Provision of healthcare in the aftermath of domestic and sexualized violence from the perspective of the women affected
摘要
Domestic and sexualized violence poses a key risk to womens’ health, and it remains a challenge for healthcare services. Since the Istanbul Convention came into effect in Germany in 2018, there has existed a requirement to provide adequate healthcare to women affected by violence. In this study, we investigate how women affected by violence perceive healthcare services post-violence to gain insights into the perceived experiences of those impacted.
Subject and methodsFor this qualitative study, 15 problem-centered interviews were conducted with women who had experienced violent abuse. The interviews were analyzed according to Braun and Clarke’s thematic analysis. Selected interview excerpts were then analyzed in greater detail.
ResultsThe study’s findings reveal parallels between healthcare provision and familiar patterns of control and power found in violent relationships. Healthcare provision is very much determined by the individual healthcare professional and the structures of the healthcare system, while only a limited degree of autonomy is attainable for those affected. From the victims’ perspective, treatment is often not geared toward their needs.
ConclusionTo achieve an adequate level of care, not least in accordance with the Istanbul Convention, it is necessary to consider the perspective of victims of domestic and/or sexualized violence when developing healthcare services.