One stop crisis centres: A policy analysis of the Malaysian response to intimate partner violence
One stop crisis centres: A policy analysis of the Malaysian response to intimate partner violence
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DOI：
10.1186/1478-4505-9-25
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发表时间：
2011-06-21
影响因子：
4
通讯作者：
Mayhew, Susannah H.
中科院分区：
文献类型：
--
作者：
Colombini, Manuela;Ali, Siti Hawa;Mayhew, Susannah H.
背景：本文旨在调查一站式危机中心（OSCC）政策和随后的暴力应对卫生模式的发展和全国推广背后的过程、行为者和其他影响因素。方法：使用的方法包括对马来西亚两个州的法律、政策和监管框架文件进行政策分析，并对来自政府和非政府组织的主要线人进行深入访谈。结果：调查结果显示，非政府妇女组织和保健专业人员在制订和推广妇女服务中心政策方面发挥了重要作用。然而，由于缺乏财政资源和卫生部明确的政策指导，随后非政府组织-卫生联盟的破裂对该政策的长期执行产生了负面影响。结论：调查结果证实，非政府组织和卫生工作人员之间明确界定的伙伴关系可以非常有力地影响制定针对亲密伴侣暴力的卫生保健服务的法律和政策环境。为了使整个卫生保健系统的暴力应对制度化，获得卫生部的高级别支持至关重要。没有明确的操作细节和资源，就不能充分确保政策的执行并扩大规模。
Background: This article aims to investigate the processes, actors and other influencing factors behind the development and the national scale-up of the One Stop Crisis Centre (OSCC) policy and the subsequent health model for violence-response.Methods: Methods used included policy analysis of legal, policy and regulatory framework documents, and in-depth interviews with key informants from governmental and non-governmental organisations in two States of Malaysia.Results: The findings show that women's NGOs and health professionals were instrumental in the formulation and scaling-up of the OSCC policy. However, the subsequent breakdown of the NGO-health coalition negatively impacted on the long-term implementation of the policy, which lacked financial resources and clear policy guidance from the Ministry of Health.Conclusion: The findings confirm that a clearly-defined partnership between NGOs and health staff can be very powerful for influencing the legal and policy environment in which health care services for intimate partner violence are developed. It is critical to gain high level support from the Ministry of Health in order to institutionalise the violence-response across the entire health care system. Without clear operational details and resources policy implementation cannot be fully ensured and taken to scale.