From: Mapping and exploring health systems’ response to intimate partner violence in Spain
TOTAL n (%)3 | Andalucía | Aragon | Asturias | Baleares | Canarias | Cantabria | C-La Mancha | C-Leon | Cataluña | C Valencia | Extremadura | Galicia | La Rioja | Madrid | Murcia | Navarra | País Vasco | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Criteria | Indicator | ||||||||||||||||||
Clinical guidelines in place and implementation monitored1 | Regional protocol and/or guidelines published | 17 (100) | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + |
Health providers’ practices. Protocol clearly includes regarding Primary health care: | The need to document what the woman says and collect forensic evidence if needed | 16 (94) | + | + | + | + | + | + | + | + | + | + | - | + | + | + | + | + | + |
The need to give information about crisis services and long-term services | 16 (94) | + | + | + | + | + | + | + | + | + | + | - | + | + | + | + | + | + | |
The need for safety planning | 15 (88) | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | - | - | |
The need for organize referrals (within the health care facility or external) | 17 (100) | + | + | + | + | + | + | + | + | + | + | - | + | + | + | + | + | + | |
Emotional and psychosocial support. Protocol includes regarding Primary health care: | The need to validate women’s experiences | 15 (88) | + | + | + | + | + | + | + | + | + | + | - | + | + | + | + | + | - |
The need to have non-judgmental attitudes | 15 (88) | + | + | + | + | + | + | + | + | + | + | - | + | + | + | + | + | - | |
The need to listen, assess the risk, evaluate the woman’s expectations and provide options | 14 (82) | + | + | + | + | + | + | - | + | + | + | - | + | + | + | + | + | - | |
The need to believe what the woman is saying, empathize and not belittle her experiences | 15 (88) | + | + | + | + | + | + | + | + | + | + | - | + | + | + | + | + | - | |
Non-negotiable issues. Protocol includes regarding Primary health care that the health providers should: | Avoid contacting the woman’s partner2 | 8 (47) | - | - | - | - | + | + | - | - | + | + | - | - | - | + | + | + | + |
Avoid referring to traditional couple counselling2 | 9 (53) | + | + | - | - | + | - | - | + | - | - | - | + | + | + | + | + | - | |
Ensure absolute confidentiality2 | 15 (88) | + | + | + | + | + | + | + | + | + | + | + | + | + | + | + | - | - | |
Keep medical records somewhere confidential | 4 (24) | - | - | - | - | - | - | - | + | - | + | - | - | - | + | + | - | - | |
Ensure that woman’s decision prevail and she should be allowed to take action when she wants | 13 (76) | + | - | + | + | + | + | - | + | + | + | - | + | + | + | + | + | - | |
Screening and clinical inquiry. Protocol includes regarding Primary health care: | Routine inquiry in antenatal care | 3 (18) | - | - | - | - | + | + | - | + | - | - | - | - | - | - | - | - | - |
How to do appropriate clinical inquiry if signs | 15 (88) | + | + | + | + | + | + | + | + | + | + | - | + | + | + | + | + | - | |
Link IPV with child protection | The protocol states the need to explore with women how their children are treated | 10 (59) | + | + | - | + | + | + | - | + | + | - | - | + | + | + | - | - | - |
Focus on women in situation of vulnerability | Protocol mentions the need to consider women in situations of vulnerability | 7 (41) | + | - | + | + | + | - | - | + | - | - | - | - | + | + | - | - | - |