Childhood Violence Research Articles

Discourses of (Dis)trust and Hegemonic Masculinity: Service Providers’ Perspectives on the Disclosure Process of Men Who Have Experienced Sexual Violence in Childhood

ABSTRACT In this article, we explore the discourses of service providers that influence the disclosure process for men who have experienced childhood sexual violence (CHSV). Previous research has shown that it is typical for men to take over a decade to disclose their experiences of CHSV. Disclosing to a service provider can lead to receiving necessary help, yet men who have experienced CHSV often face gendered challenges within the Finnish healthcare system. Several support organizations for sexual violence were contacted using a non-probability sampling technique to recruit participants. The data for this qualitative study were collected through semi-structured interviews with eight service providers who work with male clients. The data were analyzed using critical discourse analysis. Our findings reveal that men typically do not seek help specifically for CHSV; rather, the issue often emerges while discussing other problems. We identified two distinct discourses that affect help-seeking and disclosure of CHSV by male survivors: a) the discourse of (dis)trust, which is closely connected to whether men discuss their traumatic experiences, and b) the discourse of hegemonic masculinities, in which normative masculinities inhibit men from disclosing. We recommend increasing general awareness of CHSV through various campaigns and incorporating sexual violence education into the curricula for healthcare students.

Task-sharing to promote caregiver mental health, positive parenting practices, and violence prevention in vulnerable families in Sierra Leone: a pilot feasibility study.

The prevalence of household violence in low- and middle-income countries (LMICs) is high, and exposure to violence has significant adverse effects on both mental health and child development across generations. Evidence-based services to improve parenting practices and reduce household violence in LMICs are scarce, particularly across rural regions of West Africa. This study explored the feasibility, acceptability, and potential benefits of an evidence-based home-visiting intervention to promote early childhood development and reduce household violence-the Family Strengthening Intervention for Early Childhood Development and Violence-Prevention (FSI-ECD + VP)-among vulnerable families in rural regions of Sierra Leone. Eighty dual-caregiver households in the Makeni region of Sierra Leone were included in the study (N = 160 caregivers; 73% female). Eligibility criteria included having at least one child aged 6-36 months and elevated scores (> 62.5) on the Difficulties in Emotion Regulation Scale (DERS). Community Health Workers (CHWs) employed in the Makeni region completed a 3-week FSI-ECD + VP training. Families were randomized to receive either the FSI-ECD + VP or treatment as usual (TAU). Research assistants blinded to treatment assignment assessed caregiver mental health, caregiver-child interactions, and household violence at baseline, post-intervention, and 3-month follow-up time points. Triangulation of quantitative and qualitative data showed that caregivers, CHWs, and supervisors generally perceived the intervention as beneficial, feasible, and acceptable. Mixed effects models showed that caregivers who received the FSI-ECD + VP had significantly improved caregiver-child relationship outcomes compared to TAU as assessed by the Home Observation for Measurement of the Environment and the Observation of Caregiver-Child Interactions at post-intervention. Preliminary data also suggests that caregivers receiving the FSI-ECD + VP were less likely to have experienced intimate partner physical violence during the post-intervention period, and had lower symptoms of anxiety and depression at 3-month follow-up. FSI-ECD + VP delivery by CHWs in Sierra Leone may be feasible and acceptable; it may also help improve caregiver-child interactions and reduce the likelihood of household violence among vulnerable families with young children. Task-sharing approaches may help increase acceptability and access to evidence-based behavioral interventions that promote early childhood development and violence prevention among families in rural regions of Sierra Leone and other similar settings. The study is registered in clinicaltrials.gov (NCT03045640; 07/22/2020). This study follows the Consort 2010 guidelines for reporting of clinical trials.

Experiences With Physical and Emotional Sibling Violence in Childhood and Adult Attachment in a Sample of Lesbian, Gay, and Bisexual Individuals

To the best of our knowledge, no research has been conducted specifically examining the influence of physical and emotional sibling violence on adult attachment in lesbian, gay, and bisexual individuals. To address this gap, we conducted an exploratory research study using survey methods and asked a sample of 150 participants about their experiences with physical and emotional sibling violence in childhood and attachment in close relationships in adulthood. We found an association between physical and emotional sibling violence and closeness to and dependency on others in adulthood, but no association with fear of abandonment and rejection by others. Implications include the need for psychoeducation and for practitioners to assess for physical and emotional sibling violence when working with individuals and families with members who identify as lesbian, gay, or bisexual.

