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女性に対する暴力に対する保健システムの対応
Claudia García-Moreno1, Kelsey Hegarty2, Ana Flavia Lucas d'Oliveira3
1Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
Lancet (London, England)
|December 4, 2014
まとめ
保健システムは,女性に対する暴力に対処するために不可欠です. プロトコル,訓練,調整による保健システムの強化は,既存の障壁にもかかわらず,生存者の識別と支援を改善することができます.
科学分野:
- 公衆衛生は公衆衛生である.
- グローバル・ヘルス グローバル・ヘルス
- 保健システムの強化
背景:
- 女性に対する暴力 (VAW) は,世界保健機関 (WHO) と世界保健総会 (WHA) によって認められた世界保健の優先事項です.
- 医療システムは,VAWに対する多部門の対応において重要な役割を果たしています.
- VAWに対する医療システムの対応策の開発と実施の進展は,特に低所得および中所得国では,実質的なシステムおよび行動的障壁のために遅いです.
研究 の 目的:
- VAW.に対処する臨床介入のための証拠をレビューする.
- 親密なパートナーまたは性的暴力にさらされた女性を特定し,支援するための包括的な保健システムアプローチの構成要素について議論する.
- 各国のケーススタディを通じて,VAWに対する医療システムの対応を発展させるための多様な文脈と経路を調査する.
主な方法:
- 臨床介入に関する証拠のレビュー.
- 総合的な保健システム構成要素についての議論.
- VAW対応のための保健システム開発のさまざまなアプローチを示す5カ国のケーススタディの分析.
主要な成果:
- 医療システムは,VAWを効果的に対処するために強化する必要があります.
- 重要な構成要素には,明確なプロトコル,医療従事者の能力構築,機関間連携,確立された紹介ネットワークが含まれます.
- 各国のケーススタディは,さまざまな実施戦略と,保健システムの対応に影響を与える文脈的要因を強調しています.
結論:
- 課題があるにもかかわらず,VAWに対する対応を改善するためには,保健システムを強化することが不可欠です.
- プロトコル,トレーニング,調整,紹介を含む包括的なアプローチにより,医療提供者は生存者を特定し,支援することができます.
- 障壁を克服し,VAWに対する効果的な医療制度の介入を拡大するために,継続的な研究と投資が必要です.
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