s):  
Catherine Wambui Njagi
Keyword(s):  
International Development ◽  
Relevant Literature ◽  
Health Sector ◽  
Gender Violence ◽  
Gender Based Violence ◽  
Political Processes ◽  
Quality Life ◽  
Secure Environment ◽  
Vision 2030 ◽  
Gender Based

The article sets out to demonstrate the question of gender violence as a critical concern as Kenya seeks to implement her ambitious vision 2030. In other words, how can gender based violence affect the Implementation of Kenya vision 2030? Can it hinder Kenya’s ambitious enterprises in the 21st century? Certainly, Kenya’s Vision 2030 is a long term development blue print that seeks to transform Kenya into a newly industrializing middle income country. In so doing, it aims at providing a high quality life to all its citizens in a clean and secure environment.  The plan is anchored on three pillars, economic, social and political governance. The economic pillar aims to achieve an economic growth rate of 10% per annum; and sustaining the same till 2030 in order to generate more resources that will eventually address Kenya’s development goals. In turn, the social pillar seeks to create just, cohesive and equitable social development in a clean and secure environment; and the political pillar seeks to realize an issue based, people centered, result oriented and accountable democratic system. In view of this, Gender Based Violence is an umbrella term for any harmful act that is perpetrated against a person’s will and which is based on socially ascribed (gender) differences between men and women. Gender-based Violence (GBV) describes the specific type of violence that is linked to the gendered identity of being a woman or man. Gender based Violence traumatizes men, women and children. It destroys careers, and hurts the national economies among other negative effects. The main objective of this article is to show the link between Gender Based Violence and Kenya vision 2030. Methodologically, it starts by summarizing the vision 2030 highlighting its major strategies like education and training, health sector, Equity and poverty reduction, environment management, tourism, water and sanitation, electoral and political processes, democracy and public service, gender and youth among others and major flagship projects like Konza Techno city, expansion of port of Mombasa, the building of standard gauge railway, modernization of Jomo Kenyatta airport, expansion of Lamu  port  among others. Using the society of International development report and other organizations who have constantly audited the implementation of the vision 2030 since it began in 2008, the article will show how gender based violence will slow the achievement of the vision 2030.  It will also show how reducing gender based violence would help in its achievement. The materials in this article have been methodologically gathered through participant observation, reading of relevant literature, field research conducted in 2015 and sampling the city of Nairobi which largely speaks for Kenya and the larger East Africa.

Gender-based Violence Assessment in the Health Sector and Beyond

2017 ◽  
Author(s):  
Michele R. Decker ◽  
Elizabeth Miller ◽  
Nancy Glass
Keyword(s):  
Health Care ◽  
Health Sector ◽  
Evidence Base ◽  
Health Care Sector ◽  
Routine Screening ◽  
Gender Based Violence ◽  
Policy Context ◽  
Gender Based ◽  
The Impact ◽  
Subsequent Intervention

This chapter discusses the rationale and evidence base for routine screening in the health care sector for gender-based violence (GBV) among patients who present for care. The evidence indicates that the impact of screening without subsequent intervention is limited. The chapter also discusses the policy context for GBV screening and makes recommendations for harnessing the potential of the health and other sectors to create safe environments for identifying and assisting GBV victims.

scholarly journals Improving quality of health care for gender-based violence victims at health facilities in Viet Nam

2010 ◽  
Author(s):  
Mai Quoc Tung ◽  
Meiwita Budiharsana ◽  
Nguyen Thi Phuong Lan ◽  
Jane Patten
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Facilities ◽  
Viet Nam ◽  
Gender Based Violence ◽  
Gender Based

Gender-based Violence Assessment in the Health Sector and Beyond

2017 ◽  
pp. 101-128 ◽  
Author(s):  
Michele R. Decker ◽  
Elizabeth Miller ◽  
Nancy Glass
Keyword(s):  
Health Sector ◽  
Gender Based Violence ◽  
Gender Based

scholarly journals Knowledge, Experience and Perception of Gender-Based Violence Health Services: A Mixed Methods Study on Adolescent Girls and Young Women in Tanzania

2021 ◽  
Vol 18 (16) ◽  
pp. 8575
Author(s):  
Caroline Mtaita ◽  
Samuel Likindikoki ◽  
Maureen McGowan ◽  
Rose Mpembeni ◽  
Elvis Safary ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health Services ◽  
Service Quality ◽  
Adolescent Girls ◽  
Young Women ◽  
Health Facilities ◽  
Good Knowledge ◽  
Local Health ◽  
Gender Based Violence ◽  
Gender Based

