Evaluation of an intervention to improve Primary Health Care’s response to cases of domestic violence against women - São Paulo, Brazil

Dados Bibliográficos

ID16825784
AutoresStephanie Pereira (0000-0002-4910-448X, Universidade de São Paulo), Yuri Nishijima Azeredo (0000-0003-2077-0398, Universidade de São Paulo), Lilia Blima Schraiber (0000-0002-3326-0824, Universidade de São Paulo), Janaína Marques De Aguiar (0000-0001-5974-1194, Universidade de São Paulo), Beatriz Diniz Kalichman (0000-0002-4139-3344, Universidade de São Paulo), Cecilia Guida Vieira Graglia (0000-0003-1491-5327, Universidade de São Paulo), Marina Silva Dos Reis (0000-0001-5050-984X, Universidade de São Paulo), Nayara Portilho Lima (0000-0001-8021-0056, Universidade de São Paulo), Loraine J Bacchus (0000-0002-9966-8208, London School of Hygiene and Tropical Medicine, United Kingdom), M Colombini (0000-0001-7487-9634, London School of Hygiene and Tropical Medicine, United Kingdom), Gene Feder (0000-0002-7890-3926, University of Bristol), Ana Flávia Pires Lucas D’oliveira (0000-0003-1456-4184, Universidade de São Paulo)
Ano2024
Volume29
Fascículo9
Data de publicação2024-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCiência & Saúde Coletiva (JOURNAL)
Identificadores do periódicoISSN: 1413-8123 • E-ISSN: 1678-4561
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/1413-81232024299.02982024en
OpenAlexW4401885360
IdiomaEN
Citações recebidas1
Referências citadas18

The aim was to analyse and improve the Primary Health Care (PHC) response to domestic violence against women (DVAW) by developing, implementing and evaluating an intervention. A pilot study evaluating the before and after of intervention implementation, using mixed methods and carried out in three phases - formative, intervention and evaluation - between August 2017 and March 2019 in two Basic Health Units (UBS) in the city of São Paulo. In this paper, we present the details and evaluation of the intervention, carried out six to twelve months after its implementation. The intervention was developed based on the findings of the formative phase and in line with the health policy that establishes the Violence Prevention Nucleus (NPV) and consisted of stablishing a care pathway; general training for all workers and specific training for the NPV; drawing up educational material and monthly case discussions over 6 months. The evaluation showed acceptability among the workers, increased identification and repertoire for caring for cases of DVAW, strengthening internal referral and the intersectoral network. We identified obstacles to the full implementation and sustainability of the intervention

Domestic violence · Environmental health · Family medicine · Poison control · Population · Primary care · Primary health care · Socioeconomics · Sociology · Suicide prevention · Adolescent Sexual and Reproductive Health · Intimate Partner and Family Violence · Medicine · Nursing · Sex work and related issues