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An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up

BACKGROUND: Malaysia has been at the forefront of the development and scale up of One-Stop Crisis Centres (OSCC) - an integrated health sector model that provides comprehensive care to women and children experiencing physical, emotional and sexual abuse. This study explored the strengths and challen...

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Autores principales: Colombini, Manuela, Mayhew, Susannah H, Ali, Siti Hawa, Shuib, Rashidah, Watts, Charlotte
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3412746/
https://www.ncbi.nlm.nih.gov/pubmed/22828240
http://dx.doi.org/10.1186/1471-2458-12-548
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author Colombini, Manuela
Mayhew, Susannah H
Ali, Siti Hawa
Shuib, Rashidah
Watts, Charlotte
author_facet Colombini, Manuela
Mayhew, Susannah H
Ali, Siti Hawa
Shuib, Rashidah
Watts, Charlotte
author_sort Colombini, Manuela
collection PubMed
description BACKGROUND: Malaysia has been at the forefront of the development and scale up of One-Stop Crisis Centres (OSCC) - an integrated health sector model that provides comprehensive care to women and children experiencing physical, emotional and sexual abuse. This study explored the strengths and challenges faced during the scaling up of the OSCC model to two States in Malaysia in order to identify lessons for supporting successful scale-up. METHODS: In-depth interviews were conducted with health care providers, policy makers and key informants in 7 hospital facilities. This was complemented by a document analysis of hospital records and protocols. Data were coded and analysed using NVivo 7. RESULTS: The implementation of the OSCC model differed between hospital settings, with practise being influenced by organisational systems and constraints. Health providers generally tried to offer care to abused women, but they are not fully supported within their facility due to lack of training, time constraints, limited allocated budget, or lack of referral system to external support services. Non-specialised hospitals in both States struggled with a scarcity of specialised staff and limited referral options for abused women. Despite these challenges, even in more resource-constrained settings staff who took the initiative found it was possible to adapt to provide some level of OSCC services, such as referring women to local NGOs or community support groups, or training nurses to offer basic counselling. CONCLUSIONS: The national implementation of OSCC provides a potentially important source of support for women experiencing violence. Our findings confirm that pilot interventions for health sector responses to gender based violence can be scaled up only when there is a sound health infrastructure in place – in other words a supportive health system. Furthermore, the successful replication of the OSCC model in other similar settings requires that the model – and the system supporting it – needs to be flexible enough to allow adaptation of the service model to different types of facilities and levels of care, and to available resources and thus better support providers committed to delivering care to abused women.
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spelling pubmed-34127462012-08-07 An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up Colombini, Manuela Mayhew, Susannah H Ali, Siti Hawa Shuib, Rashidah Watts, Charlotte BMC Public Health Research Article BACKGROUND: Malaysia has been at the forefront of the development and scale up of One-Stop Crisis Centres (OSCC) - an integrated health sector model that provides comprehensive care to women and children experiencing physical, emotional and sexual abuse. This study explored the strengths and challenges faced during the scaling up of the OSCC model to two States in Malaysia in order to identify lessons for supporting successful scale-up. METHODS: In-depth interviews were conducted with health care providers, policy makers and key informants in 7 hospital facilities. This was complemented by a document analysis of hospital records and protocols. Data were coded and analysed using NVivo 7. RESULTS: The implementation of the OSCC model differed between hospital settings, with practise being influenced by organisational systems and constraints. Health providers generally tried to offer care to abused women, but they are not fully supported within their facility due to lack of training, time constraints, limited allocated budget, or lack of referral system to external support services. Non-specialised hospitals in both States struggled with a scarcity of specialised staff and limited referral options for abused women. Despite these challenges, even in more resource-constrained settings staff who took the initiative found it was possible to adapt to provide some level of OSCC services, such as referring women to local NGOs or community support groups, or training nurses to offer basic counselling. CONCLUSIONS: The national implementation of OSCC provides a potentially important source of support for women experiencing violence. Our findings confirm that pilot interventions for health sector responses to gender based violence can be scaled up only when there is a sound health infrastructure in place – in other words a supportive health system. Furthermore, the successful replication of the OSCC model in other similar settings requires that the model – and the system supporting it – needs to be flexible enough to allow adaptation of the service model to different types of facilities and levels of care, and to available resources and thus better support providers committed to delivering care to abused women. BioMed Central 2012-07-24 /pmc/articles/PMC3412746/ /pubmed/22828240 http://dx.doi.org/10.1186/1471-2458-12-548 Text en Copyright ©2012 Colombini et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Colombini, Manuela
Mayhew, Susannah H
Ali, Siti Hawa
Shuib, Rashidah
Watts, Charlotte
An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up
title An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up
title_full An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up
title_fullStr An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up
title_full_unstemmed An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up
title_short An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up
title_sort integrated health sector response to violence against women in malaysia: lessons for supporting scale up
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3412746/
https://www.ncbi.nlm.nih.gov/pubmed/22828240
http://dx.doi.org/10.1186/1471-2458-12-548
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