Mixed method situational review of primary family violence care in IMOCAFV

Background: The ‘IMOCAFV’ project is developing a multi-country vision on how to provide effective primary care for family violence (FV). In phase I, a situational analysis is performed based on mixed method review of countries’ policies and interventions, key persons inquiries and professional questionnaires. Aim: Provide in a first phase of IMOCAFV a mixed methods analysis of policies and interventions for primary FV care in different health care settings, high, low and middle income countries. Research questions: How to perform a multi-level in depth mixed method analysis of policies, protocols, problems and good practices on primary FV care? Method: National guidance for FV primary care tasks is centralised into a central online database. Documentation is reviewed online nationally answering questions about prevention, detection, assessment and collaborative care for intimate partner violence, child abuse and elder abuse. Semistructured online inquiries are sent to a pragmatic sample of key persons and professionals in each country. Online training provides guidance for standardized mixed method review of materials. A continuous comparative analysis is made at local and international level; it should provide cues for the Delphi study planned in the second phase. Results: The key questionnaire describes policies and interventions defined for primary health care and advocacy support in different health services settings in three continents. The professional questionnaire describes problems encountered and professionals opinion´s. Different online software packages are suitable for international research collaboration with some limitations. Ethical and security requirements may differ, while high security level applications require more budgets. Conclusions: The organisation of a two-level international qualitative analysis is challenging from a methodological and organisational point of view. A qualitative analysis in a multilanguage context requires specific agreements. Challenges will be discussed using first results. Points for discussion: 1.How to facilitate a good qualitative analysis at both national and international level? 2.How to use different software platforms taking into account countries’ different requirements and organisational facilities in different income countries?