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Implementing an Educational Intervention on Formal Training of MBBS Interns Regarding Response to Violence Against
Madhva Prasad1, Amruta Pentakota1, Pubali Biswas2
1Department of Obstetrics and Gynecology, Vydehi Institute of Medical Sciences and Research Centre, Whitefield, Bangalore, 560066 India.
Background:
Violence against women (VAW) and sexual assault are major problems in the real-world scenario. There exist lacunae among medical practitioners regarding response to VAW. Despite increasing awareness and improved sensitivity, teaching students how to handle VAW is a neglected part of medical education, which this project addresses.
Materials And Methods:
A one-day educational program using the "Caring for women subjected to violence: a WHO curriculum for training health-care providers" tool was conducted for thirty interns. Interactive lectures, small group discussion and role plays were conducted, using the guidance in the curriculum, in the presence of observers. Pre-designed, pre-validated questionnaire (10 stems; 85 individual items) was utilized for assessment. Pre-program and post-program scores were compared using the paired t test.
Results:
Background knowledge about VAW (3.67-5.78, p value < 0.001), Knowledge about warnings signs of VAW (6.7-8.83, p value 0.002), Skill entities-Ability to communicate to survivors of VAW-initiation (2.43-3.2, p value 0.04), ability to communicate to survivors of VAW- Enquiry (6.53-7.86, p value < 0.001), ability to utilize systems support in response to VAW (3.03-5.14, p value < 0.01) and the understanding how much a health-care practitioner's own beliefs impact their own response towards VAW survivors (29.2-19.8, p value < 0.0001) showed statistically significant improvement. Baseline scores about beliefs about gender roles of both males and females were quite high suggestive a very mature population. Overall self-perception of preparedness towards response to VAW showed an overt increase (19.14-32.75, p value < 0.0001), pointing towards the magnitude of success of the program.
Conclusion:
A one-day educational intervention is feasible and improves medical graduate's response to VAW. WHO- LIVES curriculum is suitable for educating interns about VAW. This study could be the starting point for inclusion of a formal VAW program in the medical curriculum in India.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s13224-024-01951-3.
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