2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundGlobally, including in low- and middle-income {[}LMIC]
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countries, there is increased attention to and investment in
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interventions to prevent and respond to violence against women; however,
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most of these approaches are delivered outside of formal or informal
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health systems. The World Health Organization published clinical and
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policy guidelines Responding to intimate partner violence and sexual
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violence against women in 2013. Further evidence is needed concerning
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implementation of the Guidelines, including how health care providers
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perceive training interventions, if the training approach meets their
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needs and is of relevance to them and how to ensure sustainability of
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changes in practice due to training. This manuscript describes a study
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protocol for a mixed methods study of the implementation of the
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Guidelines and related tools in tertiary hospitals in two districts in
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Maharashtra, India.MethodsThe study will employ a mixed-methods study
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design. A quantitative assessment of health care providers'' and
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managers'' knowledge, attitudes, and practices will be conducted pre,
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post, and 6months after the training. Qualitative methods will include a
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participatory stakeholders'' meeting to inform the design of the training
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intervention design, in-depth interviews {[}IDIs] and focus-group
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discussions {[}FGDs] with health care providers and managers 3-6months
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after training, and IDIs with women who have disclosed violence to a
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trained health care provider, approximately 6months after training. The
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study will also validate two tools: a readiness assessment of health
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facilities and a health management information system form in a facility
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register format which will be used to document cases of
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violence.DiscussionThe multiple components of this study will generate
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data to improve our understanding of how implementation of the
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Guidelines works, what barriers and facilitators to implementation exist
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in this context, and how current implementation practices result in
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changes in terms of health services and providers'' practices of
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responding to women affected by violence. The results will be useful for
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governmental and non-governmental and United Nations Agency efforts to
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improve health systems and services for women affected by violence, as
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well as for researchers working on health systems responses to violence
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against women in India and possibly other contexts.'
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affiliation: 'Meyer, SR (Corresponding Author), WHO, Dept Sexual \& Reprod Hlth \&
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Res, Geneva, Switzerland.
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Meyer, Sarah R.; Garcia-Moreno, Claudia; Amin, Avni, WHO, Dept Sexual \& Reprod
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Hlth \& Res, Geneva, Switzerland.
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Rege, Sangeeta; Avalaskar, Prachi; Deosthali, Padma, CEHAT Ctr Inquiry Hlth \& Allied
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Themes, Mumbai, Maharashtra, India.'
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article-number: '63'
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author: Meyer, Sarah R. and Rege, Sangeeta and Avalaskar, Prachi and Deosthali, Padma
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and Garcia-Moreno, Claudia and Amin, Avni
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author-email: smeyer@who.int
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author_list:
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- family: Meyer
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given: Sarah R.
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- family: Rege
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given: Sangeeta
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- family: Avalaskar
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given: Prachi
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- family: Deosthali
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given: Padma
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- family: Garcia-Moreno
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given: Claudia
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- family: Amin
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given: Avni
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da: '2023-09-28'
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doi: 10.1186/s40814-020-00609-x
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eissn: 2055-5784
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files: []
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journal: PILOT AND FEASIBILITY STUDIES
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keywords: 'Violence against women; Training; Implementation science; Guidelines;
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Study protocol'
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keywords-plus: 'INTIMATE PARTNER VIOLENCE; DOMESTIC VIOLENCE; MULTICOUNTRY;
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INTERVENTION; PREGNANCY'
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language: English
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number: '1'
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number-of-cited-references: '49'
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papis_id: 210a23d2987529df9c42ce468b139e7e
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ref: Meyer2020strengtheninghealth
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times-cited: '4'
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title: 'Strengthening health systems response to violence against women: protocol
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to test approaches to train health workers in India'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000729238200070
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usage-count-last-180-days: '1'
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usage-count-since-2013: '1'
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volume: '6'
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web-of-science-categories: Medicine, Research \& Experimental
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year: '2020'
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