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Multilevel Determinants of Integrated Service Delivery for Intimate Partner Violence and Mental Health in Humanitarian Settings
- Source :
- International Journal of Environmental Research and Public Health, Vol 18, Iss 12484, p 12484 (2021), Claire Greene, M, Bencomo, C, Rees, S, Ventevogel, P, Likindikoki, S, Nemiro, A, Bonz, A, Mbwambo, J K K, Tol, W A & McGovern, T M 2021, ' Multilevel determinants of integrated service delivery for intimate partner violence and mental health in humanitarian settings ', International Journal of Environmental Research and Public Health, vol. 18, no. 23, 12484 . https://doi.org/10.3390/ijerph182312484, International Journal of Environmental Research and Public Health, International Journal of Environmental Research and Public Health; Volume 18; Issue 23; Pages: 12484
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- Inter-agency guidelines recommend that survivors of intimate partner violence in humanitarian settings receive multisectoral services consistent with a survivor-centered approach. Providing integrated services across sectors is challenging, and aspirations often fall short in practice. In this study, we explore factors that influence the implementation of a multisectoral, integrated intervention intended to reduce psychological distress and intimate partner violence in Nyarugusu Refugee Camp, Tanzania. We analyzed data from a desk review of donor, legal, and policy documents; a gender-based violence services mapping conducted through 15 interviews and 6 focus group discussions; and a qualitative process evaluation with 29 stakeholders involved in the implementation of the integrated psychosocial program. We identified the challenges of implementing a multisectoral, integrated intervention for refugee survivors of intimate partner violence at the structural, inter-institutional, intra-institutional, and in social and interpersonal levels. Key determinants of successful implementation included the legal context, financing, inter-agency coordination, engagement and ownership, and the ability to manage competing priorities. Implementing a multisectoral, integrated response for survivors of intimate partner violence is complex and influenced by interrelated factors from policy and financing to institutional and stakeholder engagement. Further investment in identifying strategies to overcome the existing challenges of implementing multisectoral approaches that align with global guidelines is needed to effectively address the burden of intimate partner violence in humanitarian settings.
- Subjects :
- Service delivery framework
Health, Toxicology and Mutagenesis
intimate partner violence
Stakeholder engagement
Context (language use)
Article
humanitarian
Gender-based violence
Political science
gender-based violence
Humans
multisectoral
integrated care
mental health
Survivors
Refugees
business.industry
Humanitarian
Public Health, Environmental and Occupational Health
Integrated care
Public relations
Focus group
Mental health
Multisectoral
Intimate partner violence
Domestic violence
Medicine
business
Psychosocial
Subjects
Details
- Language :
- English
- ISSN :
- 16617827 and 16604601
- Volume :
- 18
- Issue :
- 12484
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....8cebbca1a360c04cf380ce4e6f74d040