Population Reports

CONTENTS

         Chapters
  1. The World Takes Notice
  2. Intimate Partner Abuse
  3. Sexual Coercion
  4. Impact on Reproductive Health
  5. Threats to Health and Development
  6. Health Providers Play a Key Role
  7. An Agenda for Change

HIGHLIGHTS

Population Reports is published by the Population Information Program, Center for Communication Programs, The Johns Hopkins School of Public Health, 111 Market Place, Suite 310, Baltimore, Maryland 21202-4012, USA

Published in collaboration with:
CHANGE 6930 Carroll Avenue
Suite 910
Takoma Park
Maryland 20912, USA
Phone: 301/270-1182
Fax: 301/270-2052

The Center for Health and Gender Equity (CHANGE) is a research and advocacy organization that seeks to integrate concern for gender equity and social justice into international health policy and practice. CHANGE staff can be reached by e-mail at change@genderhealth.org or at http://www.genderhealth.org.


Volume XXVII, Number 4
December, 1999

Series L, Number 11
Issues in World Health

Coordinating Institutional
and Individual Responses

In most countries women have to overcome many institutional barriers to get the help they need (347). There is little coordination among the many institutions with which abuse victims interact, such as health care, child welfare, and law enforcement agencies (347, 438). Even worse, when victims seek help, some of these agencies tend to be unresponsive or even hostile.

Institutions at all levels of the health care delivery system and in the community can best respond to the needs of abused women if they are trained and organized to do so. The appropriate types of response depend on the level and staffing of the institution (see Tables 7 and 8). People not only in health care but in other areas as well—including community and religious leaders, the mass media, and parents—can promote nonviolent relationships (see How to Promote... of Pullout Guide).

Many countries have developed national and local plans to improve coordination between public officials and community advocates and to monitor the quality of services for victims. The Pan American Health Organization has sponsored aproject in 10 Latin American countries to explore how best to facilitate coordinated community action. The project includes creating community-level coordinating councils, reforming the response of formal institutions such as the police and health system, and creating support groups for victims and treatment programs for perpetrators (201, 486). A similar project is underway in six additional countries with support from the Inter American Development Bank (224, 311).


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