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Title [sv]
Våld mot kvinnor ett folkhälsoproblem - hälso-och sjukvårdens beredskap och styrning
Title [en]
The public health turn on violence against women - healthcare system´s readiness and governance
Abstract [sv]
Våld mot kvinnor är ett samhällsproblem som kräver samordnade insatser där olika samhälleliga institutioner samverkar. Våld mot kvinnor har allt mer kommit att definieras som ett folkhälsoproblem. Hälso-och sjukvården, särskilt primärvården, är ofta den första, och kanske den enda instans dit våldsutsatta kvinnor vänder sig, vilket innebär att hälsoprofessionernas kompetens kring frågan sätts i fokus. Detta ställer nya och höga krav på hälso-och sjukvårdens bemötande och omhändertagande av våldsutsatta kvinnor. Det behövs också nya former och verktyg för samordning, prevention och insatser. I det här sammanhanget är det av central betydelse att granska hur arbetet med våldsutsatta kvinnor inom hälso- och sjukvården styrs och utvecklas genom lagar och policies. Mot bakgrund av att våldet nu formuleras som ett folkhälsoproblem, riktar vi in oss på primärvården. Vi granskar svårigheter och möjligheter för hälso- och sjukvårdens arbete med våldsutsatta kvinnor. Projektets syfte är; a) att analysera primärvårdens förutsättningar att hantera våld mot kvinnor; b) att granska styrningen av hälso- och sjukvården genom lagar och policies som rör hälso- och sjukvården. I delstudie 1 genomför vi dels en nationell enkätstudie som undersöker kunskaper, attityder och praktiker bland hälso-och sjukvårdspersonal inom primärvården, dels kvalitativa intervjuer med ett urval av de som svarar på enkäten. I delstudie 2 gör vi en systematisk granskning av alla landstings policydokument om våld mot kvinnor och det rättsliga ramverk som styr hälso- och sjukvårdens arbete. Vi genomför även detaljerade studier av tre landsting med intervjuer med nyckelpersoner som medverkar i landstingens arbete med våld mot kvinnor och som samverkar med andra myndigheter om våld. Genom delstudien ökar vi kunskapen om olika förståelser av våld mot kvinnor som ligger till grund för hur arbetet utformas i hälso- och sjukvården samt hur professionernas arbete inom primärvården styrs.
Abstract [en]
Violence against women is a severe societal problem which requires coordinated actions in order to prevent and combat the violence. A clear shift in the framing of violence against women in Sweden is noted, in that it is now increasingly often framed as a public health problem, as shift that we label ?the public health turn on violence against women?. The healthcare sector is often the first authority that women meet after having been exposed to violence. It is therefore of utmost importance that the caretaking of victims of violence develops and is of high quality and that health professionals have adequate competence so that the encounter with victims becomes a trustful meeting which can help women to disclose their situation. Furthermore, new forms for coordinated actions, prevention and interventions are required, which implies that the policy level plays a key role in governing the work for improvement. We focus on primary health services in this project and scrutinise the consequences, obstacles and possibilities of healthcare work after the public health turn on violence against women. The aim of the project is twofold; a) to analyse primary healthcare health services? readiness to deal with violence against women; b) to scrutinise governance through law and policy on violence against women in the healthcare sector. In sub-study 1 we conduct a national survey on knowledge, attitude and practice among health professionals in primary healthcare, as well as qualitative interviews with a purposive sample of the respondents in the survey. In sub-study 2 we perform a systematic review of policy documents on violence against women in Swedish county councils as well as legal frameworks for health systems and public health interventions, in order to explore how violence against women is defined by governing agencies, and how healthcare professionals are governed through these policies. We also conduct key-informant interviews and case studies in three county councils.
Publications (1 of 1) Show all publications
Öhman, A., Burman, M., Carbin, M. & Edin, K. (2020). 'The public health turn on violence against women': Analysing Swedish healthcare law, public health and gender-equality policies. BMC Public Health, 20(1), Article ID 753.
Open this publication in new window or tab >>'The public health turn on violence against women': Analysing Swedish healthcare law, public health and gender-equality policies
2020 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 20, no 1, article id 753Article in journal (Refereed) Published
Abstract [en]

This article focuses on policy and law concerning violence against women as a public health issue. In Sweden, violence against women is recently recognized as a public health problem; we label this shift "The public health turn on violence against women". The new framing implies increased demands on the Swedish healthcare sector and its’ ability to recognise violence and deal with it in terms of prevention and interventions. The aim was to describe and discuss the main content and characteristics of Swedish healthcare law, and national public health and gender-equality policies representing the public health turn on violence against women. Through discursive policy analysis, we investigate how the violence is described, what is regarded to be the problem and what solutions and interventions that are suggested in order to solve the problem. Healthcare law articulates violence against women as an ordinary healthcare issue and the problem as shortcomings to provide good healthcare for victims, but without specifying what the problem or the legal obligation for the sector is. The public health problem is rather loosely defined, and suggested interventions are scarce and somewhat vague. The main recommendations for healthcare are to routinely ask patients about violence exposure. Violence against women is usually labelled "violence within close relationships" in the policies, and it is not necessarily described as a gender equality problem. While violence against women in some policy documents is clearly framed as a public health problem, such a framing is absent in others, or is transformed into a gender-neutral problem of violence within close relationships. It is not clearly articulated what the framing should lead to in terms of the healthcare sector's obligations, interventions and health promotions, apart from an ambivalent discourse on daring to ask about violence.

Place, publisher, year, edition, pages
BioMed Central, 2020
Keywords
Violence against women, Intimate partner violence, Public health, Gender equality, Policy, Healthcare services, Sweden, Governing, Healthcare law
National Category
Public Health, Global Health and Social Medicine
Research subject
gender studies
Identifiers
urn:nbn:se:umu:diva-171239 (URN)10.1186/s12889-020-08766-7 (DOI)000537218700010 ()32448199 (PubMedID)2-s2.0-85085465654 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00929
Available from: 2020-05-29 Created: 2020-05-29 Last updated: 2025-02-20Bibliographically approved
Principal InvestigatorÖhman, Ann
Coordinating organisation
Umeå University
Funder
Period
2016-01-01 - 2018-12-31
National Category
Social Sciences Interdisciplinary
Identifiers
DiVA, id: project:556Project, id: 2015-00929_Forte

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