Ghoshal Rakhi
Project Manager, CARE India, Patna, Bihar 800 013 INDIA.
Indian J Med Ethics. 2020 May 7;-(-):1-5. doi: 10.20529/IJME.2020.056.
While a virus is hardly "choosy" in finding a host, the consequences of government responses to a pandemic, such as to Covid-19, have deep implications for those already-marginalised, such as women and girls. In the absence of a systematic database examining the details of the impact, this comment synthesises existing opinions, reviews and the limited available data to show how, not only the outbreak, but particularly our response to it, are increasing the incidence of domestic violence (DV) across the globe, including in India. Despite tackling a much higher Covid caseload and mortality rate than India has, countries such as France and Spain have prioritised responding to DV in their respective societies, working out contingent mitigation mechanisms. Admittedly, low resource settings (LRS) such as India, have a bevy of additional infrastructure and budgetary challenges; but would that imply we do not respond to DV? This comment argues that in reality we have two public health emergencies to confront, the Covid-19 and domestic violence. It builds on the author's observations in the course of working on DV in an LRS context in India, and concludes with a set of recommendations on better responding to DV during Covid/lockdown times. Keywords Domestic violence, gender-based violence, Covid-19, lockdown, pandemic, low resource settings.
虽然病毒在寻找宿主时几乎没有“挑剔性”,但政府对大流行(如新冠疫情)的应对措施对那些已经处于边缘地位的群体,如妇女和女孩,有着深远影响。由于缺乏一个系统的数据库来详细研究其影响,本评论综合了现有观点、综述和有限的可用数据,以表明不仅疫情本身,特别是我们对疫情的应对措施,正在全球范围内,包括在印度,增加家庭暴力(DV)的发生率。尽管法国和西班牙等国家应对的新冠病例数和死亡率比印度高得多,但它们已在各自社会中将应对家庭暴力作为优先事项,并制定了应急缓解机制。诚然,像印度这样的低资源环境存在大量额外的基础设施和预算挑战;但这是否意味着我们不应对家庭暴力呢?本评论认为,实际上我们面临着两个公共卫生紧急情况,即新冠疫情和家庭暴力。它基于作者在印度低资源环境下处理家庭暴力工作过程中的观察,并以一组关于在新冠疫情/封锁期间更好地应对家庭暴力的建议作为结论。关键词 家庭暴力、基于性别的暴力、新冠疫情、封锁、大流行、低资源环境