Once Is Not Enough

Buranosky, Raquel; Hess, Rachel; McNeil, Melissa; Aiken, Allison M.; Chang, Judy C.

doi:10.1177/1077801212465154

Cited by 27 publications

(8 citation statements)

References 59 publications

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“…The medical students' skills to manage patients were related to their age, sex and marital status and even after adjusting were still related to medical school, previous training and personal comfort. As reported in some other studies, the students who were trained on GBV, those with higher knowledge and who were comfortable and prepared to manage victims and perpetrators were more likely to self-report being the skillful and able to respond to victims 14,15,24. The older aged, male, never married, and the students from the Osogbo medical school also perceived that they were more skilled to respond better to GBV than their colleagues.…”

Section: Discussionsupporting

confidence: 56%

“…It is argued that medical students need training to provide adequate treatment and to have a positive attitude towards victims of GBV. Final year medical students should also have been exposed to topics relating to GBV to prepare them as future physicians 14,15. However, little is known about the knowledge, ability to manage cases (skills) and attitudes of final year medical students.…”

Section: Introductionmentioning

confidence: 99%

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Preparing medical students to recognize and respond to gender based violence in Nigeria

et al. 2019

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Background Medical practitioners are ideally positioned to mitigate the impact of gender based violence (GBV) on the health of victims. However, there is a lack of information on students' ability and willingness to do so. Objective To identify factors which impact on students' attainment of the knowledge and perceived ability to manage victims. Methods A cross-sectional survey was conducted on 388 (91.5%) final year medical students from three medical schools in South West, Nigeria. Results Students were knowledgeable on sexual (63.7%) and physical (54.6%) forms of GBV and unfamiliar with other forms. The mean scores for knowledge (7.1 ± 2.5 out of 11); attitude (52.6 ± 10.3 out of 80); personal comfort (44.1 ± 10.0 out of 65) and skills (3.1 ± 2.6 out of 7) were calculated. Younger respondents, females and married students reported less skill to manage victims. The location of school, previous training and personal comfort remained significant determinants of students' self reported skills on GBV. Respondents with prior training on GBV and comfortable with managing patients, were four times more likely to perceive they were more skilled than their peers [AOR = 4.33, 95% CI: 2.37 – 7.90 and AOR 3.53; 95% CI 2.16–5.78 respectively]. Conclusion Formalised skills training on GBV is a necessity, especially for young, female students and training cannot be left to serendipity. The medical curriculum should be reviewed.

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Section: Discussionsupporting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Preparing medical students to recognize and respond to gender based violence in Nigeria

et al. 2019

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“…40 Integration of prevention and protection of women from IPV in health profession educational programs is required to help health personnel to identify IPV and screen for its manifestation; 41 however, health professional curricula still need comprehensive approaches to teaching IPV. 42 – 44 …”

Section: Discussionmentioning

confidence: 99%

Intimate partner violence influence on deliveries assisted by skilled health personnel

Refaat

2013

SAGE Open Medicine

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Objective:Millennium Development Goal 5 calls for increasing proportions of deliveries assisted by skilled health personnel to reduce maternal mortality. This study aims to identifying the implication of exposure to intimate partner violence on these proportions.Methodology:This study used domestic violence modules data of Demographic and Health Surveys of six countries from 2005 to 2007. Proportions of assisted deliveries were examined by sociodemographic characteristics and exposure to intimate partner violence in the studied countries. Influence on the proportion was examined against exposure to intimate partner violence through odds ratio and 95% of logistic regression analysis after controlling for women age, residence (urban/rural), household wealth level, economic level of country, educational level and working status of women and their husbands/partners.Results:Data sets of 18,507 participants over 20 years of age showed that almost three-quarters (73%) of women had deliveries assisted by skilled health personnel. One-third of the women were ever exposed to intimate partner violence (37%) and 9% of them to the severe level. Exposure to intimate partner violence statistically significantly lowered this proportion to 69% (odds ratio: 0.73; 95% confidence interval: 0.67–0.78) meanwhile severe violence lowered it to 65% (odds ratio 0.64; 95% confidence interval: 0.58–0.72). When running multiple regression analysis, exposure to intimate partner violence retained its statistically significant decreasing influence on proportions and was not biased by the other stronger socioeconomic characteristics.Conclusion and recommendations:Intimate partner violence has an independent influence on reducing assisted deliveries by skilled health personnel. Programs working for increasing proportions of assisted deliveries by skilled health personnel are recommended to integrate protection women from violence.

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“…The literature shows that health care providers who are well trained can improve referrals to specialist domestic violence agencies [ 8 ], but we did not find studies comparing compulsory training on IPV for health-care providers versus elective training. Programmes that introduce training on IPV as part of the compulsory curriculum of medical studies have showed promising results [ 34 ]. In Spain, regional managers in charge of implementing IPV training programs have divergent opinions on whether IPV training should be made compulsory for all health providers or not [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Developing a programme theory to explain how primary health care teams learn to respond to intimate partner violence: a realist case-study

Goicolea

Hurtig

Sebastián

et al. 2015

BMC Health Serv Res

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BackgroundDespite the progress made on policies and programmes to strengthen primary health care teams’ response to Intimate Partner Violence, the literature shows that encounters between women exposed to IPV and health-care providers are not always satisfactory, and a number of barriers that prevent individual health-care providers from responding to IPV have been identified. We carried out a realist case study, for which we developed and tested a programme theory that seeks to explain how, why and under which circumstances a primary health care team in Spain learned to respond to IPV.MethodsA realist case study design was chosen to allow for an in-depth exploration of the linkages between context, intervention, mechanisms and outcomes as they happen in their natural setting. The first author collected data at the primary health care center La Virgen (pseudonym) through the review of documents, observation and interviews with health systems’ managers, team members, women patients, and members of external services. The quality of the IPV case management was assessed with the PREMIS tool.ResultsThis study found that the health care team at La Virgen has managed 1) to engage a number of staff members in actively responding to IPV, 2) to establish good coordination, mutual support and continuous learning processes related to IPV, 3) to establish adequate internal referrals within La Virgen, and 4) to establish good coordination and referral systems with other services. Team and individual level factors have triggered the capacity and interest in creating spaces for team leaning, team work and therapeutic responses to IPV in La Virgen, although individual motivation strongly affected this mechanism. Regional interventions did not trigger individual and/ or team responses but legitimated the workings of motivated professionals.ConclusionsThe primary health care team of La Virgen is involved in a continuous learning process, even as participation in the process varies between professionals. This process has been supported, but not caused, by a favourable policy for integration of a health care response to IPV. Specific contextual factors of La Virgen facilitated the uptake of the policy. To some extent, the performance of La Virgen has the potential to shape the IPV learning processes of other primary health care teams in Murcia.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-015-0899-8) contains supplementary material, which is available to authorized users.

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Once Is Not Enough

Cited by 27 publications

References 59 publications

Preparing medical students to recognize and respond to gender based violence in Nigeria

Preparing medical students to recognize and respond to gender based violence in Nigeria

Intimate partner violence influence on deliveries assisted by skilled health personnel

Developing a programme theory to explain how primary health care teams learn to respond to intimate partner violence: a realist case-study

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