scholarly journals Barriers to women's disclosure of Domestic Violence in health services in Palestine: qualitative interview-based study

2020 ◽  
Author(s):  
Amira Shaheen ◽  
Suzy Ashkar ◽  
Abdulsalam Alkaiyat ◽  
Loraine Bacchus ◽  
Manuela Colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women.Methods In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically.Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence.Conclusions Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Barriers to disclosure of domestic violence in health services in Palestine:  qualitative interview-based study

2020 ◽  
Author(s):  
Amira Shaheen ◽  
suzy ashkar ◽  
abdulsalam alkaiyat ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Barriers to women’s disclosure of domestic violence in health services in Palestine: qualitative interview-based study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Amira Shaheen ◽  
Suzy Ashkar ◽  
Abdulsalam Alkaiyat ◽  
Loraine Bacchus ◽  
Manuela Colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 months' period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Barriers to women's disclosure of Domestic Violence in health services in Palestine: qualitative interview-based study

2020 ◽  
Author(s):  
Amira Shaheen ◽  
suzy ashkar ◽  
abdulsalam alkaiyat ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background: Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods: In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results: Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence.Conclusions: Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Barriers to women's disclosure of Domestic Violence in health services in Palestine: qualitative interview-based study

2020 ◽  
Author(s):  
Amira Shaheen ◽  
suzy ashkar ◽  
abdulsalam alkaiyat ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background: Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods: In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results: Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions: Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Barriers to disclosure of Domestic Violence in health services in Palestine: qualitative interview-based study

2020 ◽  
Author(s):  
Amira Shaheen ◽  
suzy ashkar ◽  
abdulsalam alkaiyat ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract BackgroundDomestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women.MethodsIn-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. ResultsWomen encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence.ConclusionsPalestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Barriers to disclosure of violence against women in health services in Palestine:  qualitative interview-based study

2020 ◽  
Author(s):  
maggie evans ◽  
Amira Shaheen ◽  
gene feder ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Violence Against Women ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background Violence against women (VAW) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of VAW have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods In-depth interviews were carried out with 20 women who had experienced violence from their husbands. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about VAW. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions Palestinian women’s agency to be proactive in help-seeking for VAW is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between VAW and many common presentations such as depression, to ask sensitively about VAW in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in VAW.

scholarly journals Management of Devolved Health Services and Healthcare Service Delivery in Arid and Semi-Arid Lands in Kenya

2019 ◽  
Vol 14 (10) ◽  
pp. 21
Author(s):  
Abdihafid Abdullahi Yarow ◽  
Shadrack Jirma ◽  
Elijah Siringi
Keyword(s):  
Health Care ◽  
Health Services ◽  
Service Delivery ◽  
Fiscal Decentralization ◽  
Care Service ◽  
Health Care Service ◽  
Health Service Delivery ◽  
Arid Lands ◽  
Financial Resources ◽  
Semi Arid

The 2010 Constitution provides a legal framework that guarantees an all-inclusive rights-based approach to health service delivery to Kenyans. It provides that Kenyans are entitled to the highest attainable standards of health, which includes the right to healthcare services including reproductive health care (Article 43). The purpose of this study was to investigate the the extent to which management of devolved health services influence health-care service delivery in Arid and Semi-Arid Lands in Kenya. This study was guided by fiscal decentralization theory and theory of performance improvement, as well as sequential theory of decentralization. This study used a triangulation of both positivism and phenomenology. The population under this study constitute the Sub-Counties in ASAL in Kenya with a sample size of 89 Sub-Counties being sampled and 3 patients from each of the 89 sampled sub counties. This study found that, since the onset of devolution, there has been introduction of more healthcare facilities at counties in ASAL resulting with sub-county leaderships have been largely considering the opinions raised by the residents while implementing health services decisions. Management of devolved health services, healthcare has greatly made health facilities and services more accessible to residents compared to before with the previous five years recording great improvement in the quality of the health services at county health centers. The national government should therefore consider increasing financial resources to counties, which would eventually enhance health manpower for better service delivery. This study therefore recommends that the hospitals management should come up with strategies that can help improve financial resources to fund facilities improvement.

scholarly journals Infecção relacionada a assistência à saúde: uma revisão da literatura

2015 ◽  
pp. 50
Author(s):  
Zildo Alves da Silva ◽  
Luiz Faustino dos Santos Maia ◽  
Iris Maria de Pádua ◽  
Janaina Esser Inácio ◽  
Thaís Macedo Pio
Keyword(s):  
Health Care ◽  
High Risk ◽  
Continuing Education ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Cross Infection ◽  
Patient Health ◽  
Spread Of Infection ◽  
Very High

Este artigo tem por objetivo descrever as intervenções do enfermeiro na prevenção para diminuir as infecções relacionadas com a assistência à saúde por meio de uma revisão da literatura. As infecções tendem a ser um risco muito alto a saúde dos usuários, pois acarreta um maior tempo de tratamento, e possíveis complicações a saúde dos pacientes. A disseminação de infecções em ambiente hospitalar e na assistência do serviço de saúde, com frequência e proveniente da infecção cruzada, é a via de contaminação mais comum ocorre entre as mãos. A educação permanente entre profissionais de saúde, pacientes, familiares e visitantes, é de extrema necessidade para contribuir no controle de infecção.Descritores: Enfermagem, Infecção, Assistência. Infection related to health care: a literature reviewAbstract: This article aims to describe the interventions of nurses in prevention to reduce infections related to health care through a literature review. Infections tend to be a very high risk the health of users since it involves a longer time of treatment, possible complications and patient health. The spread of infection in hospitals and health care service often and from the cross-infection is the most common route of infection is in his hands. The continuing education of health professionals, patients, families and visitors is of extreme necessity to contribute to the control of infection. Descriptors: Nursing, Infection, Assistance. Infección relacionada con la atención de salud: una revisión de la literaturaResumen: Este artículo tiene como objetivo describir las intervenciones de las enfermeras en la prevención para reducir las infecciones relacionadas con la atención de la salud a través de una revisión de la literatura. Las infecciones tienden a ser un muy alto riesgo la salud de los usuarios, ya que implica un tratamiento más largo, y las posibles complicaciones de la salud de los pacientes. La propagación de la infección en los hospitales y servicios de salud a menudo y de la infección cruzada es la vía más común de infección está en sus manos. La formación continuada de los profesionales de salud, los pacientes, las familias y los visitantes es de extrema necesidad de contribuir al control de la infección. Descriptores: Enfermería, Infección, Asistencia.

Health Information for Consumers in Developing Nations

2013 ◽  
Vol 3 (1) ◽  
pp. 22-32 ◽  
Author(s):  
Vasumathi Sriganesh
Keyword(s):  
Health Care ◽  
Health Information ◽  
Health Professionals ◽  
Care Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Sources Of Information ◽  
Information Time ◽  
Structured Approach ◽  
Actual Health

Health information, both professional as well as consumer oriented, is an important component of the health care service. Professionals constantly need information for academics, research, preventive care, treatment and also to stay updated and to create and update health policies. Consumers need health information to stay healthy and to manage diseases and conditions. Generic search engines like Google and Yahoo answers are utilized extensively for getting health information (Akerkar & Bichile, 2004). However while utilizing these engines information seekers most often have to sift through volumes of data that often includes questionable sources of information. Health professionals face lacunae in receiving training about information resources and databases, and structured approach to searching these. Both consumers and health professionals spend far too much time searching for information, time that could be utilized much better in the actual health care delivery process. This article describes a medical librarian’s journey from being a health information consumer to a health information provider both to health professionals and consumers.

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