Examining implementation of an intervention to reduce psychological distress and intimate partner violence in a refugee camp setting.
An integrated approach to reduce intimate partner violence and improve mental health in humanitarian settings requires coordination across health and protection services. We developed and tested the Nguvu intervention, which combined evidence-based interventions for psychological distress and intima...
| Published in: | Global Public Health Vol. 17; no. 11; pp. 2868 - 2883 |
|---|---|
| Main Authors: | , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Nov2022
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160198715&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160198715 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17441692 15UG jtl: Global Public Health issn: 17441692 maglogo: N pubinfo: dt: Nov2022 vid: 17 iid: 11 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 160198715 155002059 160198715 160198715 10.1080/17441692.2022.2029926 160198715 ppf: 2868 ppct: 15 formats: tig: atl: Examining implementation of an intervention to reduce psychological distress and intimate partner violence in a refugee camp setting. aug: au: Greene, M. Claire Scognamiglio, Thea Likindikoki, Samuel L. Misinzo, Lusia Njau, Tasiana Bonz, Annie Ventevogel, Peter Mbwambo, Jessie K. K. Tol, Wietse A. affil: Program on Forced Migration and Health, Columbia University Mailman School of Public Health, New York, NY, USA sug: subj: Implementation Science Medical Practice, Evidence-Based Health Care Delivery, Integrated Cognitive Therapy Counseling Psychological Distress Prevention and Control Intimate Partner Violence Prevention and Control Refugee Camps Tanzania Refugees Psychosocial Factors Abused Women Psychosocial Factors Human Mental Health Humanitarian Aid Tanzania Congo Semi-Structured Interview Group Processes Discussion Privacy and Confidentiality Patient Safety Clinical Supervision, Mental Health Psychological Well-Being Skill Acquisition Social Determinants of Health Thematic Analysis Data Analysis Software Qualitative Studies Funding Source Program Evaluation Treatment Outcomes Patient Attitudes Stakeholder Participation Female Female ab: An integrated approach to reduce intimate partner violence and improve mental health in humanitarian settings requires coordination across health and protection services. We developed and tested the Nguvu intervention, which combined evidence-based interventions for psychological distress and intimate partner violence among Congolese refugee women in Nyarugusu refugee camp (Tanzania). We conducted 29 semi-structured interviews with Nguvu participants and stakeholders to explore the relevance, acceptability, feasibility, and impact of this intervention. Participants reported that the intervention aligned with needs and filled a gap in programming, yet further adaptations may improve the fit of the intervention. The Nguvu intervention was acceptable to participants, including group discussion of sensitive topics. Confidentiality was highly regarded among staff and participants, which improved safety and acceptability. It was feasible to train non-specialist refugee workers to deliver the intervention with adequate supervision. Facilitators noted contextual challenges that made it difficult to implement the intervention: limited infrastructure, competing priorities, and population mobility. The intervention was perceived to improve awareness of the association between violence and mental health, reduce self-blame, and build skills to improve wellbeing. Recommended adaptations reveal promising, yet challenging future directions for addressing social determinants of mental health and implementing multi-sectoral programmes in complex humanitarian settings. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|