Prescription of benzodiazepines and antidepressants among Sami and non-Sami — How childhood violence shapes prescription patterns: the SAMINOR 2 questionnaire survey and the Norwegian prescription database

BackgroundMedication for mental health problems represents a significant proportion of overall medication use and the prescription of psychotropic medicine has increased in many western countries over the last decades. Childhood violence (CV) is strongly associated with mental health problems, which in turn may increase the likelihood of being prescribed psychotropic medication. However, the association between CV and prescription of benzodiazepines (BDZ) and antidepressants is rarely described, and no such study has been performed among the Indigenous Sami people.MethodsData from the SAMINOR 2 Questionnaire Survey (2012) was linked to the Norwegian Prescription Database. Information on filled prescriptions for BDZ and antidepressants in 2004–2019 was collected for 11,296 persons (55.8% women, 22.6% Sami). Gender-stratified chi-square tests and two-sample t-tests were used to test for differences between groups. Logistic regression was applied to investigate the association between CV and filled prescriptions for BDZ and antidepressants.ResultsDuring the 16-year study period, 16.7% of all women filled at least one prescription for BDZ. The figures were significantly lower among Sami women (14.1%) compared to non-Sami women (17.4%) (p = .003). Among all women, 23.6% filled at least one prescription for antidepressants, with no difference between ethnic groups. Filled prescriptions among men were 10.0% and 14.2%, respectively, with no difference between ethnic groups. During each year, and in total, a significantly higher proportion of women exposed to CV received at least one prescription for BDZ and antidepressants, respectively, compared to women not exposed to CV, with no differences between ethnic groups. Among men, the pattern was similar.ConclusionA lower proportion of Sami women filled prescriptions for BDZ than non-Sami women. Those who reported exposure to CV filled prescriptions for BDZ and antidepressants more often than those who did not report CV. There were no overall differences between Sami and non-Sami; the dispensing rates of antidepressants and BDZ were similar for Sami and non-Sami, and the effects of CV on the dispensing of antidepressants and BDZ were also similar. This study highlights the importance of preventing CV, and of identifying a history of CV when treating adults with mental health problems.

Implementasi Program PUSPAGA Dalam Pencegahan Kekerasan Anak di Kota Serang

Children have the same rights guaranteed by the state. Fulfilling children's rights is the responsibility of local governments to improve child-friendly cities through the PUSPAGA program. But the fact is that there are still many children, especially in the city of Serang, who are still victims of violence, which is increasing every year. This research focuses on the implementation of the PUSPAGA Program in preventing child violence in Serang City and aims to find out more about the implementation of the PUSPAGA program in preventing child violence in Serang City using the A Model of Implementation theory according to Van Metter and Van Horn. This research uses descriptive qualitative research methods, then the data is analyzed based on the results of observations, interviews and documentation. The results of this research show that the implementation of the PUSPAGA Cahaya Hati Program in preventing violence against children has not been carried out optimally due to the existence of constraints and obstacles, namely the absence of counselors to provide counseling services, the absence of guidance to sub-district cadres related to the PUSPAGA Program, the facilities and infrastructure available. inadequate and there are still minimal outreach and promotional activities carried out due to limited budget funds.

Judicial Review of Child Violence Committed by Caregivers

This study examines the legal protection of children from violence in Indonesia, focusing on the implementation of Law Number 35 of 2014 concerning Child Protection. The research methodology employed is a normative juridical approach with analysis of primary and secondary data. Primary data includes the law itself, its implementing regulations, and court decisions related to child abuse cases. Secondary data comprises legal articles, academic journals, and reports from the Indonesian Commission on Child Protection (KPAI). The findings indicate that Law Number 35 of 2014 provides a comprehensive legal framework for protecting children from various forms of violence. However, its implementation faces challenges in terms of consistent law enforcement, access to adequate social and mental health services, and the need for increased public awareness. Case studies such as that of Janna Amira Priyanka underscore the urgency of improving child protection from violence. Recommendations from this research include enhancing the capacity of law enforcement agencies, expanding social service networks, educating and raising awareness among the public about children's rights, and improving inter-agency coordination to effectively enhance child protection in Indonesia.

