Barriers and Facilitators to Integrating Health Service Responses to Intimate Partner Violence in Low- and Middle-Income Countries: A Comparative Health Systems and Service Analysis.
Barriers and Facilitators to Integrating Health Service Responses to Intimate Partner Violence in Low- and Middle-Income Countries: A Comparative Health Systems and Service Analysis.
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DOI：
10.1111/sifp.12021
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发表时间：
2017-06
影响因子：
2.1
通讯作者：
Mayhew SH
中科院分区：
文献类型：
--
作者：
Colombini M;Dockerty C;Mayhew SH
本系统综述综合了11项关于低收入和中等收入国家卫生部门对亲密伴侣暴力(IPV)反应的研究。在应对IPV方面最为全面和综合的服务主要是在初级保健和产前保健环境中。调查结果表明，以下促进者很重要：提供明确的指导方针、政策或协议；管理支持；与明确、可获得的现场和非现场转诊选项进行部门间协调；充足和训练有素的工作人员，对IPV幸存者持接受和同情的态度；对卫生工作者进行初步和持续的培训；以及制定新的IPV方案的支持性和监督性环境。综合程度最高的答复的一个关键特征是不同个别因素之间的联系或“联系”。无论他们的服务切入点如何，至关重要的是相互关联的系统一级的反应，所有要素都以协调的方式实施。
This systematic review synthesizes 11 studies of health‐sector responses to intimate partner violence (IPV) in low‐ and middle‐income countries. The services that were most comprehensive and integrated in their responsiveness to IPV were primarily in primary health and antenatal care settings. Findings suggest that the following facilitators are important: availability of clear guidelines, policies, or protocols; management support; intersectoral coordination with clear, accessible on‐site and off‐site referral options; adequate and trained staff with accepting and empathetic attitudes toward survivors of IPV; initial and ongoing training for health workers; and a supportive and supervised environment in which to enact new IPV protocols. A key characteristic of the most integrated responses was the connection or “linkages” between different individual factors. Irrespective of their service entry point, what emerged as crucial was a connected systems‐level response, with all elements implemented in a coordinated manner.
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影响因子：
4.5
作者：
Abramsky T;Watts CH;Garcia-Moreno C;Devries K;Kiss L;Ellsberg M;Jansen HA;Heise L
通讯作者：
Heise L
影响因子：
3.7
作者：
Joyner, Kate;Mash, Robert
通讯作者：
Mash, Robert
影响因子：
4.5
作者：
Colombini, Manuela;Mayhew, Susannah H.;Watts, Charlotte
通讯作者：
Watts, Charlotte
影响因子：
4
作者：
Colombini, Manuela;Ali, Siti Hawa;Mayhew, Susannah H.
通讯作者：
Mayhew, Susannah H.
影响因子：
2.8
作者：
Joyner, Kate;Mash, Bob
通讯作者：
Mash, Bob