Gender-Based Violence

基于性别的暴力
  • 文章类型: Journal Article
    背景:世界卫生组织认识到伤害是一个日益严重的全球公共卫生问题。虽然受伤和创伤有几种原因,相关研究主要集中在道路交通事故上,烧伤,和溺水,而较少关注与暴力有关的伤害/创伤,如性暴力和基于性别的暴力(SGBV)。为了确定优先研究主题,优先顺序,并制定实践指南,以减轻SGBV造成的伤害/创伤的影响,本系统范围审查旨在绘制和描述全球范围内与SGBV所致损伤/创伤相关的研究范围.
    方法:将在Arksey和O\'Malley的方法框架的指导下进行范围审查。有关损伤/创伤和SGBV的文献将在PubMed中搜索,Scopus,和PsycINFO,CINAHL,WebofScience,谷歌学者,行程,指南库,网站,以及包含文章的参考列表。这项研究将包括以流行病学负担为重点的证据来源,受害者的院外和院内护理指南,报告和获得医疗保健的障碍或促进者,以及减轻SGBV造成的伤害/创伤的方法。搜索将仅限于10年内(2012年至2023年)的出版物。两位作者将应用资格标准来识别潜在的相关引文。数据将一式两份提取,并使用各种工具(混合方法质量评估工具;和指南评估,研究和评估工具)。该研究将按照系统评价的首选报告项目和范围评价的荟萃分析扩展报告项目进行报告。
    结论:范围审查将重点介绍有关SGBV造成的伤害/创伤的现有文献,并找出差距,以促进研究的优先次序。制定指导方针,和资源分配,以减轻SGBV造成的伤害/创伤的影响。这项研究的结果将通过一系列与医疗保健领域的主要利益相关者(本地和国际)的会议进行传播。政策,社会福利,GBV利益集团,和其他人。此外,最终的范围审查结果将在相关研讨会上公布,会议,和会议。此外,这项研究的结果将通过期刊出版物和政策简报传播。
    The World Health Organization recognises injuries as a growing global public health problem. While there are several causes of injuries and trauma, relevant research is mostly centred on road traffic accidents, burns, and drowning with less focus on violence-related injuries/trauma such as sexual and gender-based violence (SGBV). To identify priority research topics, prioritisation, and development of practice guidelines to mitigate the impact of injuries/trauma resulting from SGBV, this systematic scoping review will aim to map and describe the range of research relating to injuries/trauma due to SGBV in the global context.
    A scoping review guided by Arksey and O\'Malley\'s methodological framework will be conducted. Literature relating to injuries/trauma and SGBV will be searched in PubMed, SCOPUS, and PsycINFO, CINAHL, Web of Science, Google Scholar, Trip, guideline repositories, websites, and reference list of included articles. This study will include evidence sources focused on the epidemiological burden, guidelines for out-of-hospital and in-hospital care of victims, barriers or facilitators to reporting and obtaining healthcare, and approaches for mitigating injuries/trauma due to SGBV. The search will be limited to publications within 10 years (2012 to 2023). Two authors will apply the eligibility criteria to identify potentially relevant citations. The data will be extracted in duplicate and methodological quality assessed using varied tools (Mixed Method Quality Appraisal Tool; and Appraisal of Guidelines, Research and Evaluation instrument). The study will be reported in keeping with the Preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews.
    The scoping review will highlight existing literature on injuries/trauma due to SGBV and identify gaps to facilitate research prioritisation, development of guidelines, and resource allocation to alleviate the impact of injuries/trauma resulting from SGBV. This study\'s findings will be disseminated via a series of meetings with key stakeholders (local and international) in the field of healthcare, policy, social welfare, GBV interest groups, and others. Also, the final scoping review results will be presented at relevant workshops, meetings, and conferences. Moreover, this study\'s findings will be disseminated via journal publications and policy briefs.
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  • 文章类型: Journal Article
    (1)背景:基于性别的暴力(GBV)在全球范围内普遍存在,具有无数的不利影响,但报告严重不足。医护人员是GBV的第一反应者之一。这项研究的目的是评估卫生工作者对GBV和相关管理指南和实施的知识。(2)方法:本研究采用描述性、序贯混合方法研究,从定量部分开始,其次是定性成分。使用内容框架方法进行了定性分析。(3)结果:超过三分之二(71.79%)的卫生工作者普遍了解基于性别的暴力;然而,只有36.9%的人对基于性别的暴力管理指南有良好的了解,所有项目的平均值小于3,这表明对管理指南的了解不足.此外,只有36.8%的人认为基于性别的暴力管理指南在基于性别的暴力案件的临床护理中有用和实用.(4)结论:这项研究的发现表明,卫生工作者对基于性别的暴力管理指南的了解不足,在GBV病例的管理中很少使用。这就需要持续的培训和具体的进修课程,包括现场实践会议,专业人士的指导,和监督。
    (1) Background: Gender-based violence (GBV) is widespread globally and has a myriad of adverse effects but is vastly under-reported. Health care workers are among the first responders in GBV. The objective of this study was to assess the knowledge of health workers with regard to GBV and related management guidelines and implementation. (2) Methods: The study employed a descriptive, sequential mix-method study, beginning with the quantitative part, followed by the qualitative component. Qualitative analysis was conducted using a content framework approach. (3) Results: More than two-thirds (71.79%) of health workers were found to be generally knowledgeable about gender-based violence; however, only 36.9% had good knowledge about gender-based violence management guidelines for gender-based violence and the mean value for all the items was less than 3 which indicates poor knowledge of the management guideline. Additionally, only 36.8% found the gender-based violence management guidelines useful and practical in clinical care for gender-based violence cases. (4) Conclusions: The finding of this study revealed that knowledge of gender-based violence management guideline was not adequate among health workers and rarely used during management of GBV cases. This calls for continuous training and specific refresher courses, including on-site practical sessions, professionals\' mentorship, and supervision.