Exploring Empathy Dynamics in Virtual Patient Training

Abstract Background This study investigates the manifestation of empathy among nursing students and teachers during virtual patient training with VR glasses at the Medical Simulation Training Centre of Medical University - Plovdiv. The pilot training, conducted from March 22 to April 12, 2024, was part of the Erasmus+ project ‘Caring violent child safely in child psychiatric and residential units (Safe4Child) 2021-1-FI01-KA220-HED-000032106.’ Participants were divided into two focus groups: third-year nursing students and lecturers teaching specialized academic disciplines in nursing. Results A total of 34 participants partook in the study, comprising 16 instructors with basic nursing education and 16 third-year nursing students. Students exhibited considerable empathy towards the virtual child patient, expressing an inclination to provide assistance, acknowledging the necessity for personalized care, and displaying a curiosity about the patient’s experiences. They conveyed sentiments such as ‘I felt the need to help the child/patient’, ‘the child needs individual work with a nurse’ and ‘I want to understand the child’s experiences.’ In contrast, instructors demonstrated more reserved emotional responses, characterized by professionalism and a focus on offering comfort. They expressed, ‘Normal feelings...but you want to hug the child and comfort him.’ Conclusions The study unveiled a marked difference in empathy expression between students and instructors, with students displaying stronger emotional reactions. These findings underscore the need to recognize and address individual variances in empathy expression within nursing education. Tailored strategies should be devised to bolster empathy development in both students and instructors during virtual patient training. Further investigation is warranted to explore effective methodologies for optimizing empathy development and fostering compassionate patient care in nursing education. Key messages • A Comparative Analysis of Nursing Students and Instructors Using VR Glasses. • Erasmus+ project (Safe4Child) 2021-1-FI01-KA220-HED-000032106.

Neurobiological effects of childhood trauma: A literature review

This article is a comprehensive review of past literature focusing on neurobiological effects of childhood trauma. Chronic interpersonal violence in children is common worldwide (De Bellis & Zisk, 2014). Exposure to continuous physical and emotional trauma in childhood undoubtedly has long lasting effects like developing post- traumatic stress disorder (PTSD), dysregulation of the hypothalamic–pituitary–adrenal axis (HPA) axis leading to hormonal issues, among other things, in an individual. A systematic review of these effects can prove beneficial in the field of psychiatry.

Women’s exposure to intimate partner violence and its association with child stunting: findings from a population-based study in rural Rwanda

ABSTRACT Background Child stunting is a significant challenge for most districts in Rwanda and much of sub-Saharan Africa and persists despite multisectoral efforts. There is a notable lack of population-based studies examining the correlation between violence against women and child stunting in Rwanda. Objective We aimed to investigate the association between Rwandan women’s exposure to intimate partner violence (IPV) and child stunting in children under 3 years of age. Methods In December 2021, a population-based cross-sectional study was conducted in the Northern Province of Rwanda, including 601 women and their children <3 years of age. The World Health Organization (WHO) Women’s Health and Life Experiences Questionnaire for IPV research was utilized. Child stunting was assessed using the WHO criteria for low height for age. Multivariable logistic regression was used to examine the association between IPV and child stunting before and during pregnancy. Results Of 601 women, 47.4% (n = 285) experienced any form of IPV during pregnancy. The prevalence rates of the types of IPV associated with child stunting varied: 33% for psychological, 31.4% for sexual, and 25.7% for physical violence. Exposure to physical violence before pregnancy and sexual violence during pregnancy was associated with higher odds of child stunting; the adjusted odds ratios were 1.29 (95% CI, 1.01–2.03) and 1.25 (95% CI, 1.04–2.01), respectively. Conclusion Women’s exposure to physical and psychological violence is associated with an increased risk of child stunting. Urgent targeted interventions and support systems are needed to address the complex relationship between women’s exposure to IPV and adverse effects on child growth.

ASPECTOS ORAIS DO ABUSO SEXUAL INFANTIL E CONDUTA DO CIRURGIÃO DENTISTA: REVISÃO DE LITERATURA

The study presents a literature review, the aim of which was to point out the main characteristics for detecting cases of child sexual abuse from the point of view of dentistry, as well as to highlight the importance of the dental surgeon in identifying and reporting cases of suspected child maltreatment and/or abuse. The bibliographic research was carried out in different databases, such as SciELO, Bireme, LILACS and PubMed, selecting studies that addressed the descriptors provided by the DECS database: children, child sexual abuse and dentistry, published between 2015 and 2023. To prepare the literature review, 40 articles were found. However, national and international articles that met the inclusion criteria were selected for the expanded abstract. The literature shows the importance of identifying child mistreatment and abuse in the dental field, listing the main manifestations of injuries in the head and neck region. This research is linked to increasing dental surgeons’ knowledge of child violence, so that professionals are better able to recognize the signs of abuse or neglect in children, which is crucial for identifying cases of violence and taking the necessary measures. Therefore, this paper aims to point out the main characteristics of child sexual abuse, as well as what the dental surgeon’s conduct should be when faced with this occurrence.

