Lyons Nyla, Baer Britta, Sookhoo Natasha, Sirjusingh Adesh, Bridgelal-Nagassar Roma, Allen Caroline
Consultant Port of Spain Trinidad and Tobago Consultant, Port of Spain, Trinidad and Tobago.
Pan American Health Organization/World Health Organization Washington, DC United States of America Pan American Health Organization/World Health Organization, Washington, DC, United States of America.
Rev Panam Salud Publica. 2024 Aug 27;48:e72. doi: 10.26633/RPSP.2024.72. eCollection 2024.
This Special Report aims to outline the development process of the first National Clinical and Policy guidelines on Intimate Partner Violence and Sexual Violence in Trinidad and Tobago and to support the implementation of quality standards for survivors. The study used an implementation science approach to identify key evidence-based practice recommendations from guidance documents on health care for women who are subjected to violence and from relevant national legislation, policy, and practices. The process engaged stakeholders in discussions on the appropriateness, implementation, and use of these recommendations in the context of local health care delivery. Multidisciplinary teams of frontline health workers were consulted in groups in each of the five Regional Health Authorities. Interviews were held with senior government stakeholders responsible for health policy and with representatives of four civil society agencies. Participants provided recommendations to integrate quality standards into routine practice. These were incorporated into the guidelines, which include human rights principles and pathways of care for identifying violence, providing psychosocial and clinical care, safety planning, referrals, care during emergencies, and prevention of intimate partner violence and sexual violence. The guidelines were approved by the Ministry of Health of Trinidad and Tobago on 15 August 2022. Training of trainers has been undertaken to support implementation.
本特别报告旨在概述特立尼达和多巴哥首份关于亲密伴侣暴力和性暴力的国家临床与政策指南的制定过程,并支持为幸存者实施质量标准。该研究采用实施科学方法,从针对遭受暴力妇女的医疗保健指导文件以及相关国家立法、政策和实践中,确定基于证据的关键实践建议。该过程让利益相关者参与讨论这些建议在当地医疗服务背景下的适用性、实施和使用情况。在五个区域卫生当局中的每一个,都分组咨询了一线卫生工作者的多学科团队。与负责卫生政策的高级政府利益相关者以及四个民间社会机构的代表进行了访谈。参与者提出了将质量标准纳入常规实践的建议。这些建议被纳入指南,其中包括人权原则以及识别暴力、提供心理社会和临床护理、安全规划、转诊、紧急情况期间的护理以及预防亲密伴侣暴力和性暴力的护理途径。该指南于2022年8月15日获得特立尼达和多巴哥卫生部批准。已开展培训员培训以支持实施工作。