"Other patients are really in need of medical attention" - the quality of health services for rape survivors in South Africa

 

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dc.contributor.author Christofides, Nicola J
dc.contributor.author Jewkes, Rachel K
dc.contributor.author Webster, Naomi
dc.contributor.author Penn-Kekana, Loveday
dc.contributor.author Abrahams, Naeema
dc.contributor.author Martin, Lorna J
dc.date.accessioned 2018-01-11T13:33:49Z
dc.date.available 2018-01-11T13:33:49Z
dc.date.issued 2005
dc.identifier http://dx.doi.org/10.1590/S0042-96862005000700009
dc.identifier.citation Christofides, Nicola J., Jewkes, Rachel K., Webster, Naomi, Penn-Kekana, Loveday, Abrahams, Naeema, & Martin, Lorna J.. (2005). Other patients are really in need of medical attention: the quality of health services for rape survivors in South Africa. Bulletin of the World Health Organization, 83(7), 495-502. https://dx.doi.org/10.1590/S0042-96862005000700009
dc.identifier.uri http://hdl.handle.net/11427/26805
dc.description.abstract Objective: To investigate in the South African public health sector where the best services for rape survivors were provided, who provided them, what the providers’ attitudes were towards women who had been raped and whether there were problems in delivering care for rape survivors. Methods: A cross-sectional study of facilities was carried out. Two district hospitals, a regional hospital and a tertiary hospital (where available) were randomly sampled in each of the nine provinces in South Africa. At each hospital, senior staff identified two doctors and two nurses who regularly provided care for women who had been raped. These doctors and nurses were interviewed using a questionnaire with both open-ended and closed questions. We interviewed 124 providers in 31 hospitals. A checklist that indicated what facilities were available for rape survivors was also completed for each hospital. Findings A total of 32.6% of health workers in hospitals did not consider rape to be a serious medical condition. The mean number of rape survivors seen in the previous six months at each hospital was 27.9 (range = 9.3–46.5). A total of 30.3% of providers had received training in caring for rape survivors. More than three-quarters of regional hospitals (76.9%) had a private exam room designated for use in caring for rape survivors. Multiple regression analysis of practitioner factors associated with better quality of clinical care found these to be a practitioner being older than 40 years (parameter estimate = 2.4; 95% confidence interval (CI) = 0.7–5), having cared for a higher number of rape survivors before (parameter estimate = 0.02; 95% CI = 0.001–0.03), working in a facility that had a clinical management protocol for caring for rape survivors (parameter estimate = 2; 95% CI = 0.12–3.94), having worked for less time in the facility (parameter estimate = -0.2; 95% CI = -0.3 to -0.04) and perceiving rape to be a serious medical problem (parameter estimate = 2.8; 95% CI = 1.9–3.8). Conclusion: There are many weaknesses in services for rape survivors in South Africa. Our findings suggest that care can be improved by disseminating clinical management guidelines and ensuring that care is provided by motivated providers who are designated to care for survivors.
dc.language.iso eng
dc.source Bulletin of the World Health Organization
dc.source.uri http://www.who.int/bulletin/en/
dc.subject.other Rape [rehabilitation]
dc.subject.other Health services
dc.subject.other Quality of health care
dc.subject.other Attitude of health personnel
dc.subject.other Forensic medicine
dc.subject.other Health care surveys
dc.subject.other Cross-sectional studies
dc.subject.other South Africa
dc.title "Other patients are really in need of medical attention" - the quality of health services for rape survivors in South Africa
dc.type Journal Article
dc.date.updated 2017-11-06T13:17:31Z
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Forensic Medicine and Toxicology en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Christofides, N. J., Jewkes, R. K., Webster, N., Penn-Kekana, L., Abrahams, N., & Martin, L. J. (2005). "Other patients are really in need of medical attention" - the quality of health services for rape survivors in South Africa. <i>Bulletin of the World Health Organization</i>, http://hdl.handle.net/11427/26805 en_ZA
dc.identifier.chicagocitation Christofides, Nicola J, Rachel K Jewkes, Naomi Webster, Loveday Penn-Kekana, Naeema Abrahams, and Lorna J Martin ""Other patients are really in need of medical attention" - the quality of health services for rape survivors in South Africa." <i>Bulletin of the World Health Organization</i> (2005) http://hdl.handle.net/11427/26805 en_ZA
dc.identifier.vancouvercitation Christofides NJ, Jewkes RK, Webster N, Penn-Kekana L, Abrahams N, Martin LJ. "Other patients are really in need of medical attention" - the quality of health services for rape survivors in South Africa. Bulletin of the World Health Organization. 2005; http://hdl.handle.net/11427/26805. en_ZA
dc.identifier.ris TY - Journal Article AU - Christofides, Nicola J AU - Jewkes, Rachel K AU - Webster, Naomi AU - Penn-Kekana, Loveday AU - Abrahams, Naeema AU - Martin, Lorna J AB - Objective: To investigate in the South African public health sector where the best services for rape survivors were provided, who provided them, what the providers’ attitudes were towards women who had been raped and whether there were problems in delivering care for rape survivors. Methods: A cross-sectional study of facilities was carried out. Two district hospitals, a regional hospital and a tertiary hospital (where available) were randomly sampled in each of the nine provinces in South Africa. At each hospital, senior staff identified two doctors and two nurses who regularly provided care for women who had been raped. These doctors and nurses were interviewed using a questionnaire with both open-ended and closed questions. We interviewed 124 providers in 31 hospitals. A checklist that indicated what facilities were available for rape survivors was also completed for each hospital. Findings A total of 32.6% of health workers in hospitals did not consider rape to be a serious medical condition. The mean number of rape survivors seen in the previous six months at each hospital was 27.9 (range = 9.3–46.5). A total of 30.3% of providers had received training in caring for rape survivors. More than three-quarters of regional hospitals (76.9%) had a private exam room designated for use in caring for rape survivors. Multiple regression analysis of practitioner factors associated with better quality of clinical care found these to be a practitioner being older than 40 years (parameter estimate = 2.4; 95% confidence interval (CI) = 0.7–5), having cared for a higher number of rape survivors before (parameter estimate = 0.02; 95% CI = 0.001–0.03), working in a facility that had a clinical management protocol for caring for rape survivors (parameter estimate = 2; 95% CI = 0.12–3.94), having worked for less time in the facility (parameter estimate = -0.2; 95% CI = -0.3 to -0.04) and perceiving rape to be a serious medical problem (parameter estimate = 2.8; 95% CI = 1.9–3.8). Conclusion: There are many weaknesses in services for rape survivors in South Africa. Our findings suggest that care can be improved by disseminating clinical management guidelines and ensuring that care is provided by motivated providers who are designated to care for survivors. DA - 2005 DB - OpenUCT DP - University of Cape Town J1 - Bulletin of the World Health Organization LK - https://open.uct.ac.za PB - University of Cape Town PY - 2005 T1 - "Other patients are really in need of medical attention" - the quality of health services for rape survivors in South Africa TI - "Other patients are really in need of medical attention" - the quality of health services for rape survivors in South Africa UR - http://hdl.handle.net/11427/26805 ER - en_ZA


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