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.