Hospital Management Research Center, Iran University of Medical Science, Tehran, Iran.
Social Determinants of Health Research Center, Tabriz University of Medical Science, Tabriz, Iran.
J Interpers Violence. 2022 Jun;37(11-12):NP8582-NP8610. doi: 10.1177/0886260520978181. Epub 2020 Dec 6.
Establishment of an interpersonal-violence registry system (IPVRS) is a promising initiative to tackle violence. This qualitative study aimed to fill the gap in knowledge regarding the feasibility of establishing the IPVRS in the East-Azerbaijan province of Iran. This qualitative study using content analysis was conducted to explore the importance, challenges, and facilitating factors of establishing the IPVRS from the viewpoints of stakeholders. Forty-six individuals from the Forensic Medical Organization, the University, the Welfare Organization, the Training and Education Organization, hospitals, and primary health centers participated in the study. Six themes and 13 sub-themes were identified. The importance of the establishment of the IPVRS was sub-categorized into two main themes, including violence as a public health priority and severe consequences of violence including intensive health and social outcomes and high use of medical services. The most critical challenges of establishing the IPVRS were categorized into two main themes including victims' under-reporting due to financial difficulties as well as psychosocial barriers and structural barriers such as organizational barriers and methodological challenges. Inter-sectoral partnership was identified as the main facilitating factor in the successful establishment of the IPVRS. The participants recommended improving the development of the IPVRS by stepwise development of the program, resource absorption from other beneficiary organizations, and making more coverage in the registry system. In conclusion, the establishment of the IPVRS is identified as an effective strategy to tackle violence-related issues. Close collaboration with different governmental and non-governmental sectors and the gradual development of the registry system can pave the way for establishing the IPVRS. This study has several implications for identifying potential challenges and facilitators of the IPVRS applicable to other developing countries with similar contexts.
建立人际暴力登记系统(IPVRS)是解决暴力问题的一项有前途的举措。本定性研究旨在填补伊朗东阿塞拜疆省建立 IPVRS 的可行性方面的知识空白。本研究采用内容分析法,从利益相关者的角度探讨了建立 IPVRS 的重要性、挑战和促进因素。共有来自法医组织、大学、福利组织、培训和教育组织、医院和初级保健中心的 46 人参与了这项研究。确定了 6 个主题和 13 个副标题。建立 IPVRS 的重要性分为两个主要主题,包括暴力作为公共卫生优先事项和暴力的严重后果,包括密集的健康和社会后果以及对医疗服务的高利用。建立 IPVRS 的最关键挑战分为两个主要主题,包括受害者因经济困难以及心理社会障碍和组织障碍和方法学挑战等结构障碍而报告不足。部门间伙伴关系被确定为成功建立 IPVRS 的主要促进因素。参与者建议通过逐步发展该计划、从其他受益组织吸收资源以及在登记系统中增加更多覆盖范围来改进 IPVRS 的发展。总之,建立 IPVRS 被认为是解决与暴力相关问题的有效策略。与不同政府和非政府部门密切合作,并逐步发展登记系统,可以为建立 IPVRS 铺平道路。本研究对确定其他具有类似背景的发展中国家适用的 IPVRS 的潜在挑战和促进因素具有重要意义。