Enhancing agency for health providers and pregnant women experiencing intimate partner violence in South Africa.
Enhancing agency for health providers and pregnant women experiencing intimate partner violence in South Africa.
复制标题
DOI：
10.1080/17441692.2020.1780290
复制
发表时间：
2020-12
影响因子：
3.3
通讯作者：
Hatcher AM
中科院分区：
文献类型：
--
作者：
Sprague C;Woollett N;Hatcher AM
全球政策框架呼吁加强卫生系统在解决亲密伴侣暴力和支持妇女机构方面的作用，但在中低收入国家，卫生系统应对措施的证据仍然很少。在南非，25-35%的孕妇患有IPV，构成长期健康风险。我们利用代理作为一个理论结构，应用定性方法调查卫生专业人员的经验，随机对照试验干预措施，以解决IPV在怀孕妇女在五个产前诊所（ANC）在约翰内斯堡（2011年至2016年）。深入访谈（n=16）由参与者观察，汇报和实地笔记补充。卫生服务提供者认为，干预措施是加强健康促进机构和促进IPV暴露患者的求助机构。干预护士报告自己的自我效能提高，他们的关系和集体机构扩大。持续的监督、指导和反馈对于提供者建立必要的知识和技能建设至关重要，以提高提供干预措施的自我效能。建议将心理健康服务纳入初级ANC服务。研究结果提供了对LMIC卫生环境尚未开发的潜力的深入了解，以促进妇女的机构，健康，人权和可持续发展目标的方式，为患者和卫生专业人员成为变革性的，对性别敏感的社会系统。
Global policy frameworks call for strengthening the role of health systems to address intimate partner violence (IPV) and support women’s agency, yet the evidence of health system responses remains slender in low-and-middle-income-countries (LMICs). In South Africa, 25–35% of pregnant women experience IPV, posing long-term health risks. We utilised agency as a theoretical construct, applying qualitative methods to investigate health professionals’ experiences of a randomised controlled trial intervention to address IPV in pregnant women in five antenatal clinics (ANC) in Johannesburg (2011–2016). In-depth interviews (n=16) were supplemented by participant observation, debriefing and field notes. Health providers viewed the intervention as enhancing health promotion agency and advancing help-seeking agency for IPV-exposed patients. Intervention nurses reported their own self-efficacy improved, and their relational and collective agency expanded. Ongoing supervision, mentorship and feedback were essential to establish the knowledge and skill-building necessary for providers to improve self-efficacy in intervention delivery. Integrating mental health services into primary ANC services is recommended. Findings offer insight into the untapped potential for LMIC health settings to become transformative, gender-responsive social systems, for patients and health professionals, in ways that advance women’s agency, health, human rights and SDGs.
登录
查看更多内容
影响因子：
5.4
作者：
Boonzaier, F
通讯作者：
Boonzaier, F
高度边缘化妇女代理权的概念化： 极端环境下的亲密伴侣暴力
影响因子：
3.3
作者：
Campbell, Catherine;Mannell, Jenevieve
通讯作者：
Mannell, Jenevieve
影响因子：
2.5
作者：
Honikman, Simone;Field, Sally;Cooper, Sara
通讯作者：
Cooper, Sara
DOI：
10.7196/samj.4274
发表时间：
2010-09-01
期刊：
SAMJ: South African Medical Journal
影响因子：
--
作者：
Gass, Jesse D;Stein, Dan J;Seedat, Soraya
通讯作者：
Seedat, Soraya
影响因子：
168.9
作者：
Coovadia, Hoosen;Jewkes, Rachel;McIntyre, Diane
通讯作者：
McIntyre, Diane