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Upscaling and Strengthening Health Systems Response to Violence

 

Introduction

CEHAT recognizes violence as an important public health issue and has continuously worked in advocating the same through the public health system.  The Dilaasa Model, a hospital based crisis center for a woman facing violence has been running in collaboration between CEHAT and Brihanmumbai Municipal Corporation (BMC) to reach out and provide comprehensive care to survivors of violence. This model of care has received recognition in both national and international forums. As the evidence on violence clearly proves that that all forms of violence have some health consequences and these health consequences do bring women in contact with health system at some point of time.

Thus, in order to reach out to survivors; CEHAT is assisting different states to implement an integrated health system response to VAW through contextualized models of hospital based crisis intervention services. The approach is to ensure that comprehensive care is provided to the survivors of domestic and sexual violence through a gender sensitive approach. The essentials components of this project is to equip healthcare providers to identify victims/ survivors of violence based on symptoms then respond and refer.

Training of HCPs at Haryana- 7th-8th November, 2019

Two-day training for health care providers was conducted at State Institute of Health & Family Welfare, Panchkula on 7th-8th November, 2019. The training was organized as a collaborative initiative between CEHAT and the Haryana State Health Resource Centre.  The training was attended by 42 participants and included doctors, nurses and counselors from 11 hospital based Crisis Intervention Centre also known as Sukoon Centres in Haryana. The main objective of the training was to spread awareness among health care providers on their roles and responsibilities and to recognize the legal responsibilities of health providers vis a vis violence. A team of three resource person; from CEHAT interacted with the participants and discussed their experiences and challenges faced while working at the public health facility level.

The training began with understanding the about the prevalence of violence across the globe and our country followed by orientation on the various types of violence and the health consequences due to violence and the important concepts of sex, gender, patriarchy, power and intersectionality to understand the social reality relating to violence. Finally the first day concluded with myths about VAW, signs & symptoms and how can HCPs enquire about violence with a gender sensitive approach. The second day of training was aimed at providing the participants with important information about the legal responsibilities of HCPs and how they can provide first line support and pshychological aid to survivors of violence through LIVES.

The training provided for a platform for engagement with health functionaries to discuss issue of violence as a public health issue and deliberating a future course correction in order to provide comprehensive care to survivors of violence.

Training of HCPs at Akola, 14th-15th November, 2019

Two-day training for health care providers was conducted at the Nursing College in Akola, Maharashtra on 14th-15th November, 2019. The training was attended 33 doctors and nurses from the Ladyharding District Womens Hospital and Akola, Government Medical College. The main objective of the training was to sensitise health care providers about violence as a public health issue, the health consequences faced by the survivors and the support that can be provided to them in a gender sensitive way. A team of four resource persons; from CEHAT interacted with the participants to equip them with skills to identify signs and symptoms and also understand the challenges they face in doing the same.

The training included sessions on understanding prevalence of violence, various types of violence and the health consequences due to violence and the important concepts of sex, gender, patriarchy, power and intersectionality which are essential to take into consideration when a survivor comes to any health facility. Session were also taken on how can HCPs enquire about violence with a gender sensitive approach, legal responsibilities of HCPs and how they can provide first line support and pshychological aid to survivors of violence through LIVES.

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