Intimate partner violence management and referral practices of primary care workers in a selected population in Turkey

Aysegul Catak Taskiran · Aysun Özşahin · Tamer Edirne

19 citations0/0 files storedPrimary Health Care Research & Development

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Intimate Partner and Family Violence Sexual Assault and Victimization Studies Elder Abuse and Neglect

Abstract

BACKGROUND: Violence against women is a significant public health problem and primary care workers (PCWs) have a crucial role in managing violence against women. However, though intimate partner violence (IPV) is frequently seen in primary care, most cases remain unreported. AIMS: This study aims to investigate family physicians' (FPs') and co-working midwifes/nurses' (M/Ns') explanations about their responses to women disclosing IPV and the reasons for their actions. METHODS: We conducted a cross-sectional survey via a face-to-face administered questionnaire interview involving 266 PCWs in a selected area in Turkey. We questioned the reasoning behind inappropriate responses such as not examining the patient and document findings, not recording a code of violence, and not notifying the police in the case of a disclosure of IPV. RESULTS: We surveyed 129 FPs and 137 M/Ns. We found that the disclosure of IPV in primary care is very high, but more than one-third of physicians and half of M/Ns respond inappropriately. Reasons for inappropriate response varied. The majority believed that the victim would continue to live with her batterer, making any report ineffective. Some expressed concern for the women's and their own personal safety, citing an increase in assault cases by perpetrators in the last few years. Many indicated a lack of knowledge about management of violence cases. CONCLUSION: Multiple barriers challenge PCWs in helping abused women. Common behaviours, safety concerns, and a lack of knowledge seem to be the major barriers to responding appropriately to IPV. To address this issue appropriately, protective measures for both parties - PCWs and violence victims - need to be enacted and a supportive constitutional and societal organization is required. Screening and identification should lead to interventions that benefit the victims rather than harming them.

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References

2014The health-systems response to violence against women 2006Women Exposed to Intimate Partner Violence 2011Intimate Partner Violence and Adverse Health Consequences 2000Screening for intimate partner violence by health care providersBarriers and interventions 2009Health Care Utilization and Costs Associated with Physical and Nonphysical‐Only Intimate Partner Violence 2012Barriers to Screening for Intimate Partner Violence 2009When Crises Collide 2012Violence towards health care workers in a Public Health Care Facility in Italy: a repeated cross-sectional study

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2023Exploring Factors Shaping Primary Health Care Readiness to Respond to Family Violence: Findings from a Rapid Evidence Assessment

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