000			03700nab a22004577a 4500
999			_c6306 _d6306
005			20250625151511.0
008			190613s2017 xxu||||| |||| 00| 0 eng d
040			_aAFVC
100			_aGatuguta, Anne _98489
245			_aShould community health workers offer support healthcare services to survivors of sexual violence? _cAnne Gatuguta, Barbra Katusiime, Janet Seeley, Manuela Colombini, Isaac Mwanzo and Karen Devries _bA systematic review
260			_bBMC, _c2017
500			_aBMC International Health and Human Rights, 2017, 17: 28
520			_aQuantitative and qualitative studies reporting on CHWs and other community-level paraprofessional volunteer services for sexual violence were eligible for inclusion. CHWs and sexual violence were defined according to WHO criteria. The review was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Quality of included studies was assessed using two quality assessment tools for quantitative, and, the methodology checklist by the National Institute for Health and Clinical Excellence for qualitative studies. Data were extracted and analysed separately for quantitative and qualitative studies and results integrated using a framework approach. Results: Seven studies conducted in six countries (Democratic Republic of Congo, Rwanda, Burma, United States of America, Scotland, Israel) met the inclusion criteria. Different models of care had diverse CHWs roles including awareness creation, identifying, educating and building relationships with survivors, psychosocial support and follow up. Although sociocultural factors may influence CHWs’ performance and willingness of survivors to use their services, studies often did not report on CHWs characteristics. Few studies assessed acceptability of CHWs’ to survivors or feasibility of delivery of services. However, participants mentioned a range of benefits including decreased incidence of violence, CHWs being trusted, approachable, non-judgmental and compassionate. Challenges identified were high workload, confidentiality issues and community norms influencing performance. Conclusions: There is a dearth of research on CHWs services for sexual violence. Findings suggest that involving CHWs may be beneficial, but potential challenges and harms related to CHW-provided services exist. No different models of CHW-provided care have been robustly evaluated for effects on patient outcomes. Further research to establish survivors’ views on these services, and, their effectiveness is desperately needed. (Authors' abstract). Record #6306
650			_aADULT SURVIVORS OF SEXUAL ABUSE _946
650			_aADVOCACY _94258
650		5	_aCOMMUNITY SERVICES _9150
650			_aCOUNSELLING _9160
650			_aHEALTH SERVICES _9290
650			_aINTERVENTION _9326
650			_aPREVENTION _9458
650		4	_aSEXUAL VIOLENCE _9531
650		4	_aSUPPORT SERVICES _9591
650		0	_aSYSTEMATIC REVIEWS _93140
650		0	_aVICTIMS OF SEXUAL VIOLENCE _96716
651			_aINTERNATIONAL _93624
651			_aBURMA _98490
651			_aDEMOCRATIC REPUBLIC OF THE CONGO _93777
651			_aISRAEL _93637
651			_aSCOTLAND _92635
651		4	_aUNITED KINGDOM _92604
651		4	_aUNITED STATES _92646
700			_aKatusiime, Barbara _98492
700			_aSeeley, Janet _98493
700			_aColombini, Manuela _94450
700			_aMwanzo, Isaac _98494
700			_92670 _aDevries, Karen.
773	0		_tBMC International Health and Human Rights, 2017, 17: 28
830			_aBMC International Health and Human Rights _95134
856			_uhttps://doi.org/10.1186/s12914-017-0137-z
942			_cARTICLE _2ddc