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Published in: International Journal for Equity in Health 1/2017

Open Access 01-12-2017 | Research

Priorities and strategies for improving Roma women’s access to primary health care services in cases on intimate partner violence: a concept mapping study

Authors: Carmen Vives-Cases, Isabel Goicolea, Alison Hernández, Belen Sanz-Barbero, MCarmen Davó-Blanes, Daniel La Parra-Casado

Published in: International Journal for Equity in Health | Issue 1/2017

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Abstract

Background

With an explicit focus on Roma women in Spain (Kale/Spanish Gypsies), this study aims to integrate key informants’ opinions about the main actions needed to improve primary health care services’ and professionals’ responses to Roma women in an Intimate Partner Violence (IPV) situation.

Methods

Concept mapping study. A total of 50 (brainstorming phase), 36 (sorting and rating phase) and 16 (interpretation phase) participants from Roma civil society groups, primary health care professionals and other related stakeholders (social services, academic experts and other IPV NGOs representatives) from different cities in Spain were involved in the different study phases.

Results

Among the 55 action proposals generated, ten priority actions were identified through consensus as most important for improving primary health care’s response to Romani women in an IPV situation, and these included primary, secondary and tertiary prevention activities.

Conclusion

Results indicated that efforts to address this challenge should take an integrated approach that reinforces the primary health care response to IPV in general, while also promoting more specific actions to address barriers to access that affect all Roma women and those who experience IPV in particular.
Literature
10.
go back to reference Corsi M, Crepaldi C, Lodovici MS, Boccagni P, Vasilescu C. Ethnic Minority and Roma Women in Europe: A Case for Gender Equality: Synthesis Report. Luxembourg: Publications office of the European Union; 2010. Corsi M, Crepaldi C, Lodovici MS, Boccagni P, Vasilescu C. Ethnic Minority and Roma Women in Europe: A Case for Gender Equality: Synthesis Report. Luxembourg: Publications office of the European Union; 2010.
11.
go back to reference World Health Organization. Violence Against Women: A Priority Issue. WHO Violence against women information pack 2001. In: World Health Organization. Women's Health and Development Unit. Geneva. 2001. http://www.popline.org/node/532065. Accessed 14 Mar 2017. World Health Organization. Violence Against Women: A Priority Issue. WHO Violence against women information pack 2001. In: World Health Organization. Women's Health and Development Unit. Geneva. 2001. http://​www.​popline.​org/​node/​532065. Accessed 14 Mar 2017.
13.
go back to reference Jarcuska P, Bobakova D, Uhrin J, Bobak L, Babinska I, Kolarcik P, et al. Are barriers in accessing health services in the Roma population associated with worse health status among Roma? Int J Public Health. 2013;58(3):427–34. doi:10.1007/s00038-013-0451-8.CrossRefPubMed Jarcuska P, Bobakova D, Uhrin J, Bobak L, Babinska I, Kolarcik P, et al. Are barriers in accessing health services in the Roma population associated with worse health status among Roma? Int J Public Health. 2013;58(3):427–34. doi:10.​1007/​s00038-013-0451-8.CrossRefPubMed
15.
18.
go back to reference Feder G, Davies RA, Baird K, Dunne D, Eldridge S, Griffiths C, et al. Identification and Referral to Improve Safety (IRIS) of women experiencing domestic violence with a primary care training and support programme: a cluster randomised controlled trial. Lancet. 2011;378(9805):1788–95. doi:10.1016/S0140-6736(11)61179-3.CrossRefPubMed Feder G, Davies RA, Baird K, Dunne D, Eldridge S, Griffiths C, et al. Identification and Referral to Improve Safety (IRIS) of women experiencing domestic violence with a primary care training and support programme: a cluster randomised controlled trial. Lancet. 2011;378(9805):1788–95. doi:10.​1016/​S0140-6736(11)61179-3.CrossRefPubMed
19.
go back to reference Ramsay J, Carter Y, Davidson L, Dunne D, Eldridge S, Feder G, et al. Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database Syst Rev. 2009;3:CD005043. doi:10.1002/14651858.CD005043.pub2. Ramsay J, Carter Y, Davidson L, Dunne D, Eldridge S, Feder G, et al. Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Cochrane Database Syst Rev. 2009;3:CD005043. doi:10.​1002/​14651858.​CD005043.​pub2.
