Health Services for Gender-Based Violence: Médecins Sans Frontières Experience Caring for Survivors in Urban Papua New Guinea
Levels of gender-based violence in Papua New Guinea (PNG) are high; health services for survivors are limited. Evidence from the few existing health services for survivors can inform improvements in care in this and similar settings. Médecins Sans Frontières supported health services for survivors i...
Gespeichert in:
| Veröffentlicht in: | PloS one 2016-06, Vol.11 (6), p.e0156813-e0156813 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0156813 |
|---|---|
| container_issue | 6 |
| container_start_page | e0156813 |
| container_title | PloS one |
| container_volume | 11 |
| creator | Lokuge, Kamalini Verputten, Meggy Ajakali, Maryanne Tolboom, Bianca Joshy, Grace Thurber, Katherine A Plana, Daisy Howes, Steven Wakon, Anastasia Banks, Emily |
| description | Levels of gender-based violence in Papua New Guinea (PNG) are high; health services for survivors are limited. Evidence from the few existing health services for survivors can inform improvements in care in this and similar settings.
Médecins Sans Frontières supported health services for survivors in Lae, PNG from 2008-2013. Routine monitoring data from August 2010-April 2013 were used to describe patient and service characteristics.
5,892 individuals received care over 6,860 presentations, the majority self-referred or referred by friends and family. Presentations were attributed to intimate partner violence(62%), non-partner sexual violence(15%), other forms of violence(3%), and past (but not current) violence(21%). 97% were female; an estimated 4.9% (95%CI:4.8-5.0%) of females resident in the catchment area presented to the programme during the 2.8years analysed. Of presentations for non-partner sexual violence, 79% knew their abuser and 50% were children |
| doi_str_mv | 10.1371/journal.pone.0156813 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_plos_</sourceid><recordid>TN_cdi_plos_journals_1795664561</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_cbb4aad30b034b9cb11db1946d037b44</doaj_id><sourcerecordid>1808663648</sourcerecordid><originalsourceid>FETCH-LOGICAL-c559t-8b07d1a704aabe9df14bc386b5dae7b9dcf17dbd98c76312424ecea3d496278b3</originalsourceid><addsrcrecordid>eNqNks1uEzEUhUcIREvgDRBYYsMmwR57PGMWSBC1aaXyI4Wytfxzkzqa2MGeCbDideA5-mI4zbRqEQs2tmWf8_le-xTFU4InhNbk1Sr00at2sgkeJphUvCH0XnFIBC3HvMT0_q31QfEopRXGFW04f1gclHXZVA2rDoufJ6Da7gLNIW6dgYQWIaIZeAtx_E4lsOiLCy14A6_R-8vfFozzCc1VHo5j8J27_BWz6-j7BqLbydBUReeXV5x5n6HbEBNyHp1HrTz6pDa9Qh_gG5r1zoN6XDxYqDbBk2EeFefHR5-nJ-Ozj7PT6duzsakq0Y0bjWtLVI2ZUhqEXRCmTW5GV1ZBrYU1C1JbbUVjak5JyUoGBhS1TPCybjQdFc_33E0bkhzeLklSi4pzVnGSFad7hQ1qJTfRrVX8IYNy8mojxKVUsXOmBWm0znVYijWmTAujCbGaCMYtprVmLLPeDLf1eg3WgO-iau9A7554dyGXYSuZwGVZNRnwcgDE8LWH1Mm1SwbaVnkIfa67wfknKWf_Ia0F502FcwxGxYu_pP9-CLZXmRhSirC4qZtguYvetUvuoieH6GXbs9s935ius0b_ACsv2iM</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1795664561</pqid></control><display><type>article</type><title>Health Services for Gender-Based Violence: Médecins Sans Frontières Experience Caring for Survivors in Urban Papua New Guinea</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Sociological Abstracts</source><source>Public Library of Science (PLoS)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Lokuge, Kamalini ; Verputten, Meggy ; Ajakali, Maryanne ; Tolboom, Bianca ; Joshy, Grace ; Thurber, Katherine A ; Plana, Daisy ; Howes, Steven ; Wakon, Anastasia ; Banks, Emily</creator><contributor>Dowdy, David W.</contributor><creatorcontrib>Lokuge, Kamalini ; Verputten, Meggy ; Ajakali, Maryanne ; Tolboom, Bianca ; Joshy, Grace ; Thurber, Katherine A ; Plana, Daisy ; Howes, Steven ; Wakon, Anastasia ; Banks, Emily ; Dowdy, David W.</creatorcontrib><description>Levels of gender-based violence in Papua New Guinea (PNG) are high; health services for survivors are limited. Evidence from the few existing health services for survivors can inform improvements in care in this and similar settings.
