Enhancing agency for health providers and pregnant women experiencing intimate partner violence in South Africa.
Global policy frameworks call for strengthening the role of health systems to address intimate partner violence (IPV) and support women's agency, yet the evidence of health system responses remains slender in low- and middle-income countries (LMICs). In South Africa, 25–35% of pregnant women experie...
| Publicado en: | Global Public Health Vol. 15; no. 12; pp. 1820 - 1836 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146822816&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146822816 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17441692 15UG jtl: Global Public Health issn: 17441692 maglogo: N pubinfo: dt: Dec2020 vid: 15 iid: 12 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 146822816 145559715 146822816 146822816 10.1080/17441692.2020.1780290 146822816 ppf: 1820 ppct: 16 formats: tig: atl: Enhancing agency for health providers and pregnant women experiencing intimate partner violence in South Africa. aug: au: Sprague, Courtenay Woollett, Nataly Hatcher, Abigail M. affil: Department of Conflict Resolution, Human Security & Global Governance, McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA sug: subj: Expectant Mothers Psychosocial Factors Intimate Partner Violence Health Personnel Psychosocial Factors Health Systems Agencies Implementation Science Low and Middle Income Countries Professional Role Human South Africa Qualitative Studies Conceptual Framework Interviews Participant Observation Purposive Sample Data Analysis Software Comparative Studies Thematic Analysis Female Adolescence Adult Middle Age Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Global policy frameworks call for strengthening the role of health systems to address intimate partner violence (IPV) and support women's agency, yet the evidence of health system responses remains slender in low- and middle-income countries (LMICs). In South Africa, 25–35% of pregnant women experience IPV, posing long-term health risks. We utilised agency as a theoretical construct, applying qualitative methods to investigate health professionals' experiences of a randomised controlled trial intervention to address IPV in pregnant women in five antenatal clinics (ANC) in Johannesburg (2011–2016). In-depth interviews (n = 16) were supplemented by participant observation, debriefing and field notes. Health providers viewed the intervention as enhancing health promotion agency and advancing help-seeking agency for IPV-exposed patients. Intervention nurses reported their own self-efficacy improved, and their relational and collective agency expanded. On-going supervision, mentorship and feedback were essential to establish the knowledge and skill-building necessary for providers to improve self-efficacy in intervention delivery. Integrating mental health services into primary ANC services is recommended. Findings offer insight into the untapped potential for LMIC health settings to become transformative, gender-responsive social systems, for patients and health professionals, in ways that advance women's agency, health, human rights and SDGs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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