Mahapatro Meerambika, Kumar Avanish
National Institute of Health and Family Welfare, New Delhi, 110067, India.
Department of Public Policy and Governance, Management Development Institute, Gurgaon, Haryana, 122007, India.
J Public Health Policy. 2021 Jun;42(2):298-309. doi: 10.1057/s41271-021-00283-0. Epub 2021 May 10.
Domestic violence (DV) is a serious public health concern, affecting women's health and well-being. An international governance framework, through the United Nations' Sustainable Development Goals and national policies in India have committed the country to attempt elimination of violence against women. Even so, efforts remain starkly inadequate for altering conditions under which women experience DV. This review paper aims to develop an evidence-based, integrated life cycle model to alter conditions that perpetuate DV and related vulnerabilities in society. The analyses identify and determine community-based innovative practices and policies. We propose a collaborative 'R5 model' to incorporate a multi-stage response to break the cycle of gendered vulnerability. The model identifies five stages of vulnerability in the lives of victims of violence: rescue, recovery, rehabilitation, resilience, and reform. This approach can result in promoting a proactive state-society engagement to uphold the rights and the welfare of women. We recommend the 'R5 model' to bridge the global SDG targets, national policies, and local practices.
家庭暴力是一个严重的公共卫生问题,影响着女性的健康和福祉。一个国际治理框架,通过联合国可持续发展目标以及印度的国家政策,已促使该国致力于消除对妇女的暴力行为。即便如此,在改变女性遭受家庭暴力的环境方面,相关努力仍明显不足。这篇综述文章旨在构建一个基于证据的综合生命周期模型,以改变使家庭暴力及社会中相关脆弱性持续存在的环境。分析确定并判定基于社区的创新实践和政策。我们提出一个协作性的“R5模型”,以纳入多阶段应对措施来打破性别化脆弱性的循环。该模型确定了暴力受害者生活中的五个脆弱阶段:救援、恢复、康复、复原力和改革。这种方法能够促进国家与社会的积极互动,以维护妇女的权利和福利。我们推荐“R5模型”来衔接全球可持续发展目标、国家政策和地方实践。