Violence in contact and custody proceedings-Acase of child endangerment in the family court-Where are efficient child protection measures?

Against the background of 30years of discussion in medicine and law about unfounded accusations and the existence of reasonable suspicion of intra-family violence in contact and custody proceedings, this article emphasises the importance of focusing on child protection by all professionals.Based on acase report in connection with the Federal Ministry of Justice's handout "Dealing with violence in custody and contact proceedings", the article describes the relevance of child protection in Austrian case law and the means by which it is undermined. In the name of science, ideological diagnoses are used instead of evidence-based treatment diagnoses [1]. "Professionals from the healthcare system, youth welfare, justice and education should cooperate in child protection with the aim of recognising, identifying and ending child abuse, maltreatment and/or neglect as such (cf. §3 KKG) [2]."In legal practice, however, practitioners in the psychosocial, psychosomatic and psychotherapeutic fields are often not recognised as witnesses because of the assumption they are influenced by parents or patients themselves. In Austria, the evaluation of evidence is the responsibility of the judge and it is often assumed that practitioners cannot take an objective position towards their patients and their relatives. Specialist medical or psychological experts are therefore of crucial importance. When taking their oath, they have committed themselves to objectivity and impartiality in the recording of findings and orientation towards scientific principles and standards ("state of the art") and their application, as well as to continuous further training and education in the preparation of expert opinions [3].The specific case in question is achild with adiagnosis of post-traumatic stress disorder following suspected sexualised violence, enuresis and enkopresis in connection with the traumatic experiences.The connection between violent situations and child and adolescent psychiatric disorders and the course of the custody and contact proceedings are described. Relevant legal interests such as the will of the child, the best interests of the child, attachment tolerance and protection against violence are addressed and put up for discussion. Topics such as domestic, psychological, sexualised, institutional violence and intimate terror are presented.The case report is an example of how child psychiatrists deal with points relevant to the Federal Ministry of Justice's handbook "Dealing with violence in custody and contact proceedings", which was published in January 2024. It represents aguideline for the area of court proceedings, assessment and treatment.

Childhood violence exposure and anxiety and depression of children and adolescents

BackgroundMental disorders constitute a global public health problem worldwide and occurs in childhood and lasts to adulthood. The purpose of this study was to explore the association between childhood violence exposure and currently diagnosed depression and anxiety in children and adolescents and investigate whether the association differs by sex and age. MethodsThis cross-sectional study used data from 2017 to 2021 National Survey of Children's Health (NSCH). Childhood violence exposure and anxiety or depression of children were reported from caregivers. Logistic regression analyses and subgroup analyses were conducted to assess the association between the childhood violence exposure and anxiety and depression. ResultsThis study included 113,400 participants aged 6 to 17 years (weighted mean [SD] age, 11.5 [3.4] years; 54,539 females [weighted proportions, 48.9 %]). 9603 of them (weighted proportions, 9.0 %) had childhood violence exposure. Childhood violence exposure was associated with higher risks of anxiety (adjusted risk difference: 7.8 %, 95%CI: 6.3–9.3 %; adjusted OR: 2.11, 95%CI: 1.87–2.39) and depression (adjusted risk difference: 6.2 %, 95%CI: 5.1–7.4 %; adjusted OR: 2.94, 95%CI: 2.54–3.41) after full adjustment. Stratified analyses demonstrated that the association appeared to be stronger in younger children and the association between violence exposure and anxiety was stronger in females than in males. ConclusionIn this cross-sectional study, childhood violence exposure was significantly associated with higher risks of anxiety and depression. The associations appeared to be stronger in younger and female children. Differences in sex and age-specific associations highlight the importance of building age-specific and sex-specific patterns of childhood violence prevention and intervention.

Kenyans' perspectives on parenting roles and strategies used to raise young children in Kenya.

