Akademik Veri Yönetim Sistemi
94th EGPRN Conference, Istanbul, Turkey, 12-15 2022, İstanbul, Türkiye, 12 - 15 Mayıs 2022, cilt.29, sa.1, ss.4
Background:Family violence is in Serbia recognised as acriminal act since 2002. Health professionals at primary carelevel are uniquely positioned to create safe and confidentialenvironments for facilitating disclosure of violence.Research question:How to improve implementation for pri-mary health care tasks of family violence?Methods:Key-person inquiries, developed within theIMOCAFV project, resulted in 26 helpful answers about detec-tion, barriers, facilitators, risk assessment and monitoring.Open-ended responses were coded independently by tworeaders. Participants were recruited equally from PHC physi-cians, public health doctors, paediatricians, nurses, midwives,psychologists, forensics, social workers and NGO representa-tives. We submitted related questions to nominal group dis-cussions. Conclusions will be submitted to further broadanalysis using Delphi online questionnaires.Results:Barriers highlighted were lack of time assessment,suitable infrastructure, insufficient funding and data collec-tion, lack of staff to assess, respond and perform case man-agement. Legislation gaps at justice and policy levels as wellas poor coordination of individual services limit efficacy.Facilitators identified were: public policy for awareness,clearly defined tasks, continuous medical education, know-ledge transfer as well as incentives for collaboration. Positivefactors are: public policy in Serbia, including the gender per-spective; detection, risk assessment and monitoring areincluded in protocols. Local implementation could be pro-moted by prevention and intervention programs, targeted onincreasing detection, better management of coordination,incentives for individual efforts. At regional level, improveddata collection and development of guidance as well as part-nerships between healthcare sector and statutory bodies,preventive campaigns and emergency measures wouldenhance performance and efficacy. Further enhancementmight result from survivor follow-up, assessment of services’quality with feedback and financial support for Primaryhealth care multidisciplinary collaboration.Conclusion:Nominal groups concentrate on raising publicand professional awareness, capability for a systematicapproach, risk assessment and orientation from health careto statutory bodies and NGO’s embedded in a public policyapproach.KEYWORDSPrimary health care; family violence; barriers; facilitators;implementation