Department of Population Studies, London School of Hygiene and Tropical Medicine, UK.
Health Res Policy Syst. 2011 Jun 21;9:25. doi: 10.1186/1478-4505-9-25.
This article aims to investigate the processes, actors and other influencing factors behind the development and the national scale-up of the One Stop Crisis Centre (OSCC) policy and the subsequent health model for violence-response.
Methods used included policy analysis of legal, policy and regulatory framework documents, and in-depth interviews with key informants from governmental and non-governmental organisations in two States of Malaysia.
The findings show that women's NGOs and health professionals were instrumental in the formulation and scaling-up of the OSCC policy. However, the subsequent breakdown of the NGO-health coalition negatively impacted on the long-term implementation of the policy, which lacked financial resources and clear policy guidance from the Ministry of Health.
The findings confirm that a clearly-defined partnership between NGOs and health staff can be very powerful for influencing the legal and policy environment in which health care services for intimate partner violence are developed. It is critical to gain high level support from the Ministry of Health in order to institutionalise the violence-response across the entire health care system. Without clear operational details and resources policy implementation cannot be fully ensured and taken to scale.
本文旨在调查 One Stop 危机中心 (OSCC) 政策的制定和全国推广以及随后的暴力应对卫生模式背后的过程、行为者和其他影响因素。
所使用的方法包括对马来西亚两个州政府和非政府组织的法律、政策和监管框架文件进行政策分析，并对关键信息员进行深入访谈。
研究结果表明，妇女非政府组织和卫生专业人员在 OSCC 政策的制定和推广中发挥了重要作用。然而，非政府组织-卫生联盟的后续破裂对该政策的长期实施产生了负面影响，该政策缺乏来自卫生部的财政资源和明确的政策指导。
研究结果证实，非政府组织和卫生工作人员之间明确界定的伙伴关系对于影响亲密伴侣暴力保健服务发展的法律和政策环境非常有力。获得卫生部的高层支持对于将暴力应对措施纳入整个卫生保健系统至关重要。如果没有明确的操作细节和资源，政策的实施就无法得到充分保障和推广。
