Global research priorities for interpersonal violence prevention: a modified Delphi study

Abstract

ObjectiveTo establish global research priorities for interpersonal violence prevention using a systematic approach.MethodsResearch priorities were identified in a three-round process involving two surveys. In round 1, 95 global experts in violence prevention proposed research questions to be ranked in round 2. Questions were collated and organized according to the four-step public health approach to violence prevention. In round 2, 280 international experts ranked the importance of research in the four steps, and the various substeps, of the public health approach. In round 3, 131 international experts ranked the importance of detailed research questions on the public health step awarded the highest priority in round 2.FindingsIn round 2, “developing, implementing and evaluating interventions” was the step of the public health approach awarded the highest priority for four of the six types of violence considered (i.e. child maltreatment, intimate partner violence, armed violence and sexual violence) but not for youth violence or elder abuse. In contrast, “scaling up interventions and evaluating their cost–effectiveness” was ranked lowest for all types of violence. In round 3, research into “developing, implementing and evaluating interventions” that addressed parenting or laws to regulate the use of firearms was awarded the highest priority. The key limitations of the study were response and attrition rates among survey respondents. However, these rates were in line with similar priority-setting exercises.ConclusionThese findings suggest it is premature to scale up violence prevention interventions. Developing and evaluating smaller-scale interventions should be the funding priority.

O enfrentamento à violência no âmbito da estratégia saúde da família: desafios para a atenção em saúde

“…Faz parte desse contexto os assaltos à mão armada, as agressões e os assassinatos, os quais resultam em graves consequências sociais, sendo evidenciados pelo aumento dos índices de violência e da morbimortalidade (4) . Essa realidade afeta diretamente a qualidade de vida das pessoas, gerando diversos problemas socioeconômicos que refletem no cotidiano da sociedade (5) .…”

“…As condições de trabalho e socioeconômicas ainda são precárias em muitos lugares, dificultando a realização de uma assistência humanizada, corroborando com os fatores elencados pelos participantes (15) . Diante dessa realidade, as equipes de saúde pública devem identificar os cenários de violência e desenvolver meios de atuação nessa realidade (4) .…”

“…O trabalho desenvolvido por profissionais da ESF nessas áreas é inseguro, havendo situações em que só conseguem desempenhar suas atividades no interior das unidades de saúde, restringindo a atenção em saúde somente aos usuários que frequentam as unidades (3) . Estudos sobre o tema (4,5) indicaram que a questão da violência, na qual também se inclui o comércio ilegal de drogas, vêm gerando grande impacto na qualidade de vida das pessoas e pode constituir uma ameaça à integridade física. O comércio de drogas ilegais é preponderante para a violência e condiciona inúmeras situações de conflito entre traficantes e usuários, trazendo inúmeras consequências para a toda sociedade.…”

Challenges to Researching Childhood Sexual Violence in Indonesia

“…As calls to address CSV and other forms of childhood violence have become prominent in the international research and policy agenda, including the Sustainable Development Goals, the need for rigorous evidence has increased (Mikton et al, 2016;Zimmerman et al, 2016).…”

“…However, the evidence-base about the scale of the problem is still relatively small, especially in low-and middle-income countries (LMICs), where the burden is likely to be the highest (Mikton et al, 2016;Veenema et al, 2015). Some researchers have argued that sexual violence is one of the least researched of all forms of violence worldwide (Jewkes & Dartnall, 2017).…”