Strengthening Health System Responses to Gender-based Violence in Eastern Europe and Central Asia

A resource package

Training Programme for Health Care Providers

Causes and Dynamics

“Violence against women is both universal and particular. It is universal in that there is no region of the world, no country and no culture in which women’s freedom from violence has been secured. The pervasiveness of violence against women across the boundaries of nation, culture, race, class and religion points to its roots in patriarchy - the systemic domination of women by men.

Training Modules

About this training programme

The training module is designed to provide the information needed for changes both in the practice of individual professionals dealing with survivors of gender based violence as well as institutional changes. These module provides you with selected topics, theory, exercises and handouts as well as powerpoint presentations that can be used for such a training. It is sub-divided into 10 modules.

Linkages between HIV/AIDS and GBV

Violence and the threat of violence can increase women and girls’ vulnerability to HIV by making it difficult or impossible to set the terms of an equal relationship. It is more difficult for women to refuse sex when in a relationship, to get their partners to be faithful, or to use a condom. Violence can also be a barrier in accessing HIV prevention, care, and treatment services. The linkages between sexual violence and HIV, especially among young women in high prevalence countries, are well-documented.

Confidentiality vs. mandatory reporting

Confidentiality and information sharing


Practitioners who are called upon to deal with a woman who has been the survivor of gender-based violence are in a delicate situation. They are caught between their duty to protect the patients’ health and the obligations of professional confidentiality. The law does provide for reporting dangerous situations in certain cases, with the survivor’s consent. Medical practitioners should act in accordance with their professional responsibility and personal conscience.
Keeping information confidential:

 

Medico-legal aspects of sexual violence

Exposure to sexual violence is associated with a range of health consequences for the survivor. Comprehensive care must address the following issues: physical injuries; pregnancy; STIs, HIV and hepatitis B; counseling and social support; and follow-up consultations.

Evaluation and assessment tools

In order to assess the availability of trainings and the content of already existing trainings, you can use the assessment tool "Identify Training Programs" which is for download below.

Following the training, just before finishing your training, the trainers can hand out the evaluation form, which can be downloaded below.

11. Referral

This part of the training requires careful research and preparation from the organizer or trainer. As it is already stated on the checklist, any service available to the survivors of violence in the region should be identified before the training. The participants should get a list containing concrete contact details of the available services. However, if very few or no services are available to survivors of violence, the health care provider can develop a safety strategy together with the survivor - see at the bottom of this page.

12. Reading Stories of abused women

Liuba is a teacher of literature and deputy head of a college. She is 37 years old and has three children aged 16, 14 and 4. She married Oleg, an amateur boxer, when they were students. Initially, she thought his controlling behavior was a sign of his love for her. The first time he hit her she was pregnant.

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