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Institutionalising Best Practices

 

The project recognised that health service providers were ideally placed to identify and support clients experiencing violence, especially during pregnancy.

Capacity Building: A comprehensive capacity building programme throughout the project period to sensitise and increase awareness of frontline service providers to the links between SRH/R and GBV has resulted in increased confidence of service providers to identify and support clients experiencing or at risk of violence. At the baseline survey, 63% of service providers in Nepal identified lack of training as a key factor in feeling uncomfortable to provide adequate support to survivors of GBV. In contrast, endline data show that 90% said they had a better understanding and skills related to GBV.

Key to the success of the project was addressing the concerns of service providers in screening survivors. To read more about typical concerns of providers and how to address them, click here.

Good Practice Training Module

A key project output has been the development of the Good Practice Training Module as a training tool for health care professionals. The overall objectives of the module are:

  • To increase the understanding and knowledge of service providers of the social, cultural, economic and political factors that underpin GBV;
  • To enhance the awareness of service providers of the sexual and reproductive health consequences of GBV; and
  • To strengthen the capacity of service providers to meet the practical and strategic needs of women experiencing violence within a human rights framework.

The module can be downloaded here

Identifying violence: The introduction of new screening procedures, strengthening of infrastructure, training and referral mechanisms has institutionalised systems and procedures to identify and support women at risk of violence. All women, pregnant or not, aged 15-49 who access SRH services at operational areas are now screened.

Trainings on GBV for service providers were held in 2005 and 2006 as part of the project. Read more about the key elements of GBV training here.

The trainings were conducted by the Marie-Stopes Clinic Society (MSCS) of Bangladesh in both countries. IPPF/SARO worked closely with a core MSCS team to develop a 3-day training curriculum to increase the awareness of frontline staff to GBV in the context of SRH and rights. A fourth day was designed to orient participants to proposed screening procedures at the clinics/branches. The training in Bangladesh was conducted in Bangla, and in Hindi and English in Nepal. Participants at the trainings included medical/clinical staff, clinic/centre managers, counsellors, programme staff, representatives from partner agencies and survivors. The overall feedback from participants was very positive with the majority of participants rating the quality of trainers, workshop methodology and the overall usefulness of the course to the needs of the participants as ‘excellent’.

The trainings resulted in the development of a Good Practice Training Module. (See Box).

The introduction of screening protocols also strengthened the capacity of service providers to recognise different types of violence that women face. To read about key considerations in the development of screening protocols, click here.

Comparison between baseline and endline data shows a marked shift in the attitudes of service providers towards violence against women from condoning violence under certain circumstances (e.g. being unfaithful or rude to in-laws) to recognizing marital rape. Findings show that service providers in Bangladesh, for instance, were able to identify a range of factors that cause GBV including patriarchy (67%), religious superstition (12%), women’s economic dependency on men (35%), poverty (66%), dowry (85%) and lack of education (28%).

Women Screened

No. of Survivors Identified

Percentage
Nepal

36,957

5,895

 

16%

 

Bangladesh

32,065

9,529

 

30%

 

Supporting survivors: Both FPAN and FPAB are now able to offer a comprehensive package of support services to clients identified as experiencing violence. For example, in Nepal, the baseline survey findings indicated that care and support was limited to providing medical care of injuries and some counselling. Endline data show that, in contrast, providers are now able to take care of injuries (100%) and counsel survivors on how protect themselves from further violence (96%). Other support services include referral to a health worker (87%), a lawyer (78%) or NGOs and social workers (65%). In Bangladesh, women who were screened as victims of sexual violence were provided with emergency contraception (65%), legal support (57%), mental support (57%) and clinical support (50%).

Read more about the:

Baseline Surveys conducted in 2005




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