| Autor: |
Albezreh S; Division of Global Health, Department of Pediatrics, 2348Massachusetts General Hospital, Boston, MA, USA., Anastario M; 145771Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA., Ulibarrí BJ; Department of Sociology, 12331The University of Texas Rio Grande Valley, Brownsville, TX, USA., Naimer K; 82763Physicians for Human Rights, New York, NY, USA., Johnson K; 82763Physicians for Human Rights, New York, NY, USA., McHale T; 82763Physicians for Human Rights, New York, NY, USA., Mishori R; 82763Physicians for Human Rights, New York, NY, USA.; 12230Georgetown University School of Medicine, Washington, DC, USA., Macias-Konstantopoulos WL; Center for Social Justice and Health Equity, Department of Emergency Medicine, 2348Massachusetts General Hospital, Boston, MA, USA.; 1811Harvard Medical School, Boston, MA, USA., Olson R; Department of Medicine, 1861Brigham and Women's Hospital, Boston, MA, USA., Nelson BD; Center for Social Justice and Health Equity, Department of Emergency Medicine, 2348Massachusetts General Hospital, Boston, MA, USA.; 1811Harvard Medical School, Boston, MA, USA.; Divisions of Global Health and Neonatology, Department of Pediatrics, 2348Massachusetts General Hospital, Boston, MA, USA. |
| Abstrakt: |
Sexual and gender-based violence (SGBV) leads to severe sequelae for individuals and communities. Lack of cross-sector coordination inhibits effective medical-legal support and justice for survivors. Multisectoral trainings for health, legal, and law enforcement professionals on survivor-centered SGBV care were conducted in Kenya during 2012-2018. Evaluation utilized objective structured clinical examinations, standardized patients, knowledge assessments, and interviews. A total of 446 professionals participated in 18 trainings. Mean knowledge scores increased from 75.6% to 84.7% ( p < .001). Thirty interviews revealed improved survivor confidentiality, increased specialized hospital care, more comprehensive forensic care, and greater cross-sector collaboration. Participants reported survivors feeling more comfortable pursuing legal action and increased perpetrator convictions. |
