scholarly journals Domestic Violence Against Women Perpetrated by Intimate Partner: Professionals’ Social Representations in Primary Health Care / Violência Doméstica Contra a Mulher Perpetrada por Parceiro Íntimo: Representações Sociais de Profissionais da Atenção Primária à Saúde

2018 ◽  
Vol 10 (3) ◽  
pp. 770
Author(s):  
Walquíria Jesusmara dos Santos ◽  
Patrícia Peres de Oliveira ◽  
Selma Maria da Fonseca Viegas ◽  
Thiago Magela Ramos ◽  
Aryanne Gabrielle Policarpo ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Primary Health Care ◽  
Violence Against Women ◽  
Social Representations ◽  
Intimate Partner ◽  
Minas Gerais ◽  
Primary Health ◽  
Domestic Violence Against Women ◽  
Violencia Domestica

Objetivo: Compreender as representações sociais de profissionais da Atenção Primária à Saúde sobre violência contra a mulher perpetrada por parceiro íntimo.Método: Pesquisa qualitativa com o enfoque nas Representações Sociais, analisado pela Análise Estrutural da Narração. Foram realizados oito grupos focais, o número de participantes variou de 8 a 12, totalizando 53 profissionais de oito unidades de Atenção Primária à Saúde de um município de Minas Gerais, Brasil.Resultados: Emergiram duas categorias: 1. Do ditado popular à banalização da violência conjugal contra mulheres, identificando-se os núcleos de sentido: “não se interfere em briga de casal”; “naturalização da violência legitimada nas representações sociais. 2. Representações sociais numa perspectiva de gênero, decorrida dos núcleos de sentido: “representações associadas aos papeis de gênero”; “imputação de culpa à mulher”.Conclusão: O estudo demonstrou que a violência contra as mulheres é legitimada, aceita e tolerada nas falas dos participantes, como algo imputado/inerente à mulher.

scholarly journals Domestic violence against women, public policies and community health workers in Brazilian Primary Health Care

2018 ◽  
Vol 23 (1) ◽  
pp. 93-102 ◽  
Author(s):  
Marcos Claudio Signorelli ◽  
Angela Taft ◽  
Pedro Paulo Gomes Pereira
Keyword(s):  
Public Health ◽  
Health Care ◽  
Domestic Violence ◽  
Primary Health Care ◽  
Community Health ◽  
Violence Against Women ◽  
Health Workers ◽  
Health Unit ◽  
Primary Health ◽  
Domestic Violence Against Women

Abstract Domestic violence creates multiple harms for women's health and is a ‘wicked problem’ for health professionals and public health systems. Brazil recently approved public policies to manage and care for women victims of domestic violence. Facing these policies, this study aimed to explore how domestic violence against women is usually managed in Brazilian primary health care, by investigating a basic health unit and its family health strategy. We adopted qualitative ethnographic research methods with thematic analysis of emergent categories, interrogating data with gender theory and emergent Brazilian collective health theory. Field research was conducted in a local basic health unit and the territory for which it is responsible, in Southern Brazil. The study revealed: 1) a yawning gap between public health policies for domestic violence against women at the federal level and its practical application at local/decentralized levels, which can leave both professionals and women unsafe; 2) the key role of local community health workers, paraprofessional health promotion agents, who aim to promote dialogue between women experiencing violence, health care professionals and the health care system.

scholarly journals How to screen for domestic violence against women in primary health care centers

2013 ◽  
Vol 49 (1) ◽  
pp. 89-94 ◽  
Author(s):  
Ghaleb D. Almutairi ◽  
Mohammad R. Alrashidi ◽  
Ali T. Almerri ◽  
Mohamed I. Kamel ◽  
Medhat El-Shazly
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Primary Health Care ◽  
Violence Against Women ◽  
Primary Health ◽  
Domestic Violence Against Women ◽  
Primary Health Care Centers ◽  
Health Care Centers

Adaptive work in the health care response to domestic violence in Palestine

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Bacchus ◽  
A Alkaiyat ◽  
A Shaheen ◽  
A Alkhayyat ◽  
H Od ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Primary Health Care ◽  
Violence Against Women ◽  
Health Care Providers ◽  
Process Theory ◽  
Normalisation Process Theory ◽  
Care Providers ◽  
Primary Health ◽  
Adaptive Work

