Multilevel Determinants of Integrated Service Delivery for Intimate Partner Violence and Mental Health in Humanitarian Settings.
Multilevel Determinants of Integrated Service Delivery for Intimate Partner Violence and Mental Health in Humanitarian Settings.
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DOI：
10.3390/ijerph182312484
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发表时间：
2021-11-26
影响因子：
--
通讯作者：
McGovern TM
中科院分区：
文献类型：
--
作者：
Greene MC;Bencomo C;Rees S;Ventevogel P;Likindikoki S;Nemiro A;Bonz A;Mbwambo JKK;Tol WA;McGovern TM
机构间准则建议，人道主义环境中亲密伴侣暴力行为的幸存者应按照以幸存者为中心的方针获得多部门服务。提供跨部门的综合服务具有挑战性，在实践中往往达不到期望。在这项研究中，我们探讨了影响实施多部门，综合干预，旨在减少心理困扰和亲密伴侣的暴力行为在Nyarugusu难民营，坦桑尼亚的因素。我们分析了来自捐助者、法律的和政策文件的案头审查的数据;通过15次访谈和6次焦点小组讨论进行的基于性别的暴力服务绘图;以及与参与实施综合心理社会计划的29个利益相关者进行的定性过程评估。我们确定了在结构、机构间、机构内以及社会和人际层面为亲密伴侣暴力的难民幸存者实施多部门综合干预的挑战。成功实施的关键决定因素包括法律的背景、筹资、机构间协调、参与和自主权以及管理相互竞争的优先事项的能力。为亲密伴侣暴力行为的幸存者采取多部门综合应对措施是一项复杂的工作，并受到从政策和筹资到机构和利益攸关方参与等相互关联的因素的影响。需要进一步投资于确定战略，以克服执行符合全球准则的多部门办法方面的现有挑战，以有效应对人道主义环境中亲密伴侣暴力行为的负担。
Inter-agency guidelines recommend that survivors of intimate partner violence in humanitarian settings receive multisectoral services consistent with a survivor-centered approach. Providing integrated services across sectors is challenging, and aspirations often fall short in practice. In this study, we explore factors that influence the implementation of a multisectoral, integrated intervention intended to reduce psychological distress and intimate partner violence in Nyarugusu Refugee Camp, Tanzania. We analyzed data from a desk review of donor, legal, and policy documents; a gender-based violence services mapping conducted through 15 interviews and 6 focus group discussions; and a qualitative process evaluation with 29 stakeholders involved in the implementation of the integrated psychosocial program. We identified the challenges of implementing a multisectoral, integrated intervention for refugee survivors of intimate partner violence at the structural, inter-institutional, intra-institutional, and in social and interpersonal levels. Key determinants of successful implementation included the legal context, financing, inter-agency coordination, engagement and ownership, and the ability to manage competing priorities. Implementing a multisectoral, integrated response for survivors of intimate partner violence is complex and influenced by interrelated factors from policy and financing to institutional and stakeholder engagement. Further investment in identifying strategies to overcome the existing challenges of implementing multisectoral approaches that align with global guidelines is needed to effectively address the burden of intimate partner violence in humanitarian settings.
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影响因子：
2.4
作者：
Gordon, Dara;McKay, Sandra;Shaw, James
通讯作者：
Shaw, James
影响因子：
3.6
作者：
Greene, M. Claire;Rees, Susan;Tol, Wietse A.
通讯作者：
Tol, Wietse A.
影响因子：
2.8
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通讯作者：
Agnew-Davies, Roxane
影响因子：
8.1
作者：
Bennett, Sara;Glandon, Douglas;Rasanathan, Kumanan
通讯作者：
Rasanathan, Kumanan
影响因子：
2.7
作者：
Axelsson, R;Axelsson, SB
通讯作者：
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