Ikuteyijo Olutoyin Opeyemi, Kaiser-Grolimund Andrea, Fetters Michael D, Akinyemi Akanni Ibukun, Merten Sonja
Swiss Tropical and Public Health Institute, 4123 Allschwil, Switzerland.
University of Basel, 4001 Basel, Switzerland.
Healthcare (Basel). 2023 Sep 26;11(19):2627. doi: 10.3390/healthcare11192627.
Survivors of sexual and gender-based violence (SGBV) are often hindered in their quest to access quality healthcare. This has a significant effect towards the achievement of Sustainable Development Goal SDG Target 3.7. to ensure universal access to sexual and reproductive healthcare services. This study is focused on identifying some of the demand side barriers in accessing health care services, particularly among young girls who are survivors of SGBV within intimate relationships in poor urban areas in Nigeria. The study used an ethnographic approach to solicit information from health providers, adolescents, and young women (AYW) in 10 low-income communities in two major cities in Nigeria, Ibadan and Lagos. Findings showed that there are structural limitations within the primary health care (PHC) system that posed a great challenge for survivors of SGBV to access services. Some of these include non-existing counseling services, a lack of rehabilitation centers, poor referral, and a lack of training for health providers in handling survivors of SGBV. There is also a lack of skills among health service providers that have negative influence on support services to survivors of SGBV. On the demand side, poor knowledge of possible health seeking pathways, a lack of education, and social support are barriers to accessing appropriate services among adolescent and young SGBV survivors. The study concluded that integrated services at the PHC level should include adequate and timely treatment for survivors of SGBV and targeted intervention to upscale skills and knowledge of health care providers.
性暴力和基于性别的暴力（SGBV）幸存者在寻求优质医疗保健时常常受到阻碍。这对实现可持续发展目标SDG具体目标3.7产生重大影响，该目标旨在确保普遍获得性健康和生殖健康保健服务。本研究聚焦于确定获取医疗服务方面的一些需求侧障碍，尤其是在尼日利亚贫困城市地区亲密关系中性暴力和基于性别的暴力幸存者中的年轻女孩。该研究采用人种志方法，从尼日利亚两个主要城市伊巴丹和拉各斯的10个低收入社区的医疗服务提供者、青少年和年轻女性（AYW）那里获取信息。研究结果表明，初级卫生保健（PHC）系统存在结构限制，这给性暴力和基于性别的暴力幸存者获取服务带来了巨大挑战。其中一些包括不存在咨询服务、缺乏康复中心、转诊不佳以及医疗服务提供者在处理性暴力和基于性别的暴力幸存者方面缺乏培训。医疗服务提供者也缺乏技能，这对向性暴力和基于性别的暴力幸存者提供支持服务产生负面影响。在需求侧，对可能的就医途径了解不足、缺乏教育和社会支持是青少年和年轻的性暴力和基于性别的暴力幸存者获取适当服务的障碍。该研究得出结论，初级卫生保健层面的综合服务应包括为性暴力和基于性别的暴力幸存者提供充分和及时的治疗，以及有针对性的干预措施，以提升医疗服务提供者的技能和知识。
