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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.
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]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Health care services for survivors of gender-based violence: a community and clinic-based intervention in Zamb&#233;zia province, Mozambique.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. Jan2023, Vol. 35 Issue 1, p16-24. 9p. 6 Charts, 1 Graph.
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  Data: 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 &lt; 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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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1080/09540121.2022.2067313
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        Text: English
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      – SubjectFull: Patient aftercare
        Type: general
      – SubjectFull: Outpatient medical care
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      – SubjectFull: Evaluation of human services programs
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Violence
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      – SubjectFull: Community health services
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      – SubjectFull: Acquisition of data
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      – SubjectFull: Help-seeking behavior
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      – SubjectFull: Gender
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      – SubjectFull: Crime victims
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      – SubjectFull: Government programs
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      – SubjectFull: Pre-tests & post-tests
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Quality assurance
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      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Integrated health care delivery
        Type: general
      – SubjectFull: Odds ratio
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      – SubjectFull: Patient compliance
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      – SubjectFull: Mozambique
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      – TitleFull: Health care services for survivors of gender-based violence: a community and clinic-based intervention in Zambézia province, Mozambique.
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              Text: Jan2023
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