Multilevel determinants of integrated service delivery for intimate partner violence and mental health in humanitarian settings
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Multilevel determinants of integrated service delivery for intimate partner violence and mental health in humanitarian settings. / Claire Greene, M.; Bencomo, Clarisa; Rees, Susan; Ventevogel, Peter; Likindikoki, Samuel; Nemiro, Ashley; Bonz, Annie; Mbwambo, Jessie K.K.; Tol, Wietse A.; McGovern, Terry M.
In: International Journal of Environmental Research and Public Health, Vol. 18, No. 23, 12484, 2021.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Multilevel determinants of integrated service delivery for intimate partner violence and mental health in humanitarian settings
AU - Claire Greene, M.
AU - Bencomo, Clarisa
AU - Rees, Susan
AU - Ventevogel, Peter
AU - Likindikoki, Samuel
AU - Nemiro, Ashley
AU - Bonz, Annie
AU - Mbwambo, Jessie K.K.
AU - Tol, Wietse A.
AU - McGovern, Terry M.
N1 - Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021
Y1 - 2021
N2 - Inter-agency guidelines recommend that survivors of intimate partner violence in humanitarian settings receive multisectoral services consistent with a survivor-centered approach. Providing integrated services across sectors is challenging, and aspirations often fall short in practice. In this study, we explore factors that influence the implementation of a multisectoral, integrated intervention intended to reduce psychological distress and intimate partner violence in Nyarugusu Refugee Camp, Tanzania. We analyzed data from a desk review of donor, legal, and policy documents; a gender-based violence services mapping conducted through 15 interviews and 6 focus group dis-cussions; and a qualitative process evaluation with 29 stakeholders involved in the implementation of the integrated psychosocial program. We identified the challenges of implementing a multisec-toral, integrated intervention for refugee survivors of intimate partner violence at the structural, inter-institutional, intra-institutional, and in social and interpersonal levels. Key determinants of successful implementation included the legal context, financing, inter-agency coordination, engagement and ownership, and the ability to manage competing priorities. Implementing a multisectoral, integrated response for survivors of intimate partner violence is complex and influenced by inter-related factors from policy and financing to institutional and stakeholder engagement. Further in-vestment in identifying strategies to overcome the existing challenges of implementing multisec-toral approaches that align with global guidelines is needed to effectively address the burden of intimate partner violence in humanitarian settings.
AB - Inter-agency guidelines recommend that survivors of intimate partner violence in humanitarian settings receive multisectoral services consistent with a survivor-centered approach. Providing integrated services across sectors is challenging, and aspirations often fall short in practice. In this study, we explore factors that influence the implementation of a multisectoral, integrated intervention intended to reduce psychological distress and intimate partner violence in Nyarugusu Refugee Camp, Tanzania. We analyzed data from a desk review of donor, legal, and policy documents; a gender-based violence services mapping conducted through 15 interviews and 6 focus group dis-cussions; and a qualitative process evaluation with 29 stakeholders involved in the implementation of the integrated psychosocial program. We identified the challenges of implementing a multisec-toral, integrated intervention for refugee survivors of intimate partner violence at the structural, inter-institutional, intra-institutional, and in social and interpersonal levels. Key determinants of successful implementation included the legal context, financing, inter-agency coordination, engagement and ownership, and the ability to manage competing priorities. Implementing a multisectoral, integrated response for survivors of intimate partner violence is complex and influenced by inter-related factors from policy and financing to institutional and stakeholder engagement. Further in-vestment in identifying strategies to overcome the existing challenges of implementing multisec-toral approaches that align with global guidelines is needed to effectively address the burden of intimate partner violence in humanitarian settings.
KW - Gender-based violence
KW - Humanitarian
KW - Integrated care
KW - Intimate partner violence
KW - Mental health
KW - Multisectoral
U2 - 10.3390/ijerph182312484
DO - 10.3390/ijerph182312484
M3 - Journal article
C2 - 34886211
AN - SCOPUS:85119918068
VL - 18
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1661-7827
IS - 23
M1 - 12484
ER -
ID: 288845820