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  • 文章类型: Journal Article
    基于性别的暴力影响到全球三分之一的妇女,死亡是反复暴力之后的最终后果。政府干预势在必行。本文重点介绍意大利最近的立法,该立法提供了一个框架,以协助意大利急诊室的暴力受害者。
    Gender-based violence affects one third of women globally with death the ultimate consequence after repeated violence. Government intervention is imperative. This article focuses on recent Italian legislation that provides a framework to assist victims of violence in Italian Emergency Rooms.
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  • 文章类型: Journal Article
    Understanding cultural norms is essential to achieving results in development interventions and preventing interventions from causing unintended negative consequences. However, capturing norms within everyday contexts in ways that can be monitored and evaluated can be expensive and time consuming and is not always feasible. We tested a novel method, the cultural consensus analysis (CCA), in the context of monitoring and evaluating a United States Agency for International Development (USAID) justice project in the West Bank, Palestine. We conducted 392 survey interviews with men and women, using 60 true or false questions in the knowledge domains of women\'s empowerment and gender-based violence (GBV), and tested three gender propositions using CCA. We found no singular cultural understanding of women\'s empowerment and GBV across West Bank Palestinians (proposition 1). Distinctive cultural models for women and other subgroups (e.g., those living in villages, women who identified as discriminated against within Palestinian society) exist, although there were no shared cultural models among men of any subgroup (proposition 2). Program assumptions regarding structural barriers to women\'s empowerment conformed to the women\'s cultural models (proposition 3). To our knowledge, this is the first application of CCA as an approach for describing gender norms in international development programming. CCA was able to distinguish subtle cultural patterns, including between population subgroups, and to identify how those are associated with specific risks, such as GBV. We conclude that CCA is a potentially useful approach for development practice, to ground-truth program assumptions and, potentially, to track program impacts.
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  • 文章类型: Journal Article
    背景:自2013年以来,南非约有4400名妇女被伴侣谋杀。这比全球人均平均水平高出五倍。众所周知,家庭暴力是周期性的,地方病,经常涉及多个受害者。随着时间的推移,它也会变得越来越危险,并可能导致死亡。2012年,南非卫生职业委员会发布了针对紧急服务提供者的家庭暴力协议。这个协议,或筛查指南,包括评估未来家庭暴力的风险,提供身体和心理护理,记录虐待证据,并告知患者他们的权利和他们可以获得的服务。这些准则的分发和执行程度,特别是由全科医生(HCP),是未知的。
    目的:我们审查南非签署的国际条约,以及加强照顾家庭暴力受害者权利的国家立法和政策,描述这些法律和政策对HCPs的影响。
    方法:我们回顾了文献并分析了国家和国际立法和政策。
    结果:现有指南中包含的、目前以临时方式实施的“规范”不仅与HCP的现有法定职责兼容,而且实际上是它们的自然扩展。
    结论:积极的干预措施,例如使用与家庭暴力受害者合作的准则,可以系统地识别可疑的家庭暴力案件,管理得当,适当引用,并应被所有南非HCP采用。
    BACKGROUND: Since 2013, approximately 4400 women have been murdered by their partners in South Africa. This is five times higher than the per capita global average. Domestic violence is known to be cyclical, endemic and frequently involves multiple victims. It also becomes progressively more dangerous over time and may lead to fatalities. In 2012, the Health Professions Council of South Africa released a domestic violence protocol for emergency service providers. This protocol, or screening guidelines, includes assessing future risk to domestic violence, providing physical and psychosocial care, documentation of evidence of abuse and informing patients of their rights and the services available to them. The extent to which these guidelines have been circulated and implemented, particularly by general health care practitioners (HCPs), is unknown.
    OBJECTIVE: We review international treaties to which South Africa is a signatory, as well as national legislation and policies that reinforce the right to care for victims of domestic violence, to delineate the implication of these laws and policies for HCPs.
    METHODS: We reviewed literature and analysed national and international legislation and policies.
    RESULTS: The \'norms\' contained in existing guidelines and currently practiced in an ad hoc manner are not only compatible with existing statutory duties of HCPs but are in fact a natural extension of them.
    CONCLUSIONS: Proactive interventions such as the use of guidelines for working with victims of domestic violence enable suspected cases of domestic violence to be systematically identified, appropriately managed, properly referred, and should be adopted by all South African HCPs.
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