The value of intervening for intimate partner violence in South African primary care : project evaluation

dc.contributor.authorJoyner, Kate
dc.contributor.authorMash, Robert James
dc.identifier.citationJoyner, K. & Mash, R. J. 2011. The value of intervening for intimate partner violence in South African primary care : project evaluation. BMJ Open, 1(2), e000254, doi:10.1136/bmjopen-2011-000254.en_ZA
dc.identifier.issn2044-6055 (online)
dc.identifier.issn2044-6055 (print)
dc.descriptionThe original publication is available at
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.en_ZA
dc.description.abstractObjectives: Intimate partner violence (IPV) is an important contributor to the burden of disease in South Africa. Evidence-based approaches to IPV in primary care are lacking. This study evaluated a project that implemented a South African protocol for screening and managing IPV. This article reports primarily on the benefits of this intervention from the perspective of women IPV survivors. Design: This was a project evaluation involving two urban and three rural primary care facilities. Over 4e8 weeks primary care providers screened adult women for a history of IPV within the previous 24 months and offered referral to the study nurse. The study nurse assessed and managed the women according to the protocol. Researchers interviewed the participants 1 month later to ascertain adherence to their care plan and their views on the intervention. Results: In total, 168 women were assisted and 124 (73.8%) returned for follow-up. Emotional (139, 82.7%), physical (115, 68.5%), sexual (72, 42.9%) and financial abuse (72, 42.9%) was common and 114 (67.9%) were at high/severe risk of harm. Adherence to the management plan ranged from testing for syphilis 10/25 (40.0%) to consulting a psychiatric nurse 28/58 (48.3%) to obtaining a protection order 28/28 (100.0%). Over 75% perceived all aspects of their care as helpful, except for legal advice from a non-profit organisation. Women reported significant benefits to their mental health, reduced alcohol abuse, improved relationships, increased self-efficacy and reduced abusive behaviour. Two characteristics seemed particularly important: the style of interaction with the nurse and the comprehensive nature of the assessment. Conclusion: Female IPV survivors in primary care experience benefit from an empathic, comprehensive approach to assessing and assisting with the clinical, mental, social and legal aspects. Primary care managers should find ways to integrate this into primary care services and evaluate it further.en_ZA
dc.description.sponsorshipStellenbosch University Open Access Funden_ZA
dc.format.extent12 p.
dc.publisherBMJ publishing groupen_ZA
dc.subjectIntimate partner violence (IPV)en_ZA
dc.subjectRural primary care facilitiesen_ZA
dc.subjectViolence against womenen_ZA
dc.titleThe value of intervening for intimate partner violence in South African primary care : project evaluationen_ZA
dc.description.versionPublishers' Versionen_ZA
dc.rights.holderAuthor retain the copyrighten_ZA

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