PDF(Pubmed)
Abstract：
UNASSIGNED: Sexual and gender-based violence (SGBV), including rape and child sexual abuse, remains a significant challenge in post-conflict northern Uganda. Many victims have never sought help. Consequently, the scale of the problem is not known, and SGBV victims\' injuries, both psychological and physical, remain hidden and unresolved.
UNASSIGNED: We aimed to explore whether health workers in rural Reproductive Health Services (RHS), following specific training, could provide a valuable resource for SGBV screening and subsequent referral to targeted services.
UNASSIGNED: Our project had three elements. First, RHS workers were trained to use a questionnaire to screen subjects for past SGBV Second, the screening questionnaire was used by RHS workers over a 3-month period, and the data collected were analysed to explore whether the screening approach was an effective one in this setting, and to record the scale and nature of the problem. Third, victims detected were offered referral as appropriate to hospital services or to a dedicated SGBV ActionAid shelter.
UNASSIGNED: Of 1656 women screened, 778 (47%) had suffered SGBV: 123 rape, and 505 non-sexual violence. 1,254 (76%) had been directly or indirectly affected by conflict experiences; 1066 had lived in internally displaced persons camps. 145 (9%) requested referral to Gulu SGBV Shelter; 25 attended the shelter and received assistance, and 20 others received telephone counselling.
UNASSIGNED: Undetected SGBV remains a significant problem in post-conflict northern Uganda. RHS workers, following specific training, can effectively screen for and identify otherwise unrecognised survivors of SGBV. This matters because without ongoing detection, survivors have no opportunity for resolution, healing or help.
UNASSIGNED: We aimed to explore whether health workers in rural Reproductive Health Services (RHS), following specific training, could provide a valuable resource for SGBV screening and subsequent referral to targeted services.
UNASSIGNED: Our project had three elements. First, RHS workers were trained to use a questionnaire to screen subjects for past SGBV Second, the screening questionnaire was used by RHS workers over a 3-month period, and the data collected were analysed to explore whether the screening approach was an effective one in this setting, and to record the scale and nature of the problem. Third, victims detected were offered referral as appropriate to hospital services or to a dedicated SGBV ActionAid shelter.
UNASSIGNED: Of 1656 women screened, 778 (47%) had suffered SGBV: 123 rape, and 505 non-sexual violence. 1,254 (76%) had been directly or indirectly affected by conflict experiences; 1066 had lived in internally displaced persons camps. 145 (9%) requested referral to Gulu SGBV Shelter; 25 attended the shelter and received assistance, and 20 others received telephone counselling.
UNASSIGNED: Undetected SGBV remains a significant problem in post-conflict northern Uganda. RHS workers, following specific training, can effectively screen for and identify otherwise unrecognised survivors of SGBV. This matters because without ongoing detection, survivors have no opportunity for resolution, healing or help.
摘要：
■性暴力和基于性别的暴力（SGBV），包括强奸和儿童性虐待,在冲突后的乌干达北部仍然是一个重大挑战。许多受害者从未寻求过帮助。因此,问题的规模尚不清楚，和SGBV受害者的伤害,心理和生理，保持隐藏和未解决。
■我们的目的是探索农村生殖健康服务(RHS)的卫生工作者，经过具体的培训，可以为SGBV筛查和随后转诊到目标服务提供宝贵的资源。
■我们的项目有三个要素。首先,RHS工作人员接受了培训，使用问卷来筛选过去SGBV的受试者。RHS工人在3个月内使用了筛查问卷，并对收集的数据进行分析，以探索筛查方法在这种情况下是否有效，并记录问题的规模和性质。第三，被发现的受害者被酌情推荐到医院服务机构或专门的SGBVActionAid庇护所。
■在接受筛查的1656名女性中，778（47％）遭受SGBV：123强奸，505个非性暴力。1254人(76%)受到冲突经历的直接或间接影响；1066人住在国内流离失所者营地。145人（9％）要求转介古鲁SGBV庇护所；25人参加了庇护所并获得了援助，另有20人接受了电话咨询。
■未被发现的SGBV在冲突后的乌干达北部仍然是一个重大问题。RHS工人,经过具体的培训，可以有效地筛选和识别SGBV的幸存者。这很重要，因为没有持续的检测，幸存者没有解决的机会，治疗或帮助。
■我们的目的是探索农村生殖健康服务(RHS)的卫生工作者，经过具体的培训，可以为SGBV筛查和随后转诊到目标服务提供宝贵的资源。
■我们的项目有三个要素。首先,RHS工作人员接受了培训，使用问卷来筛选过去SGBV的受试者。RHS工人在3个月内使用了筛查问卷，并对收集的数据进行分析，以探索筛查方法在这种情况下是否有效，并记录问题的规模和性质。第三，被发现的受害者被酌情推荐到医院服务机构或专门的SGBVActionAid庇护所。
■在接受筛查的1656名女性中，778（47％）遭受SGBV：123强奸，505个非性暴力。1254人(76%)受到冲突经历的直接或间接影响；1066人住在国内流离失所者营地。145人（9％）要求转介古鲁SGBV庇护所；25人参加了庇护所并获得了援助，另有20人接受了电话咨询。
■未被发现的SGBV在冲突后的乌干达北部仍然是一个重大问题。RHS工人,经过具体的培训，可以有效地筛选和识别SGBV的幸存者。这很重要，因为没有持续的检测，幸存者没有解决的机会，治疗或帮助。
