000			03542nab a22003377a 4500
999			_c8032 _d8032
005			20250625151631.0
008			230307s2023 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aKoziol-McLain, Jane _91511
245			_aImpact of COVID-19 on the health response to family violence in Aotearoa New Zealand : _ba qualitative study _cJane Koziol-McLain, christine Cowley, Shabo Nayar and Diane Koti
260			_bSage, _c2023
500			_aINQUIRY: The Journal of Health Care Organization, Provision, and Financing, 2023, First published online 29 January 2023
520			_aCOVID-19 pandemic planning and response has resulted in unprecedented upheaval within health systems internationally. With a concern for increasing frequency and escalation of family violence, the so called “shadow pandemic,” we wondered how health system violence intervention programs were operating during this time. In Aotearoa New Zealand, the Ministry of Health Violence Intervention Program (VIP), using a systems approach, seeks to reduce and prevent the health impacts of family violence and abuse through early identification, assessment, and referral of victims presenting to designated health services. In this qualitative descriptive study, we explored how the VIP program was impacted during the first year of the COVID-19 pandemic. Forty-one VIP coordinators and managers representing 15 of the 20 New Zealand District Health Boards and the National VIP Team participated. Across 12 focus groups (8 face to face and 4 via Zoom) and 7 individual interviews (all via Zoom) participants shared their experience navigating systems to support frontline health providers’ responsiveness to people impacted by family violence during the pandemic. In our reflexive thematic analysis, we generated 3 themes: Responding to the moment, valuing relationships, and reflecting on the status quo. Our findings demonstrate the dynamic environment in which participants found creative ways to adapt to the uncertainty and engage with communities to re-shape interventions and ensure continued implementation of the program. At the same time, challenges within the system prior to the pandemic were brought into view and highlighted the need for action. These included, for example, the need for improved engagement with Māori (Indigenous people of Aotearoa New Zealand) to address long-standing health inequities. Having quality essential services for those impacted by family violence that engages with local knowledge and networks and routinely copes with uncertainty will strengthen our systems to minimize risk of harm during emergencies. (Authors' abstract). Record #8032
650			_aCOVID-19 _98949
650			_aDOMESTIC VIOLENCE _9203
650			_aFAMILY VIOLENCE _9252
650		4	_9290 _aHEALTH
650			_aINTERVENTION _9326
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aMĀORI _9357
650			_aPANDEMICS _98950
650			_aVIOLENCE INTERVENTION PROGRAMME (VIP) _96661
651		4	_aNEW ZEALAND _92588
700			_aCowley, christine _911674
700			_aNayar, Shabo _911675
700			_aKoti, Diane _911676
773	0		_tINQUIRY: The Journal of Health Care Organization, Provision, and Financing, 2023, First published online 29 January 2023
830			_aINQUIRY: The Journal of Health Care Organization, Provision, and Financing, _911677
856			_uhttps://doi.org/10.1177/00469580221146832 _zDOI: 10.1177/00469580221146832 (Open access)
942			_2ddc _cARTICLE _hnews118