medigraphic.com
Instituto Nacional de Salud Pública

2006, Number S2

<< Back Next >>

salud publica mex 2006; 48 (S2)

Between denial and helplessness: health care providers facing domestic violence in Mexico

Herrera C, Rajsbaum A, Agoff C, Franco A

Language: Spanish
References: 21
Page: 259-267
PDF size: 100.47 Kb.


ABSTRACT

Objective. To increase the knowledge of health care providers´ understanding of and practices on domestic violence, in order to improve care. Materials and Methods. This study was conducted between May and November 2003, In Quintana Roo, Coahuila, and Mexico City, three Mexican states with a high prevalence of domestic violence. Sixty in-depth interviews with health care providers in public health institutions and key informants of health service provision were completed. Results. Health care providers were categorized based on the extent to which they reproduced four “discourses about violence”. These discourses influence their daily practice and are related to the informants’ gender values and social positions. Most informants expressed their willingness to address the issue of domestic violence. Conclusions. Attention to and care for domestic violence is insufficient in health services; this may be due more closely related to a predominant discourse tolerating domestic violence among decision-makers, than to the attitudes of health care providers; the latter demonstrated greater awareness of women’s rights.


REFERENCES

  1. Heise L, Pitanguy J, Germain A. Violencia contra la mujer. La carga oculta sobre la salud. Washington DC: OPS, 1994.

  2. Family violence prevention project. An informational packet for health professionals. San Francisco, California: Family violence prevention project 1993.

  3. Viterbo-Silva I. Violência contra mulheres: a experiência de usuárias de um serviço de urgência e emergência de Salvador, Bahia Brasil. Cad Saude Publica 2003;19 suppl 2:S263-S272.

  4. Sugg N, Inui T. Primary care physicians’ response to domestic violence. Opening Pandora’s Box. J Am Med Assoc 1992;267 (23): 3157-3160.

  5. Sampselle CM. The role of nursing in preventing violence against women. J Obstet, Gynecol Neonatal Nursing 1991;20(6): 481-487.

  6. Agoff C, Rajsbaum A, Herrera C. Perspectivas de las mujeres maltratadas sobre la violencia de pareja en México. Salud Publica Mex 2006;48 supl 2:S307-S314.

  7. Langford DR. Policy issues for improving institutional response to domestic violence. J Nurs Adm 1996; 26 (1): 39-45.

  8. Campbell JC. Battered women’s experiences in the emergency department. J Emerg Nurs 1994; 20(4): 280-288.

  9. Hoff LA, Ross M. Violence content in nursing curricula: Strategic issues and implementation. J Adv Nurs 1995; 21:137-142.

  10. De Barbieri T. Sobre la categoría género: una introducción teórico-metodológica. Isis Internacional. Ediciones de las Mujeres 1992; 17: 111-128.

  11. Kim J, Motsei M. “Women enjoy punishment”: attitudes and experiences of gender-based violence among PHC nurses in rural South Africa. Soc Sci Med 2002;54: 1243-1254.

  12. SSA / INSP. Encuesta Nacional sobre Violencia contra las Mujeres 2003 (ENVIM 2003). Cuernavaca, Morelos: Instituto Nacional de Salud Pública, 2003.

  13. Glaser B, Strauss A. The discovery of grounded theory. Strategies for qualitative research. Chicago: Aldine, 1967.

  14. Strauss A, Corbin J. Basics of qualitative research. Newbury Park: Aldine, 1990.

  15. Méndez-Hernández P, Valdez-Santiago R, Viniegra-Velázquez L, Rivera-Rivera L, Salmerón Castro J. Violencia contra la mujer: conocimiento y actitud del personal médico del Instituto Mexicano del Seguro Social, Morelos, México. Salud Publica Mex 2003; (5) 6: 472-482.

  16. SSA / INSP Informe ejecutivo de la Encuesta Mujer y Violencia en México. México: INSP/SSA, 2004.

  17. Valdez-Santiago R. Respuesta médica ante la violencia que sufren las mujeres embarazadas. En: Marta Torres, comp. La violencia contra las mujeres en contextos urbanos y rurales. México: El Colegio de México, 2004.

  18. Fawcett G. Manejo de víctimas de violencia doméstica: desarrollo y evaluación de un programa dirigido al personal de salud. Docs. de Trabajo N° 26, Population Council / INOPAL III: México, 1998.

  19. SSA. Norma Oficial Mexicana NOM-190-SSA1-1999. Prestación de servicios de salud. Criterios para la atención de la violencia familiar. México: Secretaría de Salud, 1999.

  20. Moore ML, Zaccaro D, Parsons LH. Atitudes and practices of registered nurses toward women who have experienced abuse/domestic violence. J Obstet Gynecol Neonatal Nursing 1998; 27 (2): 175-182.

  21. Bellak L, Siegel H. Manual de psicoterapia breve, intensiva y de urgencia. México: El Manual Moderno, 1986.




2020     |     www.medigraphic.com