Médecins Sans Frontières supported health services for survivors in Lae, PNG from 2008-2013. Routine monitoring data from August 2010-April 2013 were used to describe patient and service characteristics.
5,892 individuals received care over 6,860 presentations, the majority self-referred or referred by friends and family. Presentations were attributed to intimate partner violence(62%), non-partner sexual violence(15%), other forms of violence(3%), and past (but not current) violence(21%). 97% were female; an estimated 4.9% (95%CI:4.8-5.0%) of females resident in the catchment area presented to the programme during the 2.8years analysed. Of presentations for non-partner sexual violence, 79% knew their abuser and 50% were children <16 years. 92% of presentations reporting current violence received medical treatment for injuries. The majority of patients who received multiple counselling sessions reported improved functioning and decreased severity of psycho-social complaints.
Community awareness of the availability of free, best-practice, accessible, confidential medical and counselling services for sexual and gender-based violence in Lae, PNG resulted in many survivors presenting for care. High levels of ongoing intimate partner violence and child sexual abuse by known abusers indicates that alongside comprehensive medical care, access to effective services in non-health sectors such as policing, protection and legal services are needed if survivors are to escape the cycle of violence.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0156813</identifier><identifier>PMID: 27285845</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject><![CDATA[Adolescent ; Adult ; Aged ; Aggression ; Background levels ; Baseline studies ; Biology and Life Sciences ; Catchment areas ; Catchments ; Child ; Child abuse & neglect ; Child sexual abuse ; Child, Preschool ; Children ; Computer and Information Sciences ; Counseling ; Counseling - organization & administration ; Counseling - statistics & numerical data ; Counseling services ; Delivery of Health Care - methods ; Delivery of Health Care - organization & administration ; Delivery of Health Care - statistics & numerical data ; Demographics ; Domestic violence ; Domestic Violence - prevention & control ; Domestic Violence - statistics & numerical data ; Epidemiology ; Ethics ; Female ; Females ; France ; Gender ; Gender-based violence ; Health ; Health services ; Hospitals ; Humans ; Interpersonal Relations ; Intimate partner violence ; Intimate Partner Violence - prevention & control ; Legal services ; Male ; Medical referrals ; Medical treatment ; Medicine ; Medicine and Health Sciences ; Mental health ; Middle Aged ; Papua New Guinea - epidemiology ; Patients ; People and Places ; Physicians - organization & administration ; Population ; Rape ; Retrospective Studies ; Review boards ; Sex crimes ; Sex Factors ; Sex Offenses - prevention & control ; Sexual assault ; Social Sciences ; Societies, Medical - organization & administration ; Societies, Medical - statistics & numerical data ; Survivor ; Systematic review ; Violence ; Violence - prevention & control ; Violence - statistics & numerical data ; Womens health ; Young Adult]]></subject><ispartof>PloS one, 2016-06, Vol.11 (6), p.e0156813-e0156813</ispartof><rights>2016 Lokuge et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Lokuge et al 2016 Lokuge et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c559t-8b07d1a704aabe9df14bc386b5dae7b9dcf17dbd98c76312424ecea3d496278b3</citedby><cites>FETCH-LOGICAL-c559t-8b07d1a704aabe9df14bc386b5dae7b9dcf17dbd98c76312424ecea3d496278b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902258/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902258/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2101,2927,23865,27343,27923,27924,33773,53790,53792,79371,79372</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27285845$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Dowdy, David W.</contributor><creatorcontrib>Lokuge, Kamalini</creatorcontrib><creatorcontrib>Verputten, Meggy</creatorcontrib><creatorcontrib>Ajakali, Maryanne</creatorcontrib><creatorcontrib>Tolboom, Bianca</creatorcontrib><creatorcontrib>Joshy, Grace</creatorcontrib><creatorcontrib>Thurber, Katherine A</creatorcontrib><creatorcontrib>Plana, Daisy</creatorcontrib><creatorcontrib>Howes, Steven</creatorcontrib><creatorcontrib>Wakon, Anastasia</creatorcontrib><creatorcontrib>Banks, Emily</creatorcontrib><title>Health Services for Gender-Based Violence: Médecins Sans Frontières Experience Caring for Survivors in Urban Papua New Guinea</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Levels of gender-based violence in Papua New Guinea (PNG) are high; health services for survivors are limited. Evidence from the few existing health services for survivors can inform improvements in care in this and similar settings.
