Currently Skimming:
4 Responding to Intimate Partner Violence and Its Consequences
4 Responding to Intimate Partner Violence and Its Consequences
Pages 25-42
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From page 25... ...
However, there are a multitude of positive efforts being made across a wide variety of sectors throughout the region. This chapter will highlight some of those efforts, including a discussion on screening efforts as well as barriers to accessing services and responses from the criminal justice, social work, and health sectors.
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From page 26... ...
Based on this, Undie contended that decisions regarding IPV programming and screening should be made based on a broad range of study designs and data. Beyond Jewkes' conclusions, Undie explained that there are many people and organizations throughout the East African region who believe that screening is an unrealistic method of intervention due to perceived barriers that may or may not actually exist, because they have never been studied or rigorously evaluated.
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From page 27... ...
A total of 102 women were screened and of those, nearly 50 percent screened positive for IPV. The main finding of this study was that screening efforts by health care providers is entirely feasible within urban settings in T anzania, despite perceptions regarding capacity and provider or willingness to actively engage in screening efforts.
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From page 28... ...
The main challenge that the analysis unearthed was that screening efforts appeared to drop off over time, meaning that efforts to refresh clinic staff in the screening procedures and their importance would be of use in future programs to ensure that this trend does not continue. Despite this challenge, Hatcher explained that this approach appears to be highly useful and feasible even in rural settings which are perceived to be more resource constrained than urban settings.
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From page 29... ...
For purposes of study analysis, clients were identified as compliant -- meaning they screened positive, were referred, and went through the referral process -- or oncompliant -- meaning they screened positive, were referred, and for n whatever reason, did not follow through with the referral process. Screening efforts were implemented in three different clinics within Kenyatta National Hospital: antenatal care, HIV comprehensive care, and the youth center.
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From page 30... ...
In addition to these cases of noncompliance, there were also instances where a woman screened positive for IPV, but never received a referral. Most of these cases, Undie explained, occurred in the antenatal care setting, which sees a high volume of clients on a daily basis.
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From page 31... ...
"The jury," she said, "is still out." It is up to researchers and public health providers in the region to continue exploring this question in order to develop the best answer for East Africa. BARRIERS TO ACCESSING SERVICES Undie outlined the perceived barriers to treatment in her presentation on screening for IPV, and Datius Rweyemamu of the University of Dar es Salaam further illuminated this topic in his presentation regarding access and barriers to care and services for IPV survivors in Tanzania, which featured the results of an in-country study (McCleary-Sills et al., 2013)
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From page 32... ...
Those external sources include local government authority, the legal sector, and the health sector, as well as the civil society sector, which encompasses religious leaders and groups and NGOs. Often times when a family cannot resolve an issue of IPV or GBV, the second point of support accessed by the victim is that of the local government.
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From page 33... ...
His suggestions to achieve these goals included the use of community mobilization efforts, developing a network of trained resource providers, coordinating the efforts of key stakeholders, and enhanced training for health care providers to increase and integrate screening efforts within existing health systems. Many of the workshop speakers who shared interventions throughout the region expressed similar recommendations and programmatic efforts that highlight these approaches.
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From page 34... ...
For instance, Odiyo highlighted the current development of advocacy tools for the prevention of IPV, as well as the introduction of new methods to track the successes of member states' efforts in this area so as to continue improving the health sector's contribution to prevention efforts. The ECSA's efforts in convening regional leaders within the health sector to produce a coordinated response to health related issues, including IPV, show promise in producing lasting change within the East African region.
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From page 35... ...
As described by Sentumbwe-Mugisa, the process of developing recommendations is an extremely large undertaking due to the complexities of the health sector and the broad variety of stakeholders involved. The first regional steps in producing guidelines for the health sector involved adapting the 2004 WHO report on the Clinical Management of Rape Survivors for the needs of East Africa (WHO, 2004)
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From page 36... ...
And although they do appear to show promise for the region, Sentumbwe-Mugisa highlighted that there are a lack of resources at the country level to train health care providers and workers to develop those referral services. Instead, she suggests that implementing instiutions will likely have to bear the burden of finding and allocating t those resources.
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From page 37... ...
, and that Uganda is also subject to multiple regional legal instruments that can be used to protect the rights of women (such as the Goma Declaration, the East African Community Treaty, and the Protocol to the African Charter on Human and People's Rights on the Rights of Women in Africa)
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From page 38... ...
SOCIAL WORK SECTOR RESPONSE Anna Swai of the Tanzania Association of Social Workers began her presentation on the social work sector's response to IPV in Tanzania by first explaining what the role of social work is. According to the International Federation of Social Workers, and quoted directly by Swai, the "social work
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From page 39... ...
Principles of human rights and social justice are fundamental to social work" (International Federation of Social Workers, 2012)
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From page 40... ...
approach to social and community change, discussed in Chapters 3 and 5 of this summary, as a positive program for the social work sector. The overarching problem that Swai identified in relation to these approaches is a lack of skilled social workers who can implement these and other evidence-based methods of intervention and practice.
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From page 41... ...
REFERENCES International Federation of Social Workers.
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