Improving the primary health care response to violence against women in low and middle income countries

改善中低收入国家针对暴力侵害妇女行为的初级卫生保健应对措施

• 批准号: MR/P025102/1
• 负责人: Gene Feder
• 金额: $ 76.97万
• 依托单位: University of Bristol
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2017
• 资助国家: 英国
• 起止时间: 2017 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FP025102%2F1
• 关键词: Improving; primary; health; care; response

Violence against women is a violation of human rights and threatens the status, health and well-being of women. Overall, 35% of women worldwide have experienced either physical and/or sexual intimate partner violence or non-partner sexual violence, with a higher prevalence in most low and middle income countries (LMIC). Violence against women damages women's health. Women who have been have been physically and/or sexually abused by their partner are twice as likely to have an abortion, twice as likely to suffer from depression and in some regions 1.5 times more likely to acquire HIV compared to women who have not experienced such violence. They are also 16% more likely to deliver a low birth weight baby. In addition, children who are exposed to violence against their mothers are more likely to experience long term damage to their health and development. Therefore, prevention of violence against women and development of a health care response is a global priority. This study aims to understand how primary healthcare systems in low and middle income countries can develop and evaluate interventions for violence against women that link with community services. The research will build on existing research collaborations with academics, health care providers and violence against women services in the Occupied Palestinian Territories and Brazil. The research aims to address the following:1) Explore to what extent the primary health care system in Palestine and Brazil can identify women who are affected by violence and abuse and offer support and referrals to services that can help them.2) Draw on a proven UK intervention and adapt it to the Palestinian and Brazilian context through discussions with local stakeholders.3) Pilot test the agreed intervention.The findings of the research will be of benefit to violence against women and health systems researchers worldwide. It will also be of benefit to health policy makers and health care practitioners who want to develop a health care response to violence against women.

针对妇女的暴力行为是对人权的侵犯，威胁到妇女的地位、健康和福祉。总体而言，全球 35% 的女性曾遭受过亲密伴侣的身体和/或性暴力或非伴侣性暴力，在大多数低收入和中等收入国家 (LMIC) 的发生率较高。针对妇女的暴力行为损害妇女的健康。与未经历过此类暴力的女性相比，遭受过伴侣身体虐待和/或性虐待的女性堕胎的可能性高出一倍，患抑郁症的可能性高出一倍，在某些地区感染艾滋病毒的可能性高出 1.5 倍。他们生下低出生体重婴儿的可能性也高出 16%。此外，遭受母亲暴力的儿童的健康和发育更有可能遭受长期损害。因此，预防暴力侵害妇女行为和制定医疗保健应对措施是全球优先事项。本研究旨在了解低收入和中等收入国家的初级医疗保健系统如何制定和评估与社区服务相关的暴力侵害妇女行为干预措施。该研究将建立在与巴勒斯坦被占领土和巴西的学术界、医疗保健提供者和暴力侵害妇女服务机构的现有研究合作的基础上。该研究旨在解决以下问题：1) 探索巴勒斯坦和巴西的初级卫生保健系统在多大程度上可以识别受暴力和虐待影响的妇女，并为她们提供支持和转介服务。2) 利用经过验证的英国干预措施，并通过与当地利益相关者的讨论将其适应巴勒斯坦和巴西的情况。3) 对商定的干预措施进行试点测试。研究结果将有益于暴力侵害妇女和虐待行为 世界各地的卫生系统研究人员。这对于希望针对暴力侵害妇女行为制定医疗保健应对措施的卫生政策制定者和医疗保健从业人员也将大有裨益。

项目成果

Adaptive work in the primary health care response to domestic violence in occupied Palestinian territory: a qualitative evaluation using Extended Normalisation Process Theory.

• DOI: 10.1186/s12875-020-01338-z
• 发表时间: 2021-01-02
• 期刊: BMC family practice
• 影响因子: 2.9
• 作者: Bacchus LJ;Alkaiyat A;Shaheen A;Alkhayyat AS;Owda H;Halaseh R;Jeries I;Feder G;Sandouka R;Colombini M
• 通讯作者: Colombini M

Adaptation and implementation of the healthcare responding to violence and abuse intervention in Nepal, Sri Lanka, Brazil and occupied Palestinian territory: a comparative analysis and lessons learned

尼泊尔、斯里兰卡、巴西和巴勒斯坦被占领土针对暴力和虐待干预措施的医疗保健的调整和实施：比较分析和经验教训

• DOI: 10.18332/popmed/165154
• 发表时间: 2023
• 期刊: Population Medicine
• 作者: Bacchus L

Remote methods for research on violence against women and children: lessons and challenges from research during the COVID-19 pandemic.

• DOI: 10.1136/bmjgh-2022-008460
• 发表时间: 2022-11
• 期刊: BMJ GLOBAL HEALTH
• 影响因子: 8.1
• 作者: Bhatia, Amiya;Turner, Ellen;Akim, Aggrey;Mirembe, Angel;Nakuti, Janet;Parkes, Jenny;Datzberger, Simone;Nagawa, Rehema;Kung'u, Mary;Babu, Hellen;Kabuti, Rhoda;Kimani, Joshua;Beattie, Tara S.;d'Oliveira, Ana Flavia;Rishal, Poonam;Nyakuwa, Robert;Bell, Sadie;Bukuluki, Paul;Cislaghi, Beniamino;Tanton, Clare;Conolly, Anne;Mercer, Catherine H.;Seeley, Janet;Bacchus, Loraine J.;Devries, Karen
• 通讯作者: Devries, Karen

An evidence-based primary health care intervention to address domestic violence against women in Brazil: a mixed method evaluation

解决巴西妇女家庭暴力问题的循证初级卫生保健干预措施：混合方法评估

• DOI: 10.21203/rs.3.rs-2207476/v1
• 发表时间: 2023
• 作者: Bacchus L

Adaptive work in the health care response to domestic violence in Palestine

巴勒斯坦家庭暴力卫生保健应对措施的适应性工作

• DOI: 10.1093/eurpub/ckaa166.533
• 发表时间: 2020
• 期刊: European Journal of Public Health
• 影响因子: 4.4
• 作者: Bacchus L