Médecins Sans Frontières supported health services for survivors in Lae, PNG from 2008-2013. Routine monitoring data from August 2010-April 2013 were used to describe patient and service characteristics.
5,892 individuals received care over 6,860 presentations, the majority self-referred or referred by friends and family. Presentations were attributed to intimate partner violence(62%), non-partner sexual violence(15%), other forms of violence(3%), and past (but not current) violence(21%). 97% were female; an estimated 4.9% (95%CI:4.8-5.0%) of females resident in the catchment area presented to the programme during the 2.8years analysed. Of presentations for non-partner sexual violence, 79% knew their abuser and 50% were children <16 years. 92% of presentations reporting current violence received medical treatment for injuries. The majority of patients who received multiple counselling sessions reported improved functioning and decreased severity of psycho-social complaints.
Community awareness of the availability of free, best-practice, accessible, confidential medical and counselling services for sexual and gender-based violence in Lae, PNG resulted in many survivors presenting for care. High levels of ongoing intimate partner violence and child sexual abuse by known abusers indicates that alongside comprehensive medical care, access to effective services in non-health sectors such as policing, protection and legal services are needed if survivors are to escape the cycle of violence.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aggression</subject><subject>Background levels</subject><subject>Baseline studies</subject><subject>Biology and Life Sciences</subject><subject>Catchment areas</subject><subject>Catchments</subject><subject>Child</subject><subject>Child abuse & neglect</subject><subject>Child sexual abuse</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Computer and Information Sciences</subject><subject>Counseling</subject><subject>Counseling - organization & administration</subject><subject>Counseling - statistics & numerical data</subject><subject>Counseling services</subject><subject>Delivery of Health Care - methods</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Delivery of Health Care - statistics & numerical data</subject><subject>Demographics</subject><subject>Domestic violence</subject><subject>Domestic Violence - prevention & control</subject><subject>Domestic Violence - statistics & numerical data</subject><subject>Epidemiology</subject><subject>Ethics</subject><subject>Female</subject><subject>Females</subject><subject>France</subject><subject>Gender</subject><subject>Gender-based violence</subject><subject>Health</subject><subject>Health services</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Intimate partner violence</subject><subject>Intimate Partner Violence - prevention & control</subject><subject>Legal services</subject><subject>Male</subject><subject>Medical referrals</subject><subject>Medical treatment</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Papua New Guinea - epidemiology</subject><subject>Patients</subject><subject>People and Places</subject><subject>Physicians - organization & administration</subject><subject>Population</subject><subject>Rape</subject><subject>Retrospective Studies</subject><subject>Review boards</subject><subject>Sex crimes</subject><subject>Sex Factors</subject><subject>Sex Offenses - prevention & control</subject><subject>Sexual assault</subject><subject>Social Sciences</subject><subject>Societies, Medical - organization & administration</subject><subject>Societies, Medical - statistics & numerical data</subject><subject>Survivor</subject><subject>Systematic review</subject><subject>Violence</subject><subject>Violence - prevention & control</subject><subject>Violence - statistics & numerical data</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNks1uEzEUhUcIREvgDRBYYsMmwR57PGMWSBC1aaXyI4Wytfxzkzqa2MGeCbDideA5-mI4zbRqEQs2tmWf8_le-xTFU4InhNbk1Sr00at2sgkeJphUvCH0XnFIBC3HvMT0_q31QfEopRXGFW04f1gclHXZVA2rDoufJ6Da7gLNIW6dgYQWIaIZeAtx_E4lsOiLCy14A6_R-8vfFozzCc1VHo5j8J27_BWz6-j7BqLbydBUReeXV5x5n6HbEBNyHp1HrTz6pDa9Qh_gG5r1zoN6XDxYqDbBk2EeFefHR5-nJ-Ozj7PT6duzsakq0Y0bjWtLVI2ZUhqEXRCmTW5GV1ZBrYU1C1JbbUVjak5JyUoGBhS1TPCybjQdFc_33E0bkhzeLklSi4pzVnGSFad7hQ1qJTfRrVX8IYNy8mojxKVUsXOmBWm0znVYijWmTAujCbGaCMYtprVmLLPeDLf1eg3WgO-iau9A7554dyGXYSuZwGVZNRnwcgDE8LWH1Mm1SwbaVnkIfa67wfknKWf_Ia0F502FcwxGxYu_pP9-CLZXmRhSirC4qZtguYvetUvuoieH6GXbs9s935ius0b_ACsv2iM</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Lokuge, Kamalini</creator><creator>Verputten, Meggy</creator><creator>Ajakali, Maryanne</creator><creator>Tolboom, Bianca</creator><creator>Joshy, Grace</creator><creator>Thurber, Katherine