Abstract:

In the last two decades, evidence from international studies shows that gender-based violence (GBV) is a serious community health issue, particularly for women. In Viet Nam many interventions to prevent and reduce harm of GBV have been implemented. However, the participation of health providers in supporting victims is unknown. This paper analyzes findings from two studies, pre and post intervention at health facilities in Ha Noi ( Duc Giang General Hospital and two ward health centers). The purpose of this analysis is to identify differences in health providers' knowledge and attitude towards GBV; and to evaluate changes in health providers' behaviours in addressing GBV and helping victims before and after interventions. A total of about 170 health staff, including physicians, physician assistants, nurses, and midwives, were interviewed with questionnaires; and department and hospital managers participated in focus group discussions. The findings show positive changes in awareness and attitudes of health providers on gender equality and GBV. The interventions greatly improved health providers' knowledge and their actions. Health providers are more proactive in screening, assessing, documenting and supporting GBV victims. Health providers have also contributed in breaking the silence about GBV in Viet Nam. The interventions contributed towards to improving comprehensive health physical and psychological care to clients. However, a gap between knowledge and practice still exits. In order to prevent GBV and ensure the safety of clients, it is important to continue to provide refresher training for health providers on the importance of screening, documentation and following up with victims after discharge.

Author: Le Thi Phuong Mai - The Population Council