slide1 n.
Download
Skip this Video
Download Presentation
Janel Smith, MPH, RN Clinical Care for Sexual A ssault S urvivors S pecialist

Loading in 2 Seconds...

play fullscreen
1 / 12

Janel Smith, MPH, RN Clinical Care for Sexual A ssault S urvivors S pecialist - PowerPoint PPT Presentation


  • 119 Views
  • Uploaded on

Multimedia training to strengthen clinical care capacities for sexual assault survivors and HIV/AIDS prevention in humanitarian settings. Janel Smith, MPH, RN Clinical Care for Sexual A ssault S urvivors S pecialist International Rescue Committee. Background.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Janel Smith, MPH, RN Clinical Care for Sexual A ssault S urvivors S pecialist' - reidar


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Multimedia training to strengthen clinical care capacities for sexual assault survivors and HIV/AIDS prevention in humanitarian settings

Janel Smith, MPH, RN

Clinical Care for Sexual Assault Survivors Specialist

International Rescue Committee

background
Background
  • Worldwide, an estimated 1 in 3 women will be physically or sexually abused, and1 in 5 will experience rape or attempted rape in their lifetime.*
  • The risk of HIV among women who have experienced violence may be up to 3 times higher than among those who have not.*
  • Limited access to compassionate, competent, and confidential clinical care, essential to begin a survivor’s physical and emotional healing and prevent HIV.
  • Training health care providers to strengthen the clinical response to GBV and HIV has been prioritized by humanitarian actors globally.*

*WHO, 2009

**UNHCR, 2011; USAID, 2010

evaluating the clinical care for sexual assault survivor training
Evaluating the Clinical Care for Sexual Assault Survivor training
  • Goal: Evaluate impact of training on clinician compassion, competence, and confidential care
  • Design: Comparison at pre and 3 months post-training
  • Sample: 106 clinicians in 39 health facilities in refugee camp and post-conflict settings in DRC, Ethiopia, Kenya, and Jordan
  • Method: Mixed-methods: KAP surveys, in-depth interviews, health facility checklists, participatory mapping, medical record audits
compassionate care patient rights
Compassionate care: patient rights

Before we thought they would not understand…now we give them the information…the patient has the right to accept or refuse interventions.

Doctor, Kenya

Now I know it’s not my responsibility to find sexual assault…my work is not to judge but to give treatment according to the patient’s right. Nurse, Kenya

compassionate care attitudes
Compassionate care: attitudes

They don’t come with medical problems, they come for referral… a chance of resettlement. Nurse, Ethiopia

We have the consultation to determine if it is true or false…to diagnose and guide treatment… I would ask her what she was doing, what is her occupation, if she sells sex or is married. Nurse, DRC

competent care follow up
Competent care: follow-up

We’ve found that the nurses providing the care didn’t know PEP. She [the survivor] showed us what was provided and said she was told to take them but not told what it was. GBV Manager, Ethiopia

confidential care private room
Confidential care: private room
  • Maternity is too congested and lacks privacy …it attracts a lot of onlookers…so they perceive it as not a very safe place.
  • There is now improvement in the facility, there is more privacy and confidentiality because now we are giving the services at one center.
  • Nurse, Kenya
conclusion
Conclusion
  • Limited capacity of the health care response to GBV and HIV in humanitarian settings were identified including negative attitudes among health care providers, lack of follow-up, and limited resources
  • Multimedia CCSAS training demonstrated effective at improving health care provider respect for patient rights, HIV PEP treatment initiation, and coordination of services to protect patient confidentiality
  • Additional interventions should be implemented with training to ensure a quality comprehensive health care response to GBV and HIV including long term BCC interventions, multi-sectoral coordination , and supply chain management
thank you
Thank you

Training materials in English and French: clinicalcare.rhrc.org

Contact: Janel.smith@rescue.org