ReviewGlobal health action
Evaluation of a training program for health care workers to improve the quality of care for rape survivors: a quasi-experimental design study in Morogoro, Tanzania.
Review in Global health action. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Implementation gaps in the two-finger test ban in medico-legal evidence collection on rape: a qualitative study in three districts of Bangladesh.International journal for equity in health · 2026Article
- Knowledge, attitudes, and preparedness of healthcare providers trained to respond to violence against women: evaluation of the adapted World Health Organization curriculum in two municipalities in Timor-Leste.BMC health services research · 2025Article
- Article
- Perceptions of Sexual Healthcare Provision in Tanzania: a Key Informant Qualitative Study.Sexuality research & social policy : journal of NSRC : SR & SP · 2022Article
- Knowledge, attitudes and practices of health care providers trained in responding to violence against women: a pre- and post-intervention study.BMC public health · 2021Article
- Clinical Care of Victims of Interpersonal Violence and Rape in Tanzania: A Qualitative Investigation.International journal of women's health · 2021Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSexual violence against women and children in Tanzania and globally is a human rights violation and a developmental challenge.
objectiveThe aim of this study was to assess the impact of training health professionals on rape management. The specific objectives were to evaluate the changes of knowledge and attitudes toward sexual violence among a selected population of health professionals at primary health care level.
designA quasi-experimental design using cross-sectional surveys was conducted to evaluate health care workers' knowledge, attitude, and clinical practice toward sexual violence before and after the training program. The study involved the Kilombero (intervention) and Ulanga (comparison) districts in Morogoro region. A total of 151 health professionals at baseline (2012) and 169 in the final assessment (2014) participated in the survey. Data were collected using the same structured questionnaire. The amount of change in key indicators from baseline to final assessment in the two areas was compared using composite scores in the pre- and post-interventions, and the net intervention effect was calculated by the difference in difference method.
resultsOverall, there was improved knowledge in the intervention district from 55% at baseline to 86% and a decreased knowledge from 58.5 to 36.2% in the comparison area with a net effect of 53.7% and a p-value less than 0.0001. The proportion of participants who exhibited an accepting attitude toward violence declined from 15.3 to 11.2% in the intervention area but increased from 13.2 to 20.0% in the comparison area.
conclusionsTraining on the management of sexual violence is feasible and the results indicate improvement in healthcare workers' knowledge and practice but not attitudes. Lessons learned from this study for successful replication of such an intervention in similar settings require commitment from those at strategic level within the health service to ensure that adequate resources are made available.
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