
@article{ref1,
title="A mixed-methods assessment of sexual and gender-based violence in eastern Democratic Republic of Congo to inform national and international strategy implementation",
journal="International journal of health planning and management",
year="2013",
author="Scott, Jennifer and Polak, Suzanne and Kisielewski, Michael and McGraw-Gross, Mary and Johnson, Kirsten and Hendrickson, Miel and Lawry, Lynn",
volume="28",
number="3",
pages="e188-216",
abstract="CONTEXT: National and international strategies were implemented in eastern Democratic Republic of Congo (DRC) to address sexual and gender-based violence (SGBV). OBJECTIVES: The objective was to assess community attitudes of SGBV and health facility capacity to address SGBV in eastern DRC. DESIGN AND SETTING: The design and setting are as follows: a cross-sectional, population-based cluster survey of 998 adults in eastern DRC territories, a convenience sample of 27 adults using semi-structured directed interviews, qualitative data from 37 focus groups conducted in three health zones, assessment of 64 health facilities and a comparative analysis of SGBV strategies. MAIN OUTCOME MEASURES: The main outcome measures opinions regarding SGBV prevention and justice and health facility capacity to address SGBV. RESULTS: The majority of respondents favored the legal system over community mediation to obtain justice for SGBV. However, 61.1% (95% CI, 51.8-70.5%) of SGBV survivors reported being forced to accept community mediation. Among SGBV survivors, 81.2% (95% CI, 74.5-87.8%) reported no available mental health care. Less than half of all respondents reported access to a hospital, clinic or pharmacy. The analyses and facility assessment reinforce the need to improve SGBV care. CONCLUSIONS: Mixed methodologies point to the complexities of addressing SGBV, assess key elements of SGBV prevention, justice and response, and may ultimately inform national and international strategies. Copyright © 2012 John Wiley & Sons, Ltd.<p /> <p>Language: en</p>",
language="en",
issn="0749-6753",
doi="10.1002/hpm.2144",
url="http://dx.doi.org/10.1002/hpm.2144"
}