Nurjannah Nurjannah, Oktari Rina S, Nisa Haiyun, Viridanda Wida Y, Aidina Wenny, Wang Shr-Jie
Department of Public Health, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.
Department of Family, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.
Narra J. 2024 Aug;4(2):e793. doi: 10.52225/narra.v4i2.793. Epub 2024 Jun 20.
Children who are at risk of involvement in violence need assistance from multisector agencies such as social services, law enforcement, health, and education. The aim of this study was to understand the perceptions and experiences of parents, teachers, and service providers (i.e., counselors, psychologists, paralegals, and social workers) on collaborative support for children at risk of violence in Banda Aceh, Indonesia. Twenty-four structured interviews were conducted with ten parents whose children were victims of sexual or physical abuse or were involved in substance abuse and theft and have received support from the Integrated Service Center for the Empowerment of Women and Children in Banda Aceh, Indonesia; ten service providers; and four teachers who either worked with the concerned children or knew them. Using a thematic analysis approach, the data was systematically coded and analyzed to identify important themes. Most parents who sought help or support from governmental agencies were referred by other service providers or recommended by relatives or friends. Parents hesitated to discuss their children's problems with the teachers, worrying about stigma, particularly for sexual abuse victims. The school's lack of collaboration with external agencies was consistent with the teacher's claim that they seldom work with other agencies outside of school, resulting in a siloed system of care. It can be concluded that the biggest barrier to communication and coordination among parents, teachers, and service providers is the parents' and service providers' lack of willingness and confidence to work with teachers. Clear policies are needed to establish a cross-institutional linkage structure that promotes shared responsibilities.
有卷入暴力风险的儿童需要社会服务、执法、卫生和教育等多部门机构的协助。本研究的目的是了解印度尼西亚班达亚齐地区的家长、教师和服务提供者(即顾问、心理学家、律师助理和社会工作者)对为有暴力风险儿童提供协作支持的看法和经历。对10名家长、10名服务提供者和4名教师进行了24次结构化访谈,这些家长的孩子是性虐待或身体虐待的受害者,或有药物滥用和盗窃问题,并且已从印度尼西亚班达亚齐妇女和儿童赋权综合服务中心获得支持;这10名服务提供者;以及4名曾与相关儿童共事或认识他们的教师。采用主题分析方法,对数据进行系统编码和分析,以确定重要主题。大多数向政府机构寻求帮助或支持的家长是由其他服务提供者转介或亲戚朋友推荐的。家长们不愿与教师讨论孩子的问题,担心会带来污名,尤其是对性虐待受害者而言。学校与外部机构缺乏合作,这与教师声称他们很少与校外其他机构合作的说法一致,从而导致护理体系相互孤立。可以得出结论,家长、教师和服务提供者之间沟通与协调的最大障碍是家长和服务提供者缺乏与教师合作的意愿和信心。需要制定明确的政策,建立促进共同责任的跨机构联系结构。