Research and parenting programs across the world emphasize two dimensions of parenting: warmth and control. Cross-country literature demonstrates many commonalities across samples on warmth; however, differences are evident with control, largely due to cultural and contextual nuances. Scant literature exists on parenting in Kenya, where half of Kenyans report experiencing child maltreatment typically by parents. Kenyan culture is a unique developmental niche important to understand and inform policies and parenting program development to reduce maltreatment. The purpose of this study was to understand perspectives on parenting strategies with young children, from a sample of Kenyans with varying experiences involving children (e.g., parents, community members). To our knowledge, this study is the first qualitative assessment of parenting practices among children under age 6 in Kenya. The 91 participants (62% female, all ≥ 18 years) completed interviews or focus groups. Based on a thematic data analysis, five themes emerged: (a) parental roles, (b) expressions of warmth, (c) cultural practices with children, (d) control strategies, and (e) factors impacting effective parenting. This study's findings have several implications for both informal and formal supports of families with young children. The findings offer insight into how Kenyans engage in parental warmth and control strategies, including those that are seen as culturally acceptable or harmful, and can inform the development or adaptation of parenting programs for Kenya. Furthermore, these findings offer important considerations for local and federal leaders in how to advance Kenya's policies and efforts to reduce childhood violence and promote healthy child development. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Childhood Neglect, Low Self-Control, and Violence Victimization in the Czech Republic and the United States: A Cross-Cultural Comparison

Childhood Neglect, Low Self-Control, and Violence Victimization in the Czech Republic and the United States: A Cross-Cultural Comparison

Assessment of Mothers' Shaking Behavior of their Babies and Related Factors: An Experimental Approach Using an Accelerometer and an Infant Manikin.

Our study aimed to investigate the factors associated with mothers' shaking behavior of their babies. Sixty-three mothers who stated that they shook their babies (Group B) and 91 mothers who stated that they did not (Group A) among those who applied to or were followed up from the Pediatric Outpatient Clinics of our University Hospital were included. The mothers (with a baby aged 0-30 months) completed the Brief Symptom Inventory (BSI) and psychiatric rating scales measuring attachment styles, empathic tendency, perceived social support, and self-esteem. The severity of the simulated shaking of the mothers was measured by an accelerometer placed on an infant manikin and separately scored on a Numerical Rating Scale by the researchers and an Illustrated Numeric Rating Scale by the mothers. In group B, babies' crying frequency was higher (P = .008); soothing the babies when they cried was more difficult (P = .019), mothers reported that they were exposed to physical violence more in their childhood (P = .003), BSI hostility scores (P = .004) and BSI-anxiety scores (P = .034) of the mothers were higher when compared with the group A. The age of the babies (P = .002, OR = 1.096), moderate crying frequency (P = .035, OR = 2.900), the mothers' difficulty in soothing their babies (sometimes P = .018, OR = 3.705, often/always P = .014, OR = 7.777), and the mothers' experience of physical violence in childhood (P = .002, OR = 5.674) were found to be factors affecting the shaking behavior. Clarifying the factors associated with the mothers' shaking behavior of their babies would be helpful in terms of protecting future generations.

Single-Parent Families and Domestic Child Violence: The Role of Low Income as a Mediating Factor

Single-Parent Families and Domestic Child Violence: The Role of Low Income as a Mediating Factor

Trauma History in a Medium-Secure Adult Male Forensic Mental Health Setting

Forensic services have shifted their focus to the importance of forensic practice becoming more trauma informed. Trauma exposure is pervasive in forensic mental health populations and has been found to negatively impact the course of severe mental illness (SMI) and increase risk of violence. This study aimed to explore the trauma histories of adult male inpatients in a medium-secure psychiatric hospital, and examine childhood and adulthood trauma as predictors of diagnoses, self-harm, suicidality, hospital re-admissions, substance use, and nature of offense. The case files of 85 male patients in a medium secure unit in the UK were reviewed. Eighty-seven percent of patients had a schizophrenia diagnosis and 86% had extensive trauma histories, the most common trauma type being physical violence in childhood (44.7%). One patient had a PTSD diagnosis. Logistic regressions demonstrated that cumulative childhood and adulthood trauma significantly increased the odds of self-harm. Cumulative childhood trauma exposure was found to decrease the likelihood of having a schizophrenia diagnosis. There is a serious under-recognition of the extent and consequences of trauma exposure; trauma histories are likely greater than the findings of this study and existing literature suggests. Implications for clinical practice, trauma-informed care (TiC), and future research are proposed.

