Integration of domestic violence services into the health care system: Which model does Vietnam select?

Abstract

Domestic violence (DV) is a significant health problem. Integration of domestic health services into the health system is essential, and many models of integration DV services into the health system exist. In this paper, we discuss the types of integration models/levels of DV services into the health system, and how DV services integrate into the health system in Vietnam. The system - level model of integration in Vietnam was also reported. However, the current health system model only focuses on secondary prevention or supportive care once violence has occurred. The health system has not oriented to primary prevention or long - term support. The three themes that delayed the implementation DV services within the current health system include lack of clinical care pathway for DV survivors, limited services delivery, and a weak referral network. In addition, the social work service for domestic violence within the health system is still inadequate. It is recommended that a clear clinical care pathway for DV survivors should be established, health workers should be trained on DV screening and referrals, and the health system should collaborate with other supported services (within and between the health system and other DV-supported services) to cover long - term support of DV survivors and also DV primary prevention.