a Division of Women's Health , Brigham and Women's Hospital , Boston , US.
b The Urban Institute , Washington, DC , US.
Glob Public Health. 2019 Sep;14(9):1335-1346. doi: 10.1080/17441692.2019.1567802. Epub 2019 Jan 16.
Intimate partner violence (IPV) is a widespread global health problem, with negative effects on women's health and HIV transmission and treatment. There is little evidence on how to address IPV effectively in lower-resourced healthcare settings, particularly those that are impacted by significant HIV epidemics. We conducted a scoping review to provide an overview of the literature on IPV screening and intervention programmes in sub-Saharan African healthcare. The included studies used mainly qualitative methods. We identified five main themes: the acceptability to female clients, the importance of confidentiality, provider concerns, barriers due to gender norms, and need for referrals and comprehensive services. Research in this field is limited, and a robust research agenda is needed to provide effective IPV interventions for women seeking healthcare in sub-Saharan Africa.
亲密伴侣暴力(IPV)是一个普遍存在的全球健康问题,对妇女的健康以及艾滋病毒的传播和治疗都有负面影响。在资源较少的医疗环境中,特别是在受艾滋病毒流行影响的环境中,如何有效地解决 IPV 问题,这方面的证据很少。我们进行了一次范围界定审查,以提供关于撒哈拉以南非洲医疗保健中 IPV 筛查和干预方案的文献概述。所纳入的研究主要使用定性方法。我们确定了五个主要主题:对女性客户的可接受性、保密性的重要性、提供者的关注、由于性别规范造成的障碍,以及转诊和综合服务的必要性。该领域的研究有限,需要制定一个强有力的研究议程,为在撒哈拉以南非洲寻求医疗保健的妇女提供有效的 IPV 干预措施。