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.

Disclosing Gender-Based Violence During Health Care Visits: A Patient-Centered Approach

2017 ◽  
Vol 35 (23-24) ◽  
pp. 5552-5573 ◽  
Author(s):  
Jessica R. Williams ◽  
Rosa M. Gonzalez-Guarda ◽  
Valerie Halstead ◽  
Jacob Martinez ◽  
Laly Joseph
Keyword(s):  
Health Care ◽  
Human Trafficking ◽  
Health Care System ◽  
Health Care Providers ◽  
Qualitative Content Analysis ◽  
Care Providers ◽  
Gender Based Violence ◽  
Patient Centered ◽  
Gender Based ◽  
Care System

The purpose of this study was to better understand victims’ perspectives regarding decisions to disclose gender-based violence, namely, intimate partner violence (IPV) and human trafficking, to health care providers and what outcomes matter to them when discussing these issues with their provider. Twenty-five participants from racially/ethnically diverse backgrounds were recruited from a family justice center located in the southeastern United States. Two fifths had experienced human trafficking, and the remaining had experienced IPV. Upon obtaining informed consent, semistructured, in-depth interviews were conducted. Interviews were audio recorded and transcribed verbatim. Qualitative content analysis was used to examine interview data. Five primary themes emerged. Three themes focused on factors that may facilitate or impede disclosure: patient–provider connectedness, children, and social support. The fourth theme was related to ambiguity in the role of the health care system in addressing gender-based violence. The final theme focused on outcomes participants hope to achieve when discussing their experiences with health care providers. Similar themes emerged from both IPV and human trafficking victims; however, victims of human trafficking were more fearful of judgment and had a stronger desire to keep experiences private. Cultural factors also played an important role in decisions around disclosure and may interact with the general disparities racial/ethnic minority groups face within the health care system. Recognizing factors that influence patient engagement with the health care system as it relates to gender-based violence is critical. The health care system can respond to gender-based violence and its associated comorbidities in numerous ways and interventions must be driven by the patient’s goals and desired outcomes of disclosure. These interventions may be better served by taking patient-centered factors into account and viewing the effectiveness of intervention programs through a behavioral, patient-centered lens.

scholarly journals Gender Based Violence Among Pregnant Women: A Hospital Based Study

2017 ◽  
Vol 15 (2) ◽  
pp. 44-48 ◽  
Author(s):  
Shrawan Kumar Chaudhary ◽  
Pushpa Chaudhary
Keyword(s):  
Sexual Violence ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Physical Violence ◽  
Medical Science ◽  
Maternity Hospital ◽  
Care Providers ◽  
Psychological Violence ◽  
Gender Based Violence ◽  
Gender Based

Introduction: Gender Based Violence (GBV) is prevalent and exists to some extent in virtually all societies throughout the world. Evidence shows consistent negative effect of violence on health of women particularly. This hidden disease is perceived as a social issue and not a health issue and is often overlooked by health care providers. Methodology: This study was a Cross Sectional descriptive study conducted at national Academy of Medical Science affiliated Paropaker Women's and Maternity Hospital, Kathmandu enrolling 950 pregnant women from the emergency admission room who were interviewed using structured questionnaire from mid march to the end August in the year 2007. Result and discussion: Among 950 women suffered from gender based violence (33.36%). One hundred and fifty women faced psychological violence (47.31%), seventy two clients faced physical violence (22.71%), and forty two women faced sexual violence (13.24%) and rest of them faced all types of violence. Violence was reported during the current pregnancy (41.32%). Husbands were perpetrator of violence for almost on third of women (34.06%), followed by mother in low (18.29%). Joint violence by family members was quit common (28.1%). Perpetrator outside family was responsible for approximately 20% of cases. Domestic violence was extremely common accounting for more than four fifty of cases (81.38%). Among sexual violence, (45.45%) women were victim of marital rape. Alcoholism as one of the common reason for wife battering, observed in this study in Maternity Hospital which is still prevalent in Nepal. Often, verbal abuse is an excuse for imposing discipline in the family. Women's economic and emotional dependence on husband could be responsible for the vulnerable status in family. Health seeking behavior following violence was found to be extremely low in this study suggestion gender based violence as a privet matter.

scholarly journals Gender-Based Violence, Perspectives in Latin America and the Caribbean

2020 ◽  
pp. 154041532092476
Author(s):  
Daphne Tsapalas ◽  
Morgan Parker ◽  
Lilian Ferrer ◽  
Margartia Bernales
Keyword(s):  
Health Care ◽  
Latin America ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Social Power ◽  
Gender Violence ◽  
Care Providers ◽  
Gender Based Violence ◽  
The Caribbean ◽  
Gender Based

