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2016 ; 16
(1
): 1006
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Violence against children in Latin America and Caribbean countries: a
comprehensive review of national health sector efforts in prevention and
response
#MMPMID27659869
Wirtz AL
; Alvarez C
; Guedes AC
; Brumana L
; Modvar C
; Glass N
BMC Public Health
2016[Sep]; 16
(1
): 1006
PMID27659869
show ga
BACKGROUND: Violence against children (VAC) remains a global problem. The health
sector has an opportunity and responsibility to be part of the multi-sector
collaboration to prevent and respond to VAC. This review aimed to assess the
health sector's response to VAC among Latin American & Caribbean (LAC) countries,
particularly as it relates to physical violence, sexual violence, and neglect.
METHOD: National protocols for the identification and provision of health care to
child survivors of violence, abuse and neglect were solicited in partnership with
UNICEF and PAHO/WHO country offices within the LAC region. A parallel systematic
review was undertaken in January 2015 to review studies published in the last
10 years that describe the regional health sector response to VAC. RESULTS: We
obtained health sectors guidelines/protocols related to VAC from 22 of 43 (51 %)
countries and reviewed 97 published articles/reports that met the review
inclusion criteria. Country protocols were presented in Spanish (n?=?12),
Portuguese (n?=?1), and English (n?=?9). Thematic areas of country protocols
included: 1) identifying signs and symptoms of VAC, 2) providing patient-centered
care to the victim, and 3) immediate treatment of injuries related to VAC. The
systematic review revealed that health professionals are often unaware of
national protocols and lack training, resources, and support to respond to cases
of VAC. Further, there is limited coordination between health and social
protection services. CONCLUSIONS: VAC remains an international, public health
priority. Health professionals are well-positioned to identify, treat and refer
cases of VAC to appropriate institutions and community-based partners. However,
poor protocol dissemination and training, limited infrastructure, and inadequate
human resources challenge adherence to VAC guidelines.