TY  - JOUR
PY  - 2013//
TI  - A mixed-methods assessment of sexual and gender-based violence in eastern Democratic Republic of Congo to inform national and international strategy implementation
JO  - International journal of health planning and management
A1  - Scott, Jennifer
A1  - Polak, Suzanne
A1  - Kisielewski, Michael
A1  - McGraw-Gross, Mary
A1  - Johnson, Kirsten
A1  - Hendrickson, Miel
A1  - Lawry, Lynn
SP  - e188
EP  - 216
VL  - 28
IS  - 3
N2  - 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>
LA  - en
SN  - 0749-6753
UR  - http://dx.doi.org/10.1002/hpm.2144
ID  - ref1
ER  -