ArticleBMC health services research2012
A comprehensive model for intimate partner violence in South African primary care: action research.
Article in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers and Facilitators to Integrating Health Service Responses to Intimate Partner Violence in Low- and Middle-Income Countries: A Comparative Health Systems and Service Analysis.Studies in family planning · 2017Pooled it
- Effects of a clinic-based reproductive empowerment intervention on proximal outcomes of contraceptive use, self-efficacy, attitudes, and awareness and use of survivor services: a cluster-controlled trial in Nairobi, Kenya.Sexual and reproductive health matters · 2023Trial
- Who is Being Screened for Intimate Partner Violence in Primary Care Settings? Secondary Data Analysis of a Cluster Randomised Trial.Maternal and child health journal · 2021Trial
- Medical mesocosms and cohort differences in victim decisions in spousal violence in Sub-Saharan Africa.Frontiers in sociology · 2025Article
- Improving health system readiness to address violence against women and girls: a conceptual framework.BMC health services research · 2022Article
- Current intimate partner violence and associated factors among sero-positive women attending Adama town ART Clinics, Central Ethiopia 2019.International journal for equity in health · 2022Article
- Exploring the feasibility and acceptability of integrating screening for gender-based violence into HIV counselling and testing for adolescent girls and young women in Tanzania and South Africa.BMC public health · 2021Article
- Intimate partner violence against women in Ethiopia and its association with unintended pregnancy: a national cross-sectional survey.International journal of public health · 2020Article
- Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa.Journal of interpersonal violence · 2020Article
- Factors that facilitate recognition and management of domestic violence by primary care physicians in a Chinese context - a mixed methods study in Hong Kong.BMC family practice · 2020Article
- The Conundrums of Counselling Women in Violent Intimate Partner Relationships in South Africa: Implications for Practice.International journal for the advancement of counseling · 2020Article
- A scoping review of interventions to address intimate partner violence in sub-Saharan African healthcare.Global public health · 2019Article
- Prevalence and correlates of physical and sexual intimate partner violence among women living with HIV in Uganda.PloS one · 2018Article
- Prevalence of intimate partner violence and associated factors amongst women attending antenatal care at Outapi clinic, Namibia: A descriptive survey.African journal of primary health care & family medicine · 2017Article
- Intimate partner violence in pregnancy among antenatal attendees at health facilities in West Pokot county, Kenya.The Pan African medical journal · 2017Article
- Article
- Health sector responses to intimate partner violence: a literature review.African journal of primary health care & family medicine · 2014Review
- African primary care research: participatory action research.African journal of primary health care & family medicine · 2014Article
- Implementing intimate partner violence care in a rural sub-district of South Africa: a qualitative evaluation.Global health action · 2014Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite extensive evidence on the magnitude of intimate partner violence (IPV) as a public health problem worldwide, insubstantial progress has been made in the development and implementation of sufficiently comprehensive health services. This study aimed to implement, evaluate and adapt a published protocol for the screening and management of IPV and to recommend a model of care that could be taken to scale in our underdeveloped South African primary health care system.
methodsProfessional action research utilised a co-operative inquiry group that consisted of four nurses, one doctor and a qualitative researcher. The inquiry group implemented the protocol in two urban and three rural primary care facilities. Over a period of 14 months the group reflected on their experience, modified the protocol and developed recommendations on a practical but comprehensive model of care.
resultsThe original protocol had to be adapted in terms of its expectations of the primary care providers, overly forensic orientation, lack of depth in terms of mental health, validity of the danger assessment and safety planning process, and need for ongoing empowerment and support. A three-tier model resulted: case finding and clinical care provision by primary care providers; psychological, social and legal assistance by 'IPV champions' followed by a group empowerment process; and then ongoing community-based support groups.
conclusionThe inquiry process led to a model of comprehensive and intersectoral care that is integrated at the facility level and which is now being piloted in the Western Cape, South Africa.
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