Abstract
In Portugal, over the last 20 years, we have seen great strides in addressing intimate partner violence against women by their male partners. Measuring and understanding progress, and achieving sustainable systems change is a major challenge and to achieve this aim we need to identify events, persons and settings that contribute for the critical factors that create long term transformations in the systems and the creation of new resources [1]. Since the healthcare system is one of the main actors of intervention with survivors, the goal of this project was to interview key stakeholders from the healthcare system in order to understand the main changes they perceive have happened over the past two decades. Based on interviews with key stakeholders, our study explores the evidences of the changes that occurred in the healthcare system, the intersections with other systems and their visions for the future.
Highlights
Intimate partner violence against women has been a social issue and a concern for societies across the world and a recognized widespread problem that causes devastating physical, psychological and economic damage to people [2].The last 20 years have seen great strides in addressing intimate partner violence against women by their male partners, all over the World
Measuring progress and achieving sustainable systems change is a major challenge requiring the implementation of new policies, programs and different structures to support desired outcomes [5] it is important to identify how events, persons and settings contribute for the critical factors that create long term transformations in the systems and the creation of new resources [1]
We argue on the need to understand the changes in the health system related to intimate partner violence against women in the complexities of both the system, the social problem and the different stakeholders involved
Summary
Intimate partner violence against women has been a social issue and a concern for societies across the world and a recognized widespread problem that causes devastating physical, psychological and economic damage to people [2].The last 20 years have seen great strides in addressing intimate partner violence against women by their male partners, all over the World. To understand how the participants view the changes in the Portuguese society that contributed for change on intimate partner violence they were invited to comment on how they came to work in this issue. The participants referred some experiences in their professional career that strongly contributed to their involvement They refer changes that have occurred on the status of women, personal experiences dealing with the consequences of intimate partner violence and opportunities inside the system that gave way to new areas of intervention. (···) A case has marked us; a woman we had seen a few days earlier, complaining of intimate partner violence had been killed” (P5) “The changes in the Health Ministry, and the organizational changes where I work made me realize that there were many victims of domestic abuse, requiring services provision” (P2).
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