Limits...
Treatment, Services and Follow-up for Victims of Family Violence in Health Clinics in Maputo, Mozambique.

Jethá EA, Lynch CA, Houry D, Rodrigues MA, Keyes CE, Chilundo B, Wright DW, Sasser SM - West J Emerg Med (2011)

Bottom Line: Most patients did not require laboratory or radiographic diagnostics at the primary (70%) and secondary (93%) health facilities, while 44% of patients received a radiograph at the tertiary care center.The healthcare environment at all three surveyed health centers in Mozambique does not encourage disclosure or self-report of FV.Policies and strategies need to be implemented to encourage patient disclosure of FV and provide more health system-initiated victim resources.

View Article: PubMed Central - PubMed

Affiliation: University Eduardo Mondlane, Faculty of Medicine, Maputo Mozambique.

ABSTRACT

Background: Family violence (FV) is a global health problem that not only impacts the victim, but the family unit, local community and society at large.

Objective: To quantitatively and qualitatively evaluate the treatment and follow up provided to victims of violence amongst immediate and extended family units who presented to three health centers in Mozambique for care following violence.

Methods: We conducted a verbally-administered survey to self-disclosed victims of FV who presented to one of three health units, each at a different level of service, in Mozambique for treatment of their injuries. Data were entered into SPSS (SPSS, version 13.0) and analyzed for frequencies. Qualitative short answer data were transcribed during the interview, coded and analyzed prior to translation by the principal investigator.

Results: One thousand two hundred and six assault victims presented for care during the eight-week study period, of which 216 disclosed the relationship of the assailant, including 92 who were victims of FV. Almost all patients (90%) waited less than one hour to be seen, with most patients (67%) waiting less than 30 minutes. Most patients did not require laboratory or radiographic diagnostics at the primary (70%) and secondary (93%) health facilities, while 44% of patients received a radiograph at the tertiary care center. Among all three hospitals, only 10% were transferred to a higher level of care, 14% were not given any form of follow up or referral information, while 13% required a specialist evaluation. No victims were referred for psychological follow-up or support. Qualitative data revealed that some patients did not disclose violence as the etiology, because they believed the physician was unable to address or treat the violence-related issues and/or had limited time to discuss.

Conclusion: Healthcare services for treating the physical injuries of victims of FV were timely and rarely required advanced levels of medical care, but there were no psychological services or follow-up referrals for violence victims. The healthcare environment at all three surveyed health centers in Mozambique does not encourage disclosure or self-report of FV. Policies and strategies need to be implemented to encourage patient disclosure of FV and provide more health system-initiated victim resources.

No MeSH data available.


Related in: MedlinePlus

Distribution of follow up for patients seen at each level of health facility and overall
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC3117612&req=5

f1-wjem12_3p0348: Distribution of follow up for patients seen at each level of health facility and overall

Mentions: Most patients waited less than 30 minutes (67%) with almost all patients waiting less than one hour (90%). With regard to diagnostic tests, most patients presenting to CH and HGJM did not receive any laboratory or radiograph diagnostics. In contrast, of patients presenting to HCM, 44% received radiographs. In the local Health Center, approximately half of victims did not receive any specific treatment, while at HCM and HGJM only 4% and 17% respectively did not receive any treatment. As displayed in Figure 1, of the total victims of violence involved in this study approximately 14% were not given further referral or follow up. At the local Health Center, 35% were given a referral and 30% were told they didn’t require follow up or referral. In total, almost 10% were transferred to a higher level of care, and 13% received a specialist evaluation. No patients reported referral for psychological care or follow up.


Treatment, Services and Follow-up for Victims of Family Violence in Health Clinics in Maputo, Mozambique.

Jethá EA, Lynch CA, Houry D, Rodrigues MA, Keyes CE, Chilundo B, Wright DW, Sasser SM - West J Emerg Med (2011)

Distribution of follow up for patients seen at each level of health facility and overall
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3117612&req=5

f1-wjem12_3p0348: Distribution of follow up for patients seen at each level of health facility and overall
Mentions: Most patients waited less than 30 minutes (67%) with almost all patients waiting less than one hour (90%). With regard to diagnostic tests, most patients presenting to CH and HGJM did not receive any laboratory or radiograph diagnostics. In contrast, of patients presenting to HCM, 44% received radiographs. In the local Health Center, approximately half of victims did not receive any specific treatment, while at HCM and HGJM only 4% and 17% respectively did not receive any treatment. As displayed in Figure 1, of the total victims of violence involved in this study approximately 14% were not given further referral or follow up. At the local Health Center, 35% were given a referral and 30% were told they didn’t require follow up or referral. In total, almost 10% were transferred to a higher level of care, and 13% received a specialist evaluation. No patients reported referral for psychological care or follow up.

Bottom Line: Most patients did not require laboratory or radiographic diagnostics at the primary (70%) and secondary (93%) health facilities, while 44% of patients received a radiograph at the tertiary care center.The healthcare environment at all three surveyed health centers in Mozambique does not encourage disclosure or self-report of FV.Policies and strategies need to be implemented to encourage patient disclosure of FV and provide more health system-initiated victim resources.

View Article: PubMed Central - PubMed

Affiliation: University Eduardo Mondlane, Faculty of Medicine, Maputo Mozambique.

ABSTRACT

Background: Family violence (FV) is a global health problem that not only impacts the victim, but the family unit, local community and society at large.

Objective: To quantitatively and qualitatively evaluate the treatment and follow up provided to victims of violence amongst immediate and extended family units who presented to three health centers in Mozambique for care following violence.

Methods: We conducted a verbally-administered survey to self-disclosed victims of FV who presented to one of three health units, each at a different level of service, in Mozambique for treatment of their injuries. Data were entered into SPSS (SPSS, version 13.0) and analyzed for frequencies. Qualitative short answer data were transcribed during the interview, coded and analyzed prior to translation by the principal investigator.

Results: One thousand two hundred and six assault victims presented for care during the eight-week study period, of which 216 disclosed the relationship of the assailant, including 92 who were victims of FV. Almost all patients (90%) waited less than one hour to be seen, with most patients (67%) waiting less than 30 minutes. Most patients did not require laboratory or radiographic diagnostics at the primary (70%) and secondary (93%) health facilities, while 44% of patients received a radiograph at the tertiary care center. Among all three hospitals, only 10% were transferred to a higher level of care, 14% were not given any form of follow up or referral information, while 13% required a specialist evaluation. No victims were referred for psychological follow-up or support. Qualitative data revealed that some patients did not disclose violence as the etiology, because they believed the physician was unable to address or treat the violence-related issues and/or had limited time to discuss.

Conclusion: Healthcare services for treating the physical injuries of victims of FV were timely and rarely required advanced levels of medical care, but there were no psychological services or follow-up referrals for violence victims. The healthcare environment at all three surveyed health centers in Mozambique does not encourage disclosure or self-report of FV. Policies and strategies need to be implemented to encourage patient disclosure of FV and provide more health system-initiated victim resources.

No MeSH data available.


Related in: MedlinePlus