A</creator><creator>Plana, Daisy</creator><creator>Howes, Steven</creator><creator>Wakon, Anastasia</creator><creator>Banks, Emily</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U3</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHHNA</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20160601</creationdate><title>Health Services for Gender-Based Violence: Médecins Sans Frontières Experience Caring for Survivors in Urban Papua New Guinea</title><author>Lokuge, Kamalini ; Verputten, Meggy ; Ajakali, Maryanne ; Tolboom, Bianca ; Joshy, Grace ; Thurber, Katherine A ; Plana, Daisy ; Howes, Steven ; Wakon, Anastasia ; Banks, Emily</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c559t-8b07d1a704aabe9df14bc386b5dae7b9dcf17dbd98c76312424ecea3d496278b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aggression</topic><topic>Background levels</topic><topic>Baseline studies</topic><topic>Biology and Life Sciences</topic><topic>Catchment areas</topic><topic>Catchments</topic><topic>Child</topic><topic>Child abuse & neglect</topic><topic>Child sexual abuse</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Computer and Information Sciences</topic><topic>Counseling</topic><topic>Counseling - organization & administration</topic><topic>Counseling - statistics & numerical data</topic><topic>Counseling services</topic><topic>Delivery of Health Care - methods</topic><topic>Delivery of Health Care - organization & administration</topic><topic>Delivery of Health Care - statistics & numerical data</topic><topic>Demographics</topic><topic>Domestic violence</topic><topic>Domestic Violence - prevention & control</topic><topic>Domestic Violence - statistics & numerical data</topic><topic>Epidemiology</topic><topic>Ethics</topic><topic>Female</topic><topic>Females</topic><topic>France</topic><topic>Gender</topic><topic>Gender-based violence</topic><topic>Health</topic><topic>Health services</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Interpersonal Relations</topic><topic>Intimate partner violence</topic><topic>Intimate Partner Violence - prevention & control</topic><topic>Legal services</topic><topic>Male</topic><topic>Medical referrals</topic><topic>Medical treatment</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Papua New Guinea - epidemiology</topic><topic>Patients</topic><topic>People and Places</topic><topic>Physicians - organization & administration</topic><topic>Population</topic><topic>Rape</topic><topic>Retrospective Studies</topic><topic>Review boards</topic><topic>Sex crimes</topic><topic>Sex Factors</topic><topic>Sex Offenses - prevention & control</topic><topic>Sexual assault</topic><topic>Social Sciences</topic><topic>Societies, Medical - organization & administration</topic><topic>Societies, Medical - statistics & numerical data</topic><topic>Survivor</topic><topic>Systematic review</topic><topic>Violence</topic><topic>Violence - prevention & control</topic><topic>Violence - statistics & numerical data</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lokuge, Kamalini</creatorcontrib><creatorcontrib>Verputten, Meggy</creatorcontrib><creatorcontrib>Ajakali, Maryanne</creatorcontrib><creatorcontrib>Tolboom, Bianca</creatorcontrib><creatorcontrib>Joshy, Grace</creatorcontrib><creatorcontrib>Thurber, Katherine A</creatorcontrib><creatorcontrib>Plana, Daisy</creatorcontrib><creatorcontrib>Howes, Steven</creatorcontrib><creatorcontrib>Wakon, Anastasia</creatorcontrib><creatorcontrib>Banks, Emily</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Social Services Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection (ProQuest)</collection><collection>Sociological Abstracts</collection><collection>Natural Science Collection (ProQuest)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lokuge, Kamalini</au><au>Verputten, Meggy</au><au>Ajakali, Maryanne</au><au>Tolboom, Bianca</au><au>Joshy, Grace</au><au>Thurber, Katherine A</au><au>Plana, Daisy</au><au>Howes, Steven</au><au>Wakon, Anastasia</au><au>Banks, Emily</au><au>Dowdy, David W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health Services for Gender-Based Violence: Médecins Sans Frontières Experience Caring for Survivors in Urban Papua New Guinea</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>11</volume><issue>6</issue><spage>e0156813</spage><epage>e0156813</epage><pages>e0156813-e0156813</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Levels of gender-based violence in Papua New Guinea (PNG) are high; health services for survivors are limited. Evidence from the few existing health services for survivors can inform improvements in care in this and similar settings.
