Feasibility and acceptability of a universal screening and referral protocol for gender-based violence with women seeking care in health clinics in Dadaab refugee camps in Kenya
Background. Gender-based violence (GBV) is both a global public health problem and violation of human rights. Refugees and internally displaced persons experience an increased risk of GBV and health outcomes associated with GBV are often exacerbated in con...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2017-01-01
|
| Series: | Cambridge Prisms: Global Mental Health |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425117000188/type/journal_article |
| _version_ | 1811156147135053824 |
|---|---|
| author | A. Vu A. L. Wirtz S. Bundgaard A. Nair G. Luttah S. Ngugi N. Glass |
| author_facet | A. Vu A. L. Wirtz S. Bundgaard A. Nair G. Luttah S. Ngugi N. Glass |
| author_sort | A. Vu |
| collection | DOAJ |
| description |
Background.
Gender-based violence (GBV) is both a global public health problem and violation of human rights. Refugees and internally displaced persons experience an increased risk of GBV and health outcomes associated with GBV are often exacerbated in conflict settings.
Methods.
A mixed methods study to examine the feasibility and acceptability of universal screening for GBV in a refugee population in the Dadaab refugee camp of Kenya, using the ASIST-GBV from January to July 2015.
Results.
Of 9366 women offered screening at International Rescue Committee health clinics, about 89% (n = 8369) female refugees consented to participate. Only 15% of the potentially eligible population could participate in GBV screening because of the ongoing struggle to identify private space in the clinics. Over 85% of women reported being ‘willing’ or ‘very willing’ to participate in GBV screening; 96% felt they had a good or very good experience with the screening protocol. Qualitative findings stressed the importance of securing a room/space in the busy clinic is critical to universal screening with referral to safe and confidential services for survivors.
Conclusions.
The findings suggest that the evidence-based ASIST-GBV is both feasible to implement and acceptable to both providers and women seeking care. Universal GBV screening and referral is an effective way for health care and service providers in humanitarian settings to assist survivors of GBV.
|
| first_indexed | 2024-04-10T04:46:38Z |
| format | Article |
| id | doaj.art-df01fb0eca924df5a21ca2b9d88602a9 |
| institution | Directory Open Access Journal |
| issn | 2054-4251 |
| language | English |
| last_indexed | 2024-04-10T04:46:38Z |
| publishDate | 2017-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj.art-df01fb0eca924df5a21ca2b9d88602a92023-03-09T12:35:34ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512017-01-01410.1017/gmh.2017.18Feasibility and acceptability of a universal screening and referral protocol for gender-based violence with women seeking care in health clinics in Dadaab refugee camps in KenyaA. Vu0A. L. Wirtz1S. Bundgaard2A. Nair3G. Luttah4S. Ngugi5N. Glass6Department of Emergency Medicine, Johns Hopkins Medicine, Baltimore, Maryland, USA International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USADepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USAHealth and Women's Empowerment and Protection, International Rescue Committee, New York, New York, USADepartment of Emergency Medicine, Johns Hopkins Medicine, Baltimore, Maryland, USAHealth and Women's Empowerment and Protection, International Rescue Committee, New York, New York, USAHealth and Women's Empowerment and Protection, International Rescue Committee, New York, New York, USAJohns Hopkins University School of Nursing, School of Nursing, Baltimore, Maryland, USA Background. Gender-based violence (GBV) is both a global public health problem and violation of human rights. Refugees and internally displaced persons experience an increased risk of GBV and health outcomes associated with GBV are often exacerbated in conflict settings. Methods. A mixed methods study to examine the feasibility and acceptability of universal screening for GBV in a refugee population in the Dadaab refugee camp of Kenya, using the ASIST-GBV from January to July 2015. Results. Of 9366 women offered screening at International Rescue Committee health clinics, about 89% (n = 8369) female refugees consented to participate. Only 15% of the potentially eligible population could participate in GBV screening because of the ongoing struggle to identify private space in the clinics. Over 85% of women reported being ‘willing’ or ‘very willing’ to participate in GBV screening; 96% felt they had a good or very good experience with the screening protocol. Qualitative findings stressed the importance of securing a room/space in the busy clinic is critical to universal screening with referral to safe and confidential services for survivors. Conclusions. The findings suggest that the evidence-based ASIST-GBV is both feasible to implement and acceptable to both providers and women seeking care. Universal GBV screening and referral is an effective way for health care and service providers in humanitarian settings to assist survivors of GBV. https://www.cambridge.org/core/product/identifier/S2054425117000188/type/journal_articleGender-based violenceinterventionsrefugeescreening |
| spellingShingle | A. Vu A. L. Wirtz S. Bundgaard A. Nair G. Luttah S. Ngugi N. Glass Feasibility and acceptability of a universal screening and referral protocol for gender-based violence with women seeking care in health clinics in Dadaab refugee camps in Kenya Cambridge Prisms: Global Mental Health Gender-based violence interventions refugee screening |
| title | Feasibility and acceptability of a universal screening and referral protocol for gender-based violence with women seeking care in health clinics in Dadaab refugee camps in Kenya |
| title_full | Feasibility and acceptability of a universal screening and referral protocol for gender-based violence with women seeking care in health clinics in Dadaab refugee camps in Kenya |
| title_fullStr | Feasibility and acceptability of a universal screening and referral protocol for gender-based violence with women seeking care in health clinics in Dadaab refugee camps in Kenya |
| title_full_unstemmed | Feasibility and acceptability of a universal screening and referral protocol for gender-based violence with women seeking care in health clinics in Dadaab refugee camps in Kenya |
| title_short | Feasibility and acceptability of a universal screening and referral protocol for gender-based violence with women seeking care in health clinics in Dadaab refugee camps in Kenya |
| title_sort | feasibility and acceptability of a universal screening and referral protocol for gender based violence with women seeking care in health clinics in dadaab refugee camps in kenya |
| topic | Gender-based violence interventions refugee screening |
| url | https://www.cambridge.org/core/product/identifier/S2054425117000188/type/journal_article |
| work_keys_str_mv | AT avu feasibilityandacceptabilityofauniversalscreeningandreferralprotocolforgenderbasedviolencewithwomenseekingcareinhealthclinicsindadaabrefugeecampsinkenya AT alwirtz feasibilityandacceptabilityofauniversalscreeningandreferralprotocolforgenderbasedviolencewithwomenseekingcareinhealthclinicsindadaabrefugeecampsinkenya AT sbundgaard feasibilityandacceptabilityofauniversalscreeningandreferralprotocolforgenderbasedviolencewithwomenseekingcareinhealthclinicsindadaabrefugeecampsinkenya AT anair feasibilityandacceptabilityofauniversalscreeningandreferralprotocolforgenderbasedviolencewithwomenseekingcareinhealthclinicsindadaabrefugeecampsinkenya AT gluttah feasibilityandacceptabilityofauniversalscreeningandreferralprotocolforgenderbasedviolencewithwomenseekingcareinhealthclinicsindadaabrefugeecampsinkenya AT sngugi feasibilityandacceptabilityofauniversalscreeningandreferralprotocolforgenderbasedviolencewithwomenseekingcareinhealthclinicsindadaabrefugeecampsinkenya AT nglass feasibilityandacceptabilityofauniversalscreeningandreferralprotocolforgenderbasedviolencewithwomenseekingcareinhealthclinicsindadaabrefugeecampsinkenya |