Browsing by Author "Pienaar, Winnifred Babara"
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- ItemOutcome mapping evaluation of an intervention programme for intimate partner violence(Stellenbosch : Stellenbosch University, 2017-03) Pienaar, Winnifred Babara; Joyner, Kate; Mash, Robert; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.ENGLISH SUMMARY : Background: Studies have found that between 42% and 66% of women who were killed by their intimate partner had recently used health care prior to their death but had not been identified as victims of intimate partner violence (IPV). IPV is the second highest contributor to the burden of disease affecting women after HIV and AIDS in South Africa. There is a growing need for women who are experiencing IPV to be identified and managed appropriately at our health facilities. However significant evidence is needed about comprehensive interventions for IPV to provide quality coordinated care to IPV survivors. Moreover, in order to receive institutional and governmental support (funding), evidence must be provided of a well-coordinated and structured IPV intervention programme. This study thus aimed to evaluate the implementation of an integrated comprehensive intervention programme for IPV using outcome mapping in the Macassar community. Methods: The outcome mapping method was used to design, monitor and evaluate the implementation of a psychosocial and legal intervention for IPV. The method assists project teams to be specific about the organisations it targets, the changes it expects to see and the strategies it needs to implement to create change (Stage one). Ongoing monitoring of the IPV project according to the outcome mapping method enabled the project team to adapt strategies as needed and monitor the progress of boundary partners (Stage two). Stage three assisted the project team to identify what phenomena had to be studied in depth. Results: The IPV intervention appeared to be of benefit for some IPV survivors. However collaboration and engagement with other stake holders (boundary partners) was problematic at times. IPV remains a stigmatised, hidden subject within healthcare while paradoxically being accepted as normative within the communities our health system serves. IPV remained under-identified even though staff attended and participated in onsite IPV training prior to the project onset. Conclusion: There is still significant resistance to taking IPV seriously as a human right, health and societal issue. The complexities of IPV belie easy and simple solutions. A multi-faceted, comprehensive approach should become an integral part of primary health care.