Assessment of the medical care provided to victims of sexual violence: the experience of three hospitals in Bogotá
DOI:
https://doi.org/10.17533/udea.rfnsp.11829Keywords:
medical assistance, gender identity, sexual violenceAbstract
Objective: to evaluate the medical care that the hospitals in partnership with the Medical School of the UMNG university (Universidad Militar Nueva Granada) provide to victims of sexual violence. Methodology: a multi-design method was used to assess (structure, process and results) and identify the knowledge and attitudes of the healthcare providers. Similarly, the researchers used check lists, interviews with the leader of the assistance network (Red de Buen Trato) and a knowledge and attitudes questionnaire. The study took place from September 2009 to September 2010. Results: a lack of supplies, space, and human resources was detected in the process due to the lack of recognition of the activity as institutional. The results clearly showed gaps in diagnosis, patient records and in the interdisciplinary support provided to the cases. The knowledge and attitude dimensions showed a favorable result in regards to the service provided, yet there is still an evident lack of training. Discussion: the healthcare provided by the assessed hospitals to the sexually assaulted patients did not show a differential approach. It was deficient due to an inexistent interdisciplinary team, a lack of training and an insufficient inter-sectorial coordination. This demonstrates the need to periodically train the healthcare providers, support the creation of a sustainable assistance network, and provide adequate physical spaces and supplies to guarantee that high quality medical care is provided to these patients.
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(1). Krug EG, Dahlberg LL, Mercy JA, Zwi AB. Informe mundial sobre la violencia y la salud. Washington, D.C.: Organización Pa-namericana de la Salud, Oficina Regional para las Américas de la Organización Mundial de la Salud; 2003. DOI: https://doi.org/10.1590/S0036-46652003000300014
(2). Hernández A, Bruno Nn, Rivera L. Violencia conyugal como oportunidad de reencuentro y de reconstrucción existencial. Bogotá; 1999.
(3). Jenkins A. Invitations to responsibility: the therapeutic engage-ment of men who are violent and abusive. Adelaide: Dulwich Centre Publications; 1990. p. 229–242.
(4). Heise L. Violence against women: an integrated, ecological framework. Violence against women 1998; 4 (3): 262–290. DOI: https://doi.org/10.1177/1077801298004003002
(5). UNFPA. Vigilancia superior a la garantía de los derechos desde una perspectiva de género, con énfasis en mujeres y adolescentes. Guía pedagógica y operativa para el seguimiento y la vigilancia. Colombia: TC Impresiones; 2006. p. 21–45.
(6). Pontecorvo C, Mejía R, Alemán M, Vidal A, Majdalani M., Fayanas R, et al. Violencia doméstica contra la mujer. Una encuesta en consultorios de atención primaria. Medicina [Internet]. 2004; 64 (6): 492–496. Disponible en: http://www.scielo.org.ar/pdf/medba/v64n6/v64n6a03.pdf.
(7). Ortega-Ceballos PA, Mudgal J, Flores Y, Rivera-Rivera L, Díaz-Montiel JC, Salmerón J. Determinantes de violencia de pareja en trabajadoras del IMSS morelos. Salud Pública de México [revista en internet]. 2007 9 [Acceso 03 de julio de 2012]; 49(5): 357–366. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342007000500006&lng=es&nrm=iso&tlng=es. DOI: https://doi.org/10.1590/S0036-36342007000500006
(8). Masi D. Violencia Sexual. Pediatría (Asunción) [revista en internet]. 2005 [Acceso 10 de febrero de 2012]; 32 (2): 5–6. Disponible en: http://scielo.iics.una.py/scielo.php?script=sci_arttext&pid=S1683-98032005000200001&lng=es&nrm=iso>. ISSN 1683-9803.
(9). Ocampos M. Abuso sexual en la infancia y en la adolescencia. Pediatría (Asunción). 2005 ;32(2): 25–29.
