肯尼亚性暴力和基于性别的暴力问题医疗法律应对措施的多年多部门培训方案
Multiyear, Multisectoral Training Program in Kenya to Enhance Medical-Legal Processes in Response to Sexual and Gender-Based Violence.
机构信息
Division of Global Health, Department of Pediatrics, 2348Massachusetts General Hospital, Boston, MA, USA.
145771Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.
出版信息
Violence Against Women. 2022 Nov;28(14):3311-3330. doi: 10.1177/10778012221099984. Epub 2022 Aug 7.
Sexual and gender-based violence (SGBV) leads to severe sequelae for individuals and communities. Lack of cross-sector coordination inhibits effective medical-legal support and justice for survivors. Multisectoral trainings for health, legal, and law enforcement professionals on survivor-centered SGBV care were conducted in Kenya during 2012-2018. Evaluation utilized objective structured clinical examinations, standardized patients, knowledge assessments, and interviews. A total of 446 professionals participated in 18 trainings. Mean knowledge scores increased from 75.6% to 84.7% ( < .001). Thirty interviews revealed improved survivor confidentiality, increased specialized hospital care, more comprehensive forensic care, and greater cross-sector collaboration. Participants reported survivors feeling more comfortable pursuing legal action and increased perpetrator convictions.
性暴力和基于性别的暴力（SGBV）会给个人和社区带来严重的后果。缺乏跨部门协调会妨碍为幸存者提供有效的医学法律支持和司法正义。2012 年至 2018 年期间，在肯尼亚为卫生、法律和执法专业人员举办了以幸存者为中心的 SGBV 护理多部门培训。评估采用客观结构化临床考试、标准化患者、知识评估和访谈。共有 446 名专业人员参加了 18 次培训。知识得分从 75.6%提高到 84.7%（<0.001）。30 次访谈显示，幸存者的保密性得到改善，专门医院护理增加，法医护理更加全面，跨部门合作增加。参与者报告称，幸存者更愿意采取法律行动，犯罪者被定罪的比例也有所增加。
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