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埃塞俄比亚西北部家庭暴力预防政策与项目的实施障碍:一项质性实施研究

Barriers to implementation of domestic violence prevention policies and programs in northwestern Ethiopia: A qualitative implementation research.

作者信息

Semahegn Agumasie, Torpey Kwasi, Manu Adom, Assefa Nega, Agyeman Naana Akyiamaa, Ankomah Augustine

机构信息

College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

Department of Population, Family and Reproductive Health, University of Ghana School of Public Health, Legon, Accra, Ghana.

出版信息

PLOS Glob Public Health. 2025 Mar 18;5(3):e0004266. doi: 10.1371/journal.pgph.0004266. eCollection 2025.

DOI:10.1371/journal.pgph.0004266
PMID:40100839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11918427/
Abstract

Ethiopia is a signatory to various international conventions, regional charters, and protocols related to violence against women, yet many women suffer domestic violence. To date, very little is known about how these conventions and protocols are being implemented, and the barriers associated with their implementation. This study explored the barriers to implementation of domestic violence against women prevention policies and programs in northwestern Ethiopia. We conducted a qualitative study using in-depth interviews, key informant interviews, and focus group discussions among 43 participants. The study participants were purposively selected based on their key roles and positions in implementing policies and programs that aim to prevent domestic violence against women in the study area. The interviews and discussions were audio-recorded after obtaining consent from each study participant. Data were transcribed, coded, and thematically analyzed using NVivo 11 software. Implementation of domestic violence prevention policies and programs at the local level is fraught with many budgetary constraints, poor planning, non-adherence to planned activities, lack of political will and commitment in the local settings, competing priorities, poor program integration, and weak inter-sectoral collaboration. Therefore, future interventions that would sustain and synergize domestic violence prevention through the intersectoral collaboration of key actors, ensuring budgetary issues, improving local governors' will and commitment, and transforming deep-rooted inequitable gender -norms for successful domestic violence prevention policies and programs implementation.

摘要

埃塞俄比亚是各项与暴力侵害妇女行为相关的国际公约、区域宪章和议定书的签署国,但仍有许多妇女遭受家庭暴力。迄今为止,对于这些公约和议定书的实施情况以及实施过程中存在的障碍知之甚少。本研究探讨了埃塞俄比亚西北部实施预防暴力侵害妇女行为政策和方案的障碍。我们采用深入访谈、关键 informant 访谈和焦点小组讨论的方式,对43名参与者进行了定性研究。研究参与者是根据他们在实施旨在预防研究地区暴力侵害妇女行为的政策和方案中所起的关键作用和担任的职位有目的地挑选出来的。在获得每位研究参与者的同意后,对访谈和讨论进行了录音。数据进行了转录、编码,并使用 NVivo 11软件进行了主题分析。地方一级预防家庭暴力政策和方案的实施面临许多预算限制、规划不善、不遵守计划活动、当地缺乏政治意愿和承诺、优先事项相互竞争、方案整合不佳以及部门间协作薄弱等问题。因此,未来的干预措施应通过关键行为体的部门间协作来维持和协同预防家庭暴力,确保预算问题,提高地方州长的意愿和承诺,并转变根深蒂固的不平等性别规范,以成功实施预防家庭暴力的政策和方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b8b/11918427/5c4d235f3fb1/pgph.0004266.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b8b/11918427/5c4d235f3fb1/pgph.0004266.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b8b/11918427/5c4d235f3fb1/pgph.0004266.g001.jpg

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本文引用的文献

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BMJ Open. 2022 Nov 4;12(11):e063328. doi: 10.1136/bmjopen-2022-063328.
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The updated Consolidated Framework for Implementation Research based on user feedback.基于用户反馈的更新的实施研究综合框架。
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Are interventions focused on gender-norms effective in preventing domestic violence against women in low and lower-middle income countries? A systematic review and meta-analysis.
干预措施是否侧重于性别规范,在预防中低收入国家的女性遭受家庭暴力方面是否有效?系统评价和荟萃分析。
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Prevalence of Violence Against Women in Ethiopia: A Meta-Analysis.埃塞俄比亚暴力侵害妇女行为的流行率:一项荟萃分析。
Trauma Violence Abuse. 2020 Jul;21(3):624-637. doi: 10.1177/1524838018782205. Epub 2018 Jun 21.
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How the Health Sector Can Reduce Violence by Treating It as a Contagion.卫生部门如何通过将暴力视为一种传染病来减少暴力行为。
AMA J Ethics. 2018 Jan 1;20(1):47-55. doi: 10.1001/journalofethics.2018.20.1.nlit1-1801.
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