Alvarado Gina, Fenny Ama P, Dakey Samuel, Mueller Jennifer L, O'Brien-Milne Lila, Crentsil Aba O, Duvvury Nata, Scriver Stacey, Schwenke Chloe
Landesa Rural Development Institute, Washington, DC, USA.
Institute of Statistical, Social, and Economic Research, Accra, Ghana.
J Public Health Afr. 2018 Oct 1;9(2):860. doi: 10.4081/jphia.2018.860.
Past research on violence in Ghana primarily discusses domestic violence and some types of sexual violence, but lacks a comprehensive analysis of violence against women and girls (VAWG) and its wider costs and impacts. Our study on the social costs of VAWG is a unique contribution, which aims to fill that gap. Through indepth interviews (IDIs) and focus group discussions (FGDs) with adult women and men, we explored the health impact of VAWG and the resulting social and economic consequences on survivors, their families and their communities. The research, which took place in the Eastern, Central, and Greater Accra regions of Ghana, points to several physical and mental health outcomes among survivors including physical injuries and disability, as well as impacts on mental health such as anxiety and suicidal ideation. Many VAWG survivors also experience stigma and social isolation. Our findings also reveal that survivors' families can bear various social and economic costs. Lack of public and private service provision and shelters for survivors heighten these impacts. Without institutional support for survivors, families and communities absorb these costs of VAWG.
加纳过去关于暴力问题的研究主要讨论家庭暴力和某些类型的性暴力,但缺乏对妇女和女童暴力行为(VAWG)及其更广泛成本和影响的全面分析。我们关于VAWG社会成本的研究是一项独特贡献,旨在填补这一空白。通过与成年男女进行深入访谈(IDI)和焦点小组讨论(FGD),我们探讨了VAWG对健康的影响以及对幸存者、其家庭和社区造成的社会和经济后果。这项在加纳东部、中部和大阿克拉地区开展的研究指出,幸存者存在多种身心健康问题,包括身体受伤和残疾,以及焦虑和自杀念头等对心理健康的影响。许多VAWG幸存者还遭受耻辱和社会孤立。我们的研究结果还表明,幸存者的家庭可能承担各种社会和经济成本。缺乏为幸存者提供的公共和私人服务及庇护所加剧了这些影响。如果没有对幸存者的机构支持,家庭和社区将承担VAWG的这些成本。