Many adolescent girls and young women (AGYW) experience gender–based violence (GBV) in Tanzania and only few seek GBV health services following violence. The objectives of our study are (1) to evaluate knowledge of gender–based violence among AGYW, (2) to explore their perceptions of and experiences with GBV health service quality and (3) to evaluate access to comprehensive GBV services. This study employed an explanatory, sequential mixed methods design in two districts of Dar es Salaam, Tanzania (Kinondoni and Temeke). A quantitative cross–sectional survey among AGYW (n = 403) between 15–24 years old was performed to assess their knowledge of GBV as well as perceptions of and experiences with GBV health services. The quantitative data was complemented by 20 semi–structured in–depth interviews with participants. Out of 403 study participants, more than three quarters (77.9%) had moderate to good knowledge of how GBV is defined and what constitutes gender-based violence. However, few participants (30.7%, n = 124) demonstrated knowledge of GBV health services offered at local health facilities. For example, only 10.7% (n = 43) of participants reported knowledge of forensic evidence collection. Additionally, of 374 participants (93% of total participants) who reported to have received GBV education sessions, only 66% accessed GBV health services (n = 247) and about half of these (52.7%, n = 130) were satisfied with these services. The study indicated that–despite good knowledge about what constituted GBV–knowledge about the roles and availability of GBV health services was limited and utilization of GBV health services remained low. Coordinated actions need to be strengthened to reach AGYW who remain unaware of GBV health services offered at health facilities by improving GBV service quality, bettering interventions aimed at reducing GBV among AGYW in Tanzania, and scaling–up integrated service models, such as GBV one-stop centers.

Gender-Based Violence, Human Rights, and the Health Sector: Lessons from Latin America

2002 ◽  
Vol 6 (1) ◽  
pp. 177 ◽  
Author(s):  
Alessandra Guedes ◽  
Sarah Bott ◽  
Ana Guezmes ◽  
Judith F. Helzner
Keyword(s):  
Human Rights ◽  
Latin America ◽  
Health Sector ◽  
Gender Based Violence ◽  
Gender Based

scholarly journals Domestic violence in the Old Testament and during the COVID-19 pandemic: A question of identity

2021 ◽  
Vol 77 (2) ◽  
Author(s):  
Tiana Bosman
Keyword(s):  
Domestic Violence ◽  
Old Testament ◽  
Biblical Studies ◽  
Confined Space ◽  
Gender Based Violence ◽  
Male Perpetrators ◽  
The World ◽  
Gender Based ◽  
State Of Affairs ◽  
Different Levels

With the global COVID-19 pandemic and different levels of lockdown being enforced across the world, domestic violence has escalated at an alarming rate. The restrictions on movement that lockdown has placed on countless women forced them to share a confined space with their abusers and the effects of this abuse are devastating. These women’s identities are at stake. In a space dominated by their male perpetrators, they are at risk of becoming mere shadows of their former selves. All too often, they also lose their lives. This dire state of affairs brings to mind two women in the Old Testament, Tamar of Genesis 38 and Tamar of 2 Samuel 13, and how they were subjected to domestic violence. This article studies the plight of these women. Through the exegesis of these narratives, I highlight the similarities between the accounts of domestic violence and what we see globally today. The aim of this study is to add the names of the biblical Tamars to our collective list of names of women for whom we unite weekly against gender-based violence in the #ThursdaysInBlack campaign.Contribution: This is a contribution from the field of biblical studies. The exegesis of two Old Testament narratives highlights the similarities between ancient accounts of domestic violence in situations of lockdown and what we see globally today. It calls for a recognition of women spanning the course of history who have suffered domestic violence.

scholarly journals Health Sector Interventions to address Gender Based Violence: in Sri Lanka

2020 ◽  
Vol 6 (5) ◽  
pp. 246-248
Author(s):  
JLHR Wijegunasekara ◽  
◽  
KDP Wijesinghe ◽  
Keyword(s):  
Sri Lanka ◽  
Health Sector ◽  
Medical Officer ◽  
Well Being ◽  
Gender Based Violence ◽  
Service Centre ◽  
Efficiency And Effectiveness ◽  
One Stop ◽  
Gender Based ◽  
Social Counseling

Gender Based Violence (GBV) is a common form of violence globally and includes physical, sexual, emotional and economic violence. GBV has serious consequences for women’s health and well-being and takes a high national cost for the treatment and rehabilitation. Prevalence of GBV is usually underestimated. GBV is addressed globally using good practices in justice, health, education and multi- sector. Health sector is in a valuable position to support survivors and change social attitudes. Interventions taken in the health sector should be targeted at all three levels; primary prevention, secondary prevention and tertiary prevention. There are different models used in health care settings in different countries. “Mithuru Piyasa (in Sinhalese) / Natpu Nilayam (in Tamil)” which is staffed with a medical officer and a nursing officer was introduced in Sri Lanka as a “One Stop Crisis Centre/One Stop Service Centre” for survivors within the health institutions. Its main functions are screening, medical care, befriending services, risk assessment and safety planning, referral to legal, social, counseling and rehabilitation services, advocacy and community mobilization. Services are provided adhering to its guiding principles of safety, confidentiality, respect, non - discrimination, responsibility, competence and compassion. Documentation, Information management, progress review and evaluation are carried out for the sustainability of the service. Still this opportunity is not fully utilized. Service provision is not uniform in quality, coverage, equity, efficiency and effectiveness. Administrators are expected to develop their interest and pay their attention with priority, in supporting the functioning of these centres established under outpatient department by proper operation, expanding country wide and marketing.

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