Evaluation of an intervention to improve Primary Health Care’s response to cases of domestic violence against women - São Paulo, Brazil

Stephanie Pereira ORCID logo ; Yuri Nishijima Azeredo ORCID logo ; Lilia Blima Schraiber ORCID logo ; Janaína Marques de Aguiar ORCID logo ; Beatriz Diniz Kalichman ORCID logo ; Cecilia Guida Vieira Gralia ORCID logo ; Marina Silva dos Reis ORCID logo ; Nayara Portilho Lima ORCID logo ; Loraine J Bacchus ORCID logo ; Manuela Colombini ORCID logo ; +2 more... Gene Feder ORCID logo ; Ana Flávia Pires Lucas d’Oliveira ORCID logo ; (2024) Evaluation of an intervention to improve Primary Health Care’s response to cases of domestic violence against women - São Paulo, Brazil. Ciência & Saúde Coletiva, 29 (9). ISSN 1413-8123 DOI: 10.1590/1413-81232024299.02982024en
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Abstract The aim was to analyse and improve the Primary Health Care (PHC) response to domestic violence against women (DVAW) by developing, implementing and evaluating an intervention. A pilot study evaluating the before and after of intervention implementation, using mixed methods and carried out in three phases - formative, intervention and evaluation - between August 2017 and March 2019 in two Basic Health Units (UBS) in the city of São Paulo. In this paper, we present the details and evaluation of the intervention, carried out six to twelve months after its implementation. The intervention was developed based on the findings of the formative phase and in line with the health policy that establishes the Violence Prevention Nucleus (NPV) and consisted of stablishing a care pathway; general training for all workers and specific training for the NPV; drawing up educational material and monthly case discussions over 6 months. The evaluation showed acceptability among the workers, increased identification and repertoire for caring for cases of DVAW, strengthening internal referral and the intersectoral network. We identified obstacles to the full implementation and sustainability of the intervention.


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