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Sexual assault survivors’ perspectives on clinical follow-up in the Eden District, South Africa: A qualitative study

BACKGROUND: Although effective follow-up of sexual assault survivors is linked to optimal recovery, attendance at follow-up consultations is poor. It is therefore essential that health care providers maximise the benefit of follow-up care for every sexual assault survivor. AIM: This study explored t...

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Autores principales: Holton, Gail, Joyner, Kate, Mash, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018593/
https://www.ncbi.nlm.nih.gov/pubmed/29943600
http://dx.doi.org/10.4102/phcfm.v10i1.1631
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author Holton, Gail
Joyner, Kate
Mash, Robert
author_facet Holton, Gail
Joyner, Kate
Mash, Robert
author_sort Holton, Gail
collection PubMed
description BACKGROUND: Although effective follow-up of sexual assault survivors is linked to optimal recovery, attendance at follow-up consultations is poor. It is therefore essential that health care providers maximise the benefit of follow-up care for every sexual assault survivor. AIM: This study explored the personal experiences of sexual assault survivors to better understand the enablers of, and barriers to, attendance at follow-up consultations. METHODS: This phenomenological qualitative study was conducted at the three hospitals which manage most sexual assault survivors within the Eden District. Using purposive sampling, 10 participants were selected. Consenting participants shared their experiences during semi-structured interviews with the researcher. RESULTS: Authoritative, client-held documentation was a powerful enabler to accessing follow-up care. Individualised, patient-centred care further enhanced participants’ access to, and utilisation of, health care services. The failure of health care providers to integrate follow-up care for sexual assault survivors into established chronic care services was a missed opportunity in the continuum of care. Negative perceptions, based on others’ or personal prior experience of police, judicial and health care systems, were further barriers to follow-up care. CONCLUSION: This study highlights the need of survivors of sexual assault for integrated, patient-centred care, encompassing principles of good communication. Committed actions of all stakeholders are necessary to tackle negative perceptions that create barriers to follow-up care. A simple practical strategy, the provision of a scheduled appointment on official stationery, is easy to effect at facility level. As a powerful enabler to follow-up care, this should be implemented as a priority intervention.
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spelling pubmed-60185932018-07-05 Sexual assault survivors’ perspectives on clinical follow-up in the Eden District, South Africa: A qualitative study Holton, Gail Joyner, Kate Mash, Robert Afr J Prim Health Care Fam Med Original Research BACKGROUND: Although effective follow-up of sexual assault survivors is linked to optimal recovery, attendance at follow-up consultations is poor. It is therefore essential that health care providers maximise the benefit of follow-up care for every sexual assault survivor. AIM: This study explored the personal experiences of sexual assault survivors to better understand the enablers of, and barriers to, attendance at follow-up consultations. METHODS: This phenomenological qualitative study was conducted at the three hospitals which manage most sexual assault survivors within the Eden District. Using purposive sampling, 10 participants were selected. Consenting participants shared their experiences during semi-structured interviews with the researcher. RESULTS: Authoritative, client-held documentation was a powerful enabler to accessing follow-up care. Individualised, patient-centred care further enhanced participants’ access to, and utilisation of, health care services. The failure of health care providers to integrate follow-up care for sexual assault survivors into established chronic care services was a missed opportunity in the continuum of care. Negative perceptions, based on others’ or personal prior experience of police, judicial and health care systems, were further barriers to follow-up care. CONCLUSION: This study highlights the need of survivors of sexual assault for integrated, patient-centred care, encompassing principles of good communication. Committed actions of all stakeholders are necessary to tackle negative perceptions that create barriers to follow-up care. A simple practical strategy, the provision of a scheduled appointment on official stationery, is easy to effect at facility level. As a powerful enabler to follow-up care, this should be implemented as a priority intervention. AOSIS 2018-05-30 /pmc/articles/PMC6018593/ /pubmed/29943600 http://dx.doi.org/10.4102/phcfm.v10i1.1631 Text en © 2018. The Authors https://creativecommons.org/licenses/by/4.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Holton, Gail
Joyner, Kate
Mash, Robert
Sexual assault survivors’ perspectives on clinical follow-up in the Eden District, South Africa: A qualitative study
title Sexual assault survivors’ perspectives on clinical follow-up in the Eden District, South Africa: A qualitative study
title_full Sexual assault survivors’ perspectives on clinical follow-up in the Eden District, South Africa: A qualitative study
title_fullStr Sexual assault survivors’ perspectives on clinical follow-up in the Eden District, South Africa: A qualitative study
title_full_unstemmed Sexual assault survivors’ perspectives on clinical follow-up in the Eden District, South Africa: A qualitative study
title_short Sexual assault survivors’ perspectives on clinical follow-up in the Eden District, South Africa: A qualitative study
title_sort sexual assault survivors’ perspectives on clinical follow-up in the eden district, south africa: a qualitative study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018593/
https://www.ncbi.nlm.nih.gov/pubmed/29943600
http://dx.doi.org/10.4102/phcfm.v10i1.1631
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