(10). Gómez-Dantés H, Vázquez-Martínez JL, Fernández-Cantón SB. La violencia en las mujeres usuarias de los servicios de salud en el imss y la ssa. Salud Pública de México [Internet]. 2006 [Acceso 15 de agosto de 2012]; 48: s279–s287. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342006000800008&lng=es&nrm=iso&tlng=es. DOI: https://doi.org/10.1590/S0036-36342006000800008
(11). Olaiz G, Rojas R, Valdez R, Antrop M. Prevalencia de diferentes tipos de violencia en usuarias del sector salud en México. Salud Pública de México [Internet]. 2006 [Acceso 20 de abril de 2012]; 48 (6): 232–238. Disponible en: http://redalyc.uaemex.mx/src/inicio/ArtPdfRed.jsp?iCve=10604803 DOI: https://doi.org/10.1590/S0036-36342006000800003
(12). Diniz NMF, De Almeida LCG, Dos S Ribeiro BC, De Macêdo VG. Women victims of sexual violence: adherence to chemopre-vention of HIV. Revista latinoamericana de enfermagem [Internet]. 2007 [Acceso 10 de julio de 2012]; 15 (1): 7–12. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/17375226. DOI: https://doi.org/10.1590/S0104-11692007000100002
(13). Vélez A, Espriella A de la. Aproximación a la salud sexual y reproductiva de las mujeres desplazadas en Colombia. Profamilia [Internet]. 2004 [Acceso 01 de noviembre de 2012]; 74. Disponi-ble en: http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:Aproximación+a+la+Salud+Sexual+y+Reproductiva+de+las+mujeres+desplazadas+en+Colombia#1.
(14). Cuevas S, Blanco J, Juárez C, Palma O, Valdés-Santiago R. Vio-lencia y embarazo en usuarias del sector salud en estados de alta marginación en México. Salud Pública de México [Internet]. 2006 [Acceso 01 de noviembre de 2012]; 48: 239. Disponible en: http://scielo.unam.mx/pdf/spm/v48s2/31380.pdf. DOI: https://doi.org/10.1590/S0036-36342006000800004
(15). Colombia, Ministerio de Salud y Protección Social. Protocolo de Atención Integral en Salud para Víctimas de Violencia Sexual. [Internet]. Bogotá: El Ministerio; 2012 [Acceso 20 de septiembre de 2012]. Disponible en: http://www.imprenta.gov.co/portal/page/portal/IMPRENTA/Productos/Diario_Oficial.
(16). Franco S, Urrego Z, Tejada P, Báez L. Aproximación narrativa a las intervenciones en salud para mujeres y niñas supervivientes de violencia sexual en la Red Suroccidental de Bogotá, 2003-2004. Rev. Colomb. Psiquiat. 2007; xxxvi (3): 390–410.
(17). Cuevas GA, Pinilla MF, Barrios AM, Gómez PI, Vasquez RR, Cárdenas M, et al. Protocolo para el Abordaje Integral de la Violencia Sexual desde el Sector Salud. Bogotá: unfpa Colombia/ Secretaría Distrital de Salud; 2008.
(18). Instituto Nacional de Medicina Legal y Ciencias Forenses. Regla-mento Técnico para el Abordaje Forense Integral de la Violencia Intrafamiliar de Pareja. Bogotá: inmlcf; 2005. pp. 1–94.
(19). Constantin AH, Orjuela CE, Monroy CM, Barreto MR, Terreros G, Camacho G, et al. Guía de consulta abreviada para el exámen sexológico forense, informe pericial y manejo del kit para la toma de muestras, en los sectores forense y de salud. Bogotá: Instituto de Medicina Legal y Ciencias Forenses/ Organización Internacio-nal de las Migraciones; 2006. p. 1–28.
(20). Yam EA, Gordon-strachan G, Mcintyre G, Fletcher H. Jamaican and Barbadian health care providers’ knowledge, attitudes and practices regarding emergency contraceptive pills. Int Fam Plan Perspect 2007; 33 (4): 160–167. DOI: https://doi.org/10.1363/3316007
(21). Briere J, Malamuth CJ. Sexuality and Rape-Supportive Beliefs. International Journal of Women ́s Studies 1985; 8: 398-403.
(22). Burt MR. Cultural myths and supports for rape. J Pers Soc Psychol. [revista en Internet]. 1980 [Acceso 13 de agosto de 2012]; 38 (2): 217–230. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/7373511. DOI: https://doi.org/10.1037//0022-3514.38.2.217
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