ArticleBMC health services research2022
Improving health system readiness to address violence against women and girls: a conceptual framework.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Gender-based violence response and health system readiness during emergencies in Sierra Leone: a qualitative study of survivor experience, facility preparedness, and referral pathways.Global health action · 2026Article
- Missed opportunities in health sector responses to violence against women and girls: a comparative mixed-methods study in Albania and Brazil.BMJ global health · 2026Article
- Assessing formal service providers' readiness to address IPV among women with disabilities in Sweden: A mixed-methods analysis.PloS one · 2026Article
- Physicians' opinions on GBV: a qualitative pilot study in South Africa.Frontiers in public health · 2026Article
- A multi-country mixed method evaluation of the HERA (Healthcare Responding to Domestic Violence and Abuse) intervention: A comparative analysis.SSM - health systems · 2025Article
- Political commitment and implementation: the health system response to violence against women in Mexico.Health policy and planning · 2025Article
- Evaluation of a domestic violence training and support intervention in Palestinian primary care clinics in the west bank: a mixed method study.BMC primary care · 2025Article
- Article
- Organizational and systems-level barriers and facilitators to health professionals' readiness to address domestic and sexualized violence: a qualitative study from Nova Scotia, Canada.Frontiers in reproductive health · 2025Article
- Comparing health systems readiness for integrating domestic violence services in Brazil, occupied Palestinian Territories, Nepal and Sri Lanka.Health policy and planning · 2024Article
- Asking about violence and abuse among patients experiencing homelessness: a focus group study with healthcare professionals.BMC health services research · 2024Article
- Ethical challenges in global research on health system responses to violence against women: a qualitative study of policy and professional perspectives.BMC medical ethics · 2024Article
- Assessing the Nepalese health system's readiness to manage gender-based violence and deliver psychosocial counselling.Health policy and planning · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThere is an increasing focus on readiness of health systems to respond to survivors of violence against women (VAW), a global human rights violation damaging women's health. Health system readiness focuses on how prepared healthcare systems and institutions, including providers and potential users, are to adopt changes brought about by the integration of VAW care into services. In VAW research, such assessment is often limited to individual provider readiness or facility-level factors that need to be strengthened, with less attention to health system dimensions. The paper presents a framework for health system readiness assessment to improve quality of care for intimate partner violence (IPV), which was tested in Brazil and Palestinian territories (oPT).
methodsData synthesis of primary data from 43 qualitative interviews with healthcare providers and health managers in Brazil and oPT to explore readiness in health systems.
resultsThe application of the framework showed that it had significant added value in capturing system capabilities - beyond the availability of material and technical capacity - to encompass stakeholder values, confidence, motivation and connection with clients and communities. Our analysis highlighted two missing elements within the initial framework: client and community engagement and gender equality issues. Subsequently, the framework was finalised and organised around three levels of analysis: macro, meso and micro. The micro level highlighted the need to also consider how the system can sustainably involve and interact with clients (women) and communities to ensure and promote readiness for integrating (and participating in) change. Addressing cultural and gender norms around IPV and enhancing support and commitment from health managers was also shown to be necessary for a health system environment that enables the integration of IPV care.
conclusionThe proposed framework helps identify a) system capabilities and pre-conditions for system readiness; b) system changes required for delivering quality care for IPV; and c) connections between and across system levels and capabilities.
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