Introduction: To address the phenomenon of gender-based violence in Latin America and the Caribbean is an issue of epic proportion that reflects the unequal power dynamics created within the binary gender system and is often perpetrated by those with more physical, cultural, or social power and inflicted upon those without. Method: Each database was comprehensively searched for MeSH keyword combinations of gender violence (violence against women) or (gender-based violence) with the region of interest (Latin America and the Caribbean) in addition to a third word or phrase regarding health care (health care training, training, health care curricula, curricula, health care professionals). Results: After completing this scope review, we have found a widespread call for more comprehensive preparation for health care professionals involved in identifying and addressing gender-based violence. Conclusions: Though some research has been conducted documenting the ways in which gender-based violence is managed or not managed by health care providers, Latin America and the Caribbean in particular represent a gap in research on health care tools and their effectiveness in these situations. There is a distinct need for the creation of context-specific protocols for vulnerable and underrepresented groups.

scholarly journals Management of services in total quality management implemented and non-implemented health facilities

2021 ◽  
Vol 6 (4) ◽  
pp. 689-696
Author(s):  
Muhsina Begum ◽  
Ashees Kumar Saha ◽  
Sheuly Begum ◽  
Nasima Akhter ◽  
Pritikona Borua ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Management ◽  
Total Quality Management ◽  
Health Care Providers ◽  
Service Providers ◽  
Health Facilities ◽  
Working Environment ◽  
Care Providers ◽  
Total Quality ◽  
Medical College

5S-CQI-TQM is a management technique that is aimed at bringing satisfaction of staff as well as the patients through improvement of working environment. A cross-sectional comparative study was carried out among 226 respondents who were selected purposively from the selected study place from 1st January to 31st December 2017. Among 226 respondents, 113 were taken from Dhaka Medical College and another 113 were taken from Mugdha Medical College. Among 113 respondents, 56 respondents were health care providers and 57 respondents were health care receivers. The purpose of this study to compare the management of services in Total Quality Management implemented (Dhaka Medical College and Hospital) and non-implemented (Mugdha Medical College and Hospital) health facilities. A Semi-structured interviewer administered questionnaire and an observational check list were developed to collect the data. Separate questionnaire was used for health care providers and health care receivers. The statistical analysis was conducted using SPSS (statistical package for social science) version 20 statistical software. Significant statistical differences were found between TQM implemented and TQM non-implemented hospital regarding workload (p=0.043), hospital authority always seriously consider staff’s suggestions for the improvement of quality of service (p<0.001), employees always respect to each other in the hospital (p<0.001) and 35 (62.5%) service providers expressed satisfactory opinion regarding management of the hospital. Asian J. Med. Biol. Res. December 2020, 6(4): 689-696

scholarly journals Assessment of the Implementation of Tuberculosis and Diabetes Care in health systems: A Situational Analysis in Western Nigeria for consideration

2019 ◽  
Author(s):  
ASAGA MAC PETER ◽  
JUDE OSAGIE Aighobahi.
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Health Care Providers ◽  
Health Facilities ◽  
Situational Analysis ◽  
Care Providers ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Low Middle Income Countries ◽  
Diabetes Patients

Abstract Background: Tuberculosis (TB) coexists with other non-communicable diseases (NCDs), including Diabetes Mellitus (DM). Smoking increases the risk of TB as well as DM. Health systems are poorly prepared in many low middle income countries (LMICs) and are currently facing the "triple burden of smoking, TB, and DM" that drives these countries into the vicious cycle of poverty. Methods: A cross-sectional study method was carried out to assess the proportion of TB care centers that included integration measures for diabetic care as well as those providing DM care that included integration measures for TB. A list of 49 health care centers in Lagos offering TB care and managing Diabetes patients were recruited. A focus Group Discussion(FGD) and Individual interviews were conducted to investigate health care providers ' knowledge, attitudes and practices and the barriers encountered in the process of integrating TB and DM care. Results: Out of the 49 health care centres recruited in this study, 6% of health care units are aware of a surveillance to screen for diabetes in tuberculosis patients, while 2% of health facilities confirmed awareness of a surveillance to screen for tuberculosis in diabetes patients. 91% of health centres either verified the lack of or no understanding of monitoring of both diseases. The percentage of health facilities that have existing guideline on TB and DM screening was evaluated, it was perceived that 8% of health facilities had implemented a guideline to screen for DM in TB patients, while 4% of these Care Centres have implemented a guideline for diabetes patients to be screened for TB. Conclusion TB/DM integrative screening, treatment and management could be better attained if both co-morbidities integration program is initiated in the healthcare centres and policies of western states and Nigeria as a whole.

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