Abstract Background A health system response to domestic violence against women is a global priority. However, little is known about whether or how they work in LMICs where there are greater structural barriers. HERA (HEalthcare Responding to violence and Abuse) aimed to strengthen the primary healthcare response to domestic violence in the West Bank of Palestine. Methods The sample for the qualitative study was 18 participants at two primary health care clinics and included five women, nine primary health care providers, two gender-based violence focal points and two domestic violence trainers. Data were analysed using thematic analysis drawing an Extended Normalisation Process Theory (ENPT) and feminist scholarship. We collected data on identification and referral of domestic violence cases. Results HERA interacted with political, sociocultural and economic aspects of the context, creating a degree of unpredictability and uncertainty in working of the intervention. The political occupation restricted women's movement and access to support services, whilst the concomitant lack of police protection left providers and women feeling exposed to acts of family retaliation. This was interwoven with cultural values that influenced participants' choices as they negotiated normative structures that reinforce violence against women. Participants engaged in adaptive work to negotiate these challenges and ensure that implementation was safe and workable within a context of constraints. Participant narratives highlight the use of subterfuge, hidden forms of agency and governing behaviours (of self and others) to ensure the safety of all involved during implementation. Conclusions The findings have implications for how HERA can be sustained in the long-term, particularly with regards to the provision of support for women. Support at all levels within the health system is needed to enable change and strengthen the response to violence against women. Key messages Health care providers and women worked with and around contextual constraints. The transformation of the clinic case manager role is an emergent feature of HERA. Extended Normalisation Process Theory helped to articulate nuances about intervention-context interactions.

Domestic Violence again Women in Sri Lanka: The Role of Primary Health Care in Complementing Human Rights and Legal Responses

2007 ◽  
Vol 13 (1) ◽  
pp. 52 ◽  
Author(s):  
Loshan N Moonesinghe ◽  
Simon Barraclough
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Human Rights ◽  
Primary Health Care ◽  
Sri Lanka ◽  
Violence Against Women ◽  
Service Providers ◽  
Legal Rights ◽  
Primary Health ◽  
The Government

Using an analysis of primary documents and secondary sources, the problem of domestic violence against women in Sri Lanka is surveyed from the perspectives of public health, as well as human and legal rights. The limited Sri Lankan literature on the measurements, context and prevalence of such violence, as well as legislation for its prevention, is reviewed. Responses to the problem by the government and non-government organisations are described. These include using international organisations, forums and conventions to further the human rights dimensions of the problem, the establishment of support services and domestic legal reforms to accord greater protection to women. While The Prevention of Domestic Violence Act 2005 gave legislative recognition to the problem and put into place some welcome reforms, it lacked a comprehensive response to the problem. It is argued that health service providers need to be trained to be aware of domestic violence as the potential cause of physical injuries and mental conditions and that the medical record should document the circumstances and nature of domestic violence. Hospital outpatient departments should offer counselling, referrals to crisis centres and shelters, and should collect sex disaggregated data on domestic assaults. Finally, primary health care workers can both support women in dealing with domestic violence as well as performing a sentinel role in prevention. Specific and comprehensive public policy on violence against women must be developed to allow the health sector to play its role within a context of inter-sectoral collaboration.

scholarly journals Adaptive work in the primary health care response to domestic violence in occupied Palestinian territory: a qualitative evaluation using Extended Normalisation Process Theory

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Loraine J. Bacchus ◽  
Abdulsalam Alkaiyat ◽  
Amira Shaheen ◽  
Ahmed S. Alkhayyat ◽  
Heba Owda ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Primary Health Care ◽  
Health System ◽  
Violence Against Women ◽  
Case Managers ◽  
Normalisation Process Theory ◽  
System Response ◽  
Primary Health ◽  
Adaptive Work

Abstract Background A health system response to domestic violence against women is a global priority. However, little is known about how these health system interventions work in low-and-middle-income countries where there are greater structural barriers. Studies have failed to explore how context-intervention interactions affect implementation processes. Healthcare Responding to Violence and Abuse aimed to strengthen the primary healthcare response to domestic violence in occupied Palestinian territory. We explored the adaptive work that participants engaged in to negotiate contextual constraints. Methods The qualitative study involved 18 participants at two primary health care clinics and included five women patients, seven primary health care providers, two clinic case managers, two Ministry of Health based gender-based violence focal points and two domestic violence trainers. Semi-structured interviews were used to elicit participants’ experiences of engaging with HERA, challenges encountered and how these were negotiated. Data were analysed using thematic analysis drawing on Extended Normalisation Process Theory. We collected clinic data on identification and referral of domestic violence cases and training attendance. Results HERA interacted with political, sociocultural and economic aspects of the context in Palestine. The political occupation restricted women’s movement and access to support services, whilst the concomitant lack of police protection left providers and women feeling exposed to acts of family retaliation. This was interwoven with cultural values that influenced participants’ choices as they negotiated normative structures that reinforce violence against women. Participants engaged in adaptive work to negotiate these challenges and ensure that implementation was safe and workable. Narratives highlight the use of subterfuge, hidden forms of agency, governing behaviours, controls over knowledge and discretionary actions. The care pathway did not work as anticipated, as most women chose not to access external support. An emergent feature of the intervention was the ability of the clinic case managers to improvise their role. Conclusions Flexible use of ENPT helped to surface practices the providers and women patients engaged in to make HERA workable. The findings have implications for the transferability of evidenced based interventions on health system response to violence against women in diverse contexts, and how HERA can be sustained in the long-term.

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