21.
go back to reference Pratt-Eriksson D, Bergbom I, Lyckhage ED. Don’t ask don’t tell: Battered women living in Sweden encounter with healthcare personnel and their experience of the care given. Int J Qual Stud Health Well-being. 2014;9:23166. doi:10.3402/qhw.v9.23166.CrossRef Pratt-Eriksson D, Bergbom I, Lyckhage ED. Don’t ask don’t tell: Battered women living in Sweden encounter with healthcare personnel and their experience of the care given. Int J Qual Stud Health Well-being. 2014;9:23166. doi:10.​3402/​qhw.​v9.​23166.CrossRef
23.
go back to reference Kirst M, Zhang YJ, Young A, Marshall A, O’Campo P, Ahmad F. Referral to Health and Social Services for Intimate Partner Violence in Health Care Settings: A Realist Scoping Review. Trauma Violence Abuse. 2012;13(4):198–208. doi:10.1177/1524838012454942.CrossRefPubMed Kirst M, Zhang YJ, Young A, Marshall A, O’Campo P, Ahmad F. Referral to Health and Social Services for Intimate Partner Violence in Health Care Settings: A Realist Scoping Review. Trauma Violence Abuse. 2012;13(4):198–208. doi:10.​1177/​1524838012454942​.CrossRefPubMed
27.
go back to reference Goicolea I, Vives-Cases C, Hurtig AK, Marchal B, Briones-Vozmediano E, Otero-Garcia L, et al. Mechanisms that Trigger a Good Health-Care Response to Intimate Partner Violence in Spain. Combining Realist Evaluation and Qualitative Comparative Analysis Approaches. PLoS ONE. 2015;10(8), e0135167. doi:10.1371/journal.pone.0135167.CrossRefPubMedCentralPubMed Goicolea I, Vives-Cases C, Hurtig AK, Marchal B, Briones-Vozmediano E, Otero-Garcia L, et al. Mechanisms that Trigger a Good Health-Care Response to Intimate Partner Violence in Spain. Combining Realist Evaluation and Qualitative Comparative Analysis Approaches. PLoS ONE. 2015;10(8), e0135167. doi:10.​1371/​journal.​pone.​0135167.CrossRefPubMedCentralPubMed
32.
go back to reference Kane M, Trochim WMK. Concept Mapping for Planning and Evaluation. Thousand Oaks: SAGE Publications, Inc.; 2007.CrossRef Kane M, Trochim WMK. Concept Mapping for Planning and Evaluation. Thousand Oaks: SAGE Publications, Inc.; 2007.CrossRef
37.
go back to reference Briones-Vozmediano E, Maquibar A, Vives-Cases C, Ohman A, Hurtig AK, Goicolea I. Health-Sector Responses to Intimate Partner Violence: Fitting the Response Into the Biomedical Health System or Adapting the System to Meet the Response? J Interpers Violence. 2015. doi:10.1177/0886260515619170.PubMed Briones-Vozmediano E, Maquibar A, Vives-Cases C, Ohman A, Hurtig AK, Goicolea I. Health-Sector Responses to Intimate Partner Violence: Fitting the Response Into the Biomedical Health System or Adapting the System to Meet the Response? J Interpers Violence. 2015. doi:10.​1177/​0886260515619170​.PubMed
38.
go back to reference Mosquera PA, Hernández J, Vega R, Martínez J, Sebastián MS. Performance evaluation of the essential dimensions of the primary health care services in six localities of Bogota–Colombia: a cross-sectional study. BMC Health Serv Res. 2013;13(1):1–12. doi:10.1186/1472-6963-13-315.CrossRef Mosquera PA, Hernández J, Vega R, Martínez J, Sebastián MS. Performance evaluation of the essential dimensions of the primary health care services in six localities of Bogota–Colombia: a cross-sectional study. BMC Health Serv Res. 2013;13(1):1–12. doi:10.​1186/​1472-6963-13-315.CrossRef
40.
go back to reference Zaher E, Keogh K, Ratnapalan S. Effect of domestic violence training: systematic review of randomized controlled trials. Can Fam Physician. 2014;60(7):618–24.PubMedCentralPubMed Zaher E, Keogh K, Ratnapalan S. Effect of domestic violence training: systematic review of randomized controlled trials. Can Fam Physician. 2014;60(7):618–24.PubMedCentralPubMed
Metadata
Title
Priorities and strategies for improving Roma women’s access to primary health care services in cases on intimate partner violence: a concept mapping study
Authors
Carmen Vives-Cases
Isabel Goicolea
Alison Hernández
Belen Sanz-Barbero
MCarmen Davó-Blanes
Daniel La Parra-Casado
Publication date
01-12-2017
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2017
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-017-0594-y

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