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The role of primary healthcare physicians in violence against Women intervention program in Indonesia.
BMC Family Practice ( IF 2.9 ) Pub Date : 2019-12-04 , DOI: 10.1186/s12875-019-1054-0
Nuretha Hevy Purwaningtyas 1, 2, 3 , Guswan Wiwaha 4 , Elsa Pudji Setiawati 4 , Insi Farisa Desy Arya 4
Affiliation  

BACKGROUND Violence against women (VAW) has many impacts on health, but the role of the primary healthcare physicians in the intervention program is lacking. This research aimed to explore the primary healthcare physician role in a comprehensive intervention program of VAW in Malang City, Indonesia. METHODS This qualitative research was conducted using a phenomenology approach. A focused group discussion followed by in-depth interviews were carried out involving six primary healthcare physicians in Puskesmas (Primary Healthcare Center) and two stakeholders. Legal document related to VAW was reviewed to measure up the role of the primary healthcare physicians. RESULT Our study revealed that the role of physicians in primary healthcare centers on the VAW intervention program was limited. This was due to the insufficient knowledge of the physicians on the VAW program, physicians' constraint on counseling skill, unsupportive infrastructure, and a limited number of physicians in Puskesmas. Some barriers related to the VAW program management were also discovered and needed intervention at the decision-maker level. CONCLUSION The role of primary healthcare physicians in the comprehensive intervention of the VAW program is not optimum. The source of the problem involves the physician capability and program management aspects in all levels of decision-makers. Local government awareness and commitment are needed to improve the overall management of the VAW intervention program in this city.

中文翻译:

初级保健医生在印度尼西亚针对妇女的暴力干预计划中的作用。

背景技术暴力侵害妇女行为(VAW)对健康有许多影响,但缺乏初级保健医生在干预计划中的作用。这项研究旨在探讨主要保健医生在印度尼西亚玛琅市VAW的综合干预计划中的作用。方法本定性研究采用现象学方法进行。在Puskesmas(主要医疗保健中心)的六名主要保健医生和两名利益相关者的陪同下,进行了小组讨论,然后进行了深入访谈。审查了与暴力侵害妇女行为有关的法律文件,以衡量初级保健医生的作用。结果我们的研究表明,在VAW干预计划中,医生在初级保健中心的作用是有限的。这是由于医师对VAW计划的了解不足,医师对咨询技能的限制,基础设施缺乏支持以及Puskesmas中的医师人数有限。还发现了与VAW计划管理相关的一些障碍,需要在决策者一级进行干预。结论初级保健医生在VAW计划的综合干预中的作用不是最佳的。问题的根源涉及各级决策者的医师能力和计划管理方面。需要地方政府的意识和承诺,以改善对该市VAW干预计划的整体管理。还发现了与VAW计划管理相关的一些障碍,需要在决策者一级进行干预。结论初级保健医生在VAW计划的综合干预中的作用不是最佳的。问题的根源涉及各级决策者的医师能力和计划管理方面。需要地方政府的意识和承诺,以改善对该市VAW干预计划的整体管理。还发现了与VAW计划管理相关的一些障碍,需要在决策者一级进行干预。结论初级保健医生在VAW计划的综合干预中的作用不是最佳的。问题的根源涉及各级决策者的医师能力和计划管理方面。需要地方政府的意识和承诺,以改善对该市VAW干预计划的整体管理。问题的根源涉及各级决策者的医师能力和计划管理方面。需要地方政府的意识和承诺,以改善对该市VAW干预计划的整体管理。问题的根源涉及各级决策者的医师能力和计划管理方面。需要地方政府的意识和承诺,以改善对该市VAW干预计划的整体管理。
更新日期:2019-12-04
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