Health care services for survivors of gender-based violence: a community and clinic-based intervention in Zambézia province, Mozambique.
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| Title: | Health care services for survivors of gender-based violence: a community and clinic-based intervention in Zambézia province, Mozambique. |
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| Authors: | De Schacht, Caroline, Paulo, Paula, Van Rompaey, Sara, Graves, Erin, Prigmore, Heather L., Bravo, Magdalena, Melo, Francisco, Malinha, João Eduardo, Correia, Della, Cossa, Raquel, Chele, Elsa, Audet, Carolyn |
| Source: | AIDS Care. Jan2023, Vol. 35 Issue 1, p16-24. 9p. 6 Charts, 1 Graph. |
| Subjects: | Patient aftercare, Outpatient medical care, Evaluation of human services programs, Confidence intervals, Counseling, Empathy, Social support, Home care services, Violence, Community health services, Acquisition of data, Help-seeking behavior, Gender, Crime victims, Government programs, Pre-tests & post-tests, Comparative studies, Medical records, Descriptive statistics, Quality assurance, Research funding, Integrated health care delivery, Odds ratio, Medical appointments, Patient compliance, Outpatient services in hospitals |
| Geographic Terms: | Mozambique |
| Abstract: | Mozambique introduced guidelines for integrated gender-based violence (GBV) services in 2012. In 2017, we trained providers on empathetic and supportive services to GBV survivors and introduced home-based services for survivors who are loss-to-follow up. Rate ratios of clinic visits were compared before and after intervention initiation, using exact significance tests. Data of 1,806 GBV survivors were reviewed, with a total of 2005 events. The median age was 23 years (IQR 17–30) and 89% were women. Among those reporting violence, 69% reported physical violence, 18% reported sexual violence (SV), and 12% reported psychological violence. Rates of care-seeking behavior were higher in the intervention period (rate ratio 1.31 [95%CI: 1.18–1.46]); p < 0.01. Among those eligible for post-exposure prophylaxis (PEP), 94% initiated PEP. Uptake of HIV retesting improved in percentage points by 34% (14% to 48%), 34% (8% to 42%) and 26% (5% to 31%) at 1-, 3- and 6-months, respectively. The intervention led to an increase in the rate of GBV survivors seeking health care services, and improved rates of follow-up care among SV survivors initiating PEP. Strengthening of PEP adherence counseling remains crucial for improving GBV services. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Mozambique introduced guidelines for integrated gender-based violence (GBV) services in 2012. In 2017, we trained providers on empathetic and supportive services to GBV survivors and introduced home-based services for survivors who are loss-to-follow up. Rate ratios of clinic visits were compared before and after intervention initiation, using exact significance tests. Data of 1,806 GBV survivors were reviewed, with a total of 2005 events. The median age was 23 years (IQR 17–30) and 89% were women. Among those reporting violence, 69% reported physical violence, 18% reported sexual violence (SV), and 12% reported psychological violence. Rates of care-seeking behavior were higher in the intervention period (rate ratio 1.31 [95%CI: 1.18–1.46]); p < 0.01. Among those eligible for post-exposure prophylaxis (PEP), 94% initiated PEP. Uptake of HIV retesting improved in percentage points by 34% (14% to 48%), 34% (8% to 42%) and 26% (5% to 31%) at 1-, 3- and 6-months, respectively. The intervention led to an increase in the rate of GBV survivors seeking health care services, and improved rates of follow-up care among SV survivors initiating PEP. Strengthening of PEP adherence counseling remains crucial for improving GBV services. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 09540121 |
| DOI: | 10.1080/09540121.2022.2067313 |
