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Last edited:
January 29, 2013
Introduction and Key Concepts
Why is the health sector critical in addressing violence against women and girls?
The health sector is a key entry point for survivors
The health sector has a responsibility to quality of care
The health sector has a critical role in preventing violence
Health sector programming can reduce the economic and development costs to societies
Health services for survivors are a basic human right
What are key elements of a comprehensive health sector approach?
An evidence-base of good practices in health sector approaches
Key theoretical models for building a comprehensive approach
The “systems” approach to health service delivery
The “integrated” approach to health service delivery
Adapting health sector approaches to different contexts and resource levels: from core services to comprehensive care
Guiding Principles
Overview of Basic Principles
Human rights-based approach
Survivor-centred approach
Quality of care approach
Medical ethics of care approach
Standards for Health Service Delivery
Initiating or Improving a National Health Sector Strategy
Conduct a situational analysis of the health sector
Create a multisectoral committee of stakeholders for coordinated action at the national and local levels
Ensure relevant laws are in place
Develop national and sub-national policies or action plans on a comprehensive health sector approach
Ensure protocols/guidelines are in place to support standardized implementation of national and sub-national policies
Create a national public health surveillance system
Ensure adequate funding for the health sector
Developing and Implementing Health Programmes at the Facility Level
Overview
Build institutional capacity of health facilities
Identify the needs of the facility through an assessment
Develop policies, written protocols and strategies to support integration of services throughout facility
Conduct staff and sensitization training
Build facility infrastructure
Consider routine screening
Ensure emergency and non-emergency services
24-hour forensic examinations
Safety assessment and planning
Emotional care and support
Safe abortion
Ensure medical records and an information system to document cases
Establish a monitoring and evaluation framework for levels of service activity and quality of care
Ensure coordination and referrals
Develop educational and informational materials and conduct community outreach about availability of support services
Develop community-based prevention programming
Ensure funding
Integrate survivor support and assistance into reproductive health programmes
Link HIV and AIDS and violence against women and girls programming
Understand the linkages between HIV/AIDS and violence against women and girls
Broad policy and practice recommendations for integrating violence against women and girls and HIV and AIDS programming
Overview
Law and Policy Reform
Health Systems Reform
Prevention
Specific areas for integrating violence against women and girls programming into HIV programming
Conduct a situational analysis
Voluntary counselling and testing for HIV
Prevention of Perinatal Transmission (also known as Prevention of Mother to Child Transmission)
Addressing violence against HIV positive women
Develop specialized support services
Overview
Sexual assault nurse examiner programmes
Intimate Partner Violence and/or Sexual Assault (one-stop) Centres
Rape Crisis Centres
Special Considerations when Working with Specific Populations
Adolescents
Women with disabilities
Sex workers
Migrants
Trafficked women and girls
Monitoring and Evaluation
Why evaluate health sector initiatives?
Conducting evaluation
Indicators
Baseline and endline assessments
Assessing providers’ level of knowledge, attitudes and practices (KAP) related to violence against women and girls
Assessing appropriateness of clinic/ health unit infrastructure and capacity
Assessing women’s experiences with health care
Assessing compliance with policies and protocols
Steps after evaluation
References
References
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