The Relationship Between Students' Attitudes Towards Violence Against Women And Their Depression

Background: Violence against women, especially by an intimate partner in its various forms (sexual, physical, or stalking), and childhood violence (sexual or physical) are common and are associated with depressive symptoms. Method: The sample of this descriptive-analytic research was consisted of 895 students attending to the Faculty of Health Sciences of a public university in the East of Turkey. Data were collected between October and November 2021 via the "Personal Description Form", "ISKEBE Attitudes Towards Violence Against Women Scale" and "Beck Depression Scale". Descriptive statistics, independent group t-test, Pearson correlation analysis, Chi-square, and ANOVA tests were used for statistical analysis. Results: More than half of the students (56.1%) stated that they were exposed to violence. Verbal violence was reported to come from mothers (24.5%), fathers (20.0%) and sibling (20.2%). In addition, 23.2% of the students experienced emotional violence from their friends and 14.7% from their partners. The majority of participants indicated that an apology typically follows an act of violence as a means of restoring peace and order (28.3%). Attitude towards the body sub-dimension of ISKEBE was significantly related with the exposure to violence in general, experience of emotional and sexual violence, gender, grade and mother's educational level. Beck Depression Scale scores were significantly higher in students exposed to violence, were married, were in first grade and those under the18 years of age Conclusion: In this study, we found that as the age of the students increased, their attitudes towards violence against women became increasingly positive. The depression score of the students who had been exposed to violence at any point in their lives was found to be higher than those who had not experienced violence. Furthermore, it was observed that while students' depression scores increased, ISKEBE scores decreased. This indicates that individuals with elevated depression scores tend to adopt a positive approach to the issue of "violence against women". Nurse educators and nurses should plan interventions to protect the mental health of nursing students and to increase their awareness of violence against women.

Gender-related stigma toward individuals with a history of sexual or physical violence in childhood

BackgroundStigma is a key barrier to disclosing traumatic experiences of violence in childhood with adverse consequences for help-seeking behaviour. Disclosing behavior differs by gender and the form of violence experienced. However, there is a lack of comprehensive studies that address societal perceptions of males and females with a history of sexual or physical violence in childhood. Therefore, our aim is to focus on the impact of gender on the perception of individuals who experienced sexual or physical violence in childhood.MethodsWe conducted a study on a representative sample of the German general population in terms of age and gender. Participants were randomly assigned to brief case vignettes addressing sexual or physical violence in childhood. Analyses base on a sample of n = 659 individuals (50.1% female). Stigma was assessed through examining respondents’ readiness to address specific traumas in conversation and respondents’ attitudes toward the individuals in the vignettes. Mann–Whitney U tests were applied to check for differences between female and male victims and survivors as well as female and male respondents.ResultsOur results reveal that male victims and survivors face higher negative stereotypes (harm, unpredictability) and evoke communication barriers more often when compared to female victims and survivors, especially in male respondents. Sexual violence is associated with more distinct gender differences than physical violence.ConclusionsFindings reflect greater stigma toward male victims and survivors of sexual violence than female ones. Men had a greater tendency to stigmatize – especially toward their same-gender peers. Socially ingrained gender roles may act as a basis for different communication cultures and the notion of victim-perpetrator constellations in which males are not envisaged as victims.

Kinerja Institusi DP3APPKB dalam Pelaksanaan Program Pelayanan Pusat Pembelajaran Keluarga Surabaya

Research related to the performance of the Department of Women's Empowerment and Child Protection as well as Population Control and Family Planning (DP3APPKB) in implementing the PUSPAGA Surabaya service program is an important thing to carry out considering that there are still high cases of child violence in Surabaya and the government of Surabaya must maintain its achievements as a Child Friendly City at a high level six times in a row. This research was conducted at DP3APPKB Surabaya. The purpose of this research is to determine, describe and analyze the level of organizational performance at the DP3APPKB Service in implementing the PUSPAGA Surabaya service program. The research method used is qualitative with a case study approach. The theory used is the theory of organizational performance according to Soesilo in Tangkilisan (2005) which includes organizational structure, management policies, human resources, management information systems and facilities and infrastructure. This research is related to the performance of the organization at DP3APPKB in implementing the PUSPAGA Surabaya service program. The results of this research indicate that the performance of DP3APPKB Surabaya in implementing the PUSPAGA Surabaya service program has been carried out quite well, because there are still several obstacles such as, PUSPAGA public halls not carrying out tasks or job desks in accordance with the division of the organizational structure, unequal distribution of human resources in providing services PUSPAGA Surabaya, especially for public halls that do not receive volunteer assistance from DP3APPKB Surabaya. Furthermore, most Surabaya residents do not know the use of the SIAP PPAK application which is used as a tool to measure the success of online consultation services and database management in implementing the PUSPAGA Surabaya service program. The facilities and infrastructure of PUSPAGA Surabaya are quite good and have followed the guidelines from the Ministry of PPA, but this does not apply to PUSPAGA public halls.