'My body is mine': Qualitatively exploring agency among internally displaced women participants in a small-group intervention in Leogane, Haiti

'My body is mine': Qualitatively exploring agency among internally displaced women participants in a small-group intervention in Leogane, Haiti
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DOI:
10.1080/17441692.2015.1027249
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发表时间:
2016-02-07
影响因子:
3.3
通讯作者:
Daniel, CarolAnn
Daniel, CarolAnn
中科院分区:
医学3区
文献类型:
--
作者:
Logie, Carmen H.;Daniel, CarolAnn

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2010年的地震导致海地的社会、经济和卫生基础设施崩溃。超过25万人仍然在国内流离失所。由于贫困加剧和社区网络减少,身份证妇女更容易遭受亲密伴侣暴力。很少有研究审查了海地地震后ID妇女的IPV经验。我们进行了一项定性研究,探讨参与Famn an Aksyon Pou Sante Yo(FASY)的影响,这是一项小组艾滋病毒预防干预措施,对海地Leogane的ID妇女机构。我们进行了四个焦点小组与ID妇女,FASY参与者(n = 40)和深入的个人访谈同行卫生工作者(n = 7)。我们的研究以批判民族志为指导,特别关注权力关系。调查结果强调了多种形式的IPV(例如,身体的,性的)。与会者讨论了个人内部(信心)、人际(沟通)、关系(支持)和集体(妇女权利)的过程。然而,结构性因素,包括重男轻女的性别规范和贫困,压制了关于IPV的讨论,限制了妇女的能动性。研究结果表明,ID妇女之间的代理是一个多层次的,非线性和渐进的过程。为了有效地解决海地土著妇女的IPV问题,干预措施应解决性别不平等和贫困的结构性背景,同时促进机构的多层次进程。
The 2010 earthquake resulted in the breakdown of Haiti's social, economic and health infrastructure. Over one-quarter of a million people remain internally displaced (ID). ID women experience heightened vulnerability to intimate partner violence (IPV) due to increased poverty and reduced community networks. Scant research has examined experiences of IPV among ID women in post-earthquake Haiti. We conducted a qualitative study to explore the impact of participating in Famn an Aksyon Pou Sante Yo (FASY), a small-group HIV prevention intervention, on ID women's agency in Leogane, Haiti. We conducted four focus groups with ID women, FASY participants (n = 40) and in-depth individual interviews with peer health workers (n = 7). Our study was guided by critical ethnography and paid particular attention to power relations. Findings highlighted multiple forms of IPV (e.g., physical, sexual). Participants discussed processes of intrapersonal (confidence), interpersonal (communication), relational (support) and collective (women's rights) agency. Yet structural factors, including patriarchal gender norms and poverty, silenced IPV discussions and constrained women's agency. Findings suggest that agency among ID women is a multi-level, non-linear and incremental process. To effectively address IPV among ID women in Haiti, interventions should address structural contexts of gender inequity and poverty and concurrently facilitate multi-level processes of agency.