Perceptions of females about trauma-informed services for survivors of sexual violence in south western Uganda- a qualitative study.
Perceptions of females about trauma-informed services for survivors of sexual violence in south western Uganda- a qualitative study.
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DOI：
10.1186/s12889-021-12227-0
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发表时间：
2021-11-23
影响因子：
4.5
通讯作者：
Mubangizi V
中科院分区：
文献类型：
--
作者：
Amwiine E;Ainembabazi B;Obwona I;Opoka R;Akatuhumuriza M;Niyonzima V;Mubangizi V
性暴力是全球和地方的一个公共卫生问题，为减轻其后果，提供了了解创伤情况的服务。有几项研究评估了这些了解创伤的性暴力服务的质量和接受情况。本研究的目的是；1)评估参与者对创伤告知服务的知识；2)探索女性对创伤告知服务的态度；3)评估与创伤告知服务利用相关的不同因素。本研究采用描述性横断面定性设计。参与者是乌干达西南部Sheema区的Kyangyenyi第三保健中心和Kigarama第三保健中心的女性。我们对所有参与者使用了有目的的抽样程序，然后对女性进行了连续抽样。数据;使用深度访谈指南收集了关于性暴力创伤知情服务的知识、对创伤知情服务的态度以及影响创伤知情服务利用的因素。数据采用主题内容分析法进行分析。我们采访了32位参与者。性暴力非常普遍，这是社区的一个大问题。许多受访者对创伤知情服务不敏感。他们中的大多数人只知道艾滋病毒治疗。我们的研究表明，很大一部分女性在遭受性侵犯后没有寻求服务，因为害怕犯罪者，受影响的家庭和当局的贿赂，甚至害怕家庭破裂和污名化。贿赂盛行，道路网络落后，医疗服务不足。这些阻碍了性暴力幸存者利用创伤信息服务。在为性暴力幸存者提供创伤信息服务方面存在知识缺口。社区里有性暴力。有关当局需要在民众中进行宣传，以消除对服务的无知问题，并评估卫生工作者在提供创伤知情服务方面的能力。
Sexual violence is a public health concern globally and locally, and trauma-informed services are put in place to mitigate its consequences. A few studies have evaluated the quality and uptake of these trauma-informed services for sexual violence. This study aimed at; i) assessing the knowledge of participants about trauma-informed services, ii) exploring the attitudes of females about trauma-informed services, and iii) assessing different factors associated with the utilization of trauma-informed services. This study employed a descriptive cross-sectional qualitative design. The participants were females at Kyangyenyi health center III and Kigarama health center III in Sheema district, southwestern Uganda. We used a purposive sampling procedure for all participants and then a consecutive sampling of females. Data about; knowledge of trauma-informed services for sexual violence, attitudes towards trauma-informed services, and factors influencing the utilization of trauma-informed services were collected using an in-depth interview guide. Data were analyzed using thematic content analysis. We interviewed 32 participants. There was a high prevalence of sexual violence, and it was a big concern in the community. Many of the respondents were not sensitized about trauma-informed services. Most of them knew only about HIV treatment. Our study shows that a good section of females did not seek the services after being sexually violated due to the fear of the perpetrator, bribing of the family of the affected and authorities, or even fear of family breakup and stigmatization. There were a lot of bribery, poor road networks, and inadequate health care services. These hindered survivors of sexual violence from utilizing trauma-informed services. There was a knowledge gap about trauma-informed services for survivors of sexual violence. There was sexual violence in the community. Sensitization needs to be done among the populations by respective authorities to iron out issues of ignorance about the services and health workers evaluated for competence in offering the trauma-informed services.
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影响因子：
2.5
作者：
Kabwama, Steven Ndugwa;Bukenya, Justine;Wanyenze, Rhoda K.
通讯作者：
Wanyenze, Rhoda K.
影响因子：
4.4
作者：
Roland, Michelle E.;Myer, Landon;Denny, Lynette A.
通讯作者：
Denny, Lynette A.
DOI：
10.1007/s11414-011-9256-9
发表时间：
2011-10-01
影响因子：
1.9
作者：
Rosenberg, Linda
通讯作者：
Rosenberg, Linda
影响因子：
1.5
作者：
Ajema, C.;Mukoma, W.;Otwombe, K.
通讯作者：
Otwombe, K.
影响因子：
3
作者：
Gatuguta A;Katusiime B;Seeley J;Colombini M;Mwanzo I;Devries K
通讯作者：
Devries K