Médecins Sans Frontières supported health services for survivors in Lae, PNG from 2008-2013. Routine monitoring data from August 2010-April 2013 were used to describe patient and service characteristics.
5,892 individuals received care over 6,860 presentations, the majority self-referred or referred by friends and family. Presentations were attributed to intimate partner violence(62%), non-partner sexual violence(15%), other forms of violence(3%), and past (but not current) violence(21%). 97% were female; an estimated 4.9% (95%CI:4.8-5.0%) of females resident in the catchment area presented to the programme during the 2.8years analysed. Of presentations for non-partner sexual violence, 79% knew their abuser and 50% were children <16 years. 92% of presentations reporting current violence received medical treatment for injuries. The majority of patients who received multiple counselling sessions reported improved functioning and decreased severity of psycho-social complaints.
Community awareness of the availability of free, best-practice, accessible, confidential medical and counselling services for sexual and gender-based violence in Lae, PNG resulted in many survivors presenting for care. High levels of ongoing intimate partner violence and child sexual abuse by known abusers indicates that alongside comprehensive medical care, access to effective services in non-health sectors such as policing, protection and legal services are needed if survivors are to escape the cycle of violence.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27285845</pmid><doi>10.1371/journal.pone.0156813</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2016-06, Vol.11 (6), p.e0156813-e0156813 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1795664561 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Sociological Abstracts; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adult Aged Aggression Background levels Baseline studies Biology and Life Sciences Catchment areas Catchments Child Child abuse & neglect Child sexual abuse Child, Preschool Children Computer and Information Sciences Counseling Counseling - organization & administration Counseling - statistics & numerical data Counseling services Delivery of Health Care - methods Delivery of Health Care - organization & administration Delivery of Health Care - statistics & numerical data Demographics Domestic violence Domestic Violence - prevention & control Domestic Violence - statistics & numerical data Epidemiology Ethics Female Females France Gender Gender-based violence Health Health services Hospitals Humans Interpersonal Relations Intimate partner violence Intimate Partner Violence - prevention & control Legal services Male Medical referrals Medical treatment Medicine Medicine and Health Sciences Mental health Middle Aged Papua New Guinea - epidemiology Patients People and Places Physicians - organization & administration Population Rape Retrospective Studies Review boards Sex crimes Sex Factors Sex Offenses - prevention & control Sexual assault Social Sciences Societies, Medical - organization & administration Societies, Medical - statistics & numerical data Survivor Systematic review Violence Violence - prevention & control Violence - statistics & numerical data Womens health Young Adult |
| title | Health Services for Gender-Based Violence: Médecins Sans Frontières Experience Caring for Survivors in Urban Papua New Guinea |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T09%3A08%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Health%20Services%20for%20Gender-Based%20Violence:%20M%C3%A9decins%20Sans%20Fronti%C3%A8res%20Experience%20Caring%20for%20Survivors%20in%20Urban%20Papua%20New%20Guinea&rft.jtitle=PloS%20one&rft.au=Lokuge,%20Kamalini&rft.date=2016-06-01&rft.volume=11&rft.issue=6&rft.spage=e0156813&rft.epage=e0156813&rft.pages=e0156813-e0156813&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0156813&rft_dat=%3Cproquest_plos_%3E1808663648%3C/proquest_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1795664561&rft_id=info:pmid/27285845&rft_doaj_id=oai_doaj_org_article_cbb4aad30b034b9cb11db1946d037b44&rfr_iscdi=true |