Response to sexual assault in Bogotá, Colombia: A qualitative evaluation of health providers’ readiness and role in policy implementation

Abstract

Colombia has an extensive policy framework to address violence against women. In this qualitative study the authors address the health system and policy response to sexual violence in Bogotá. Interviews were conducted with doctors, nurses, and social workers (n = 46) in emergency departments at public hospitals in Bogotá in 2015, and were analyzed for thematic content. Key findings were compared with district and national policies and 2013 WHO clinical and policy guidelines. Most providers exhibited sensitivity towards victims, but reported inadequate capacity building, undermining policy implementation. Our participants’ eagerness to provide quality care suggests that health system strengthening may be timely and effective.