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Table 2 Indicators related to protocols and guidelines (based on the latest published)

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) + - + + + - - + - - - - + + - - -
  1. 1In some regions, like Castilla León there are more than one protocol, each addressing different aspects.
  2. 2In Aragón, even if the protocol does not explicitly include these aspects, they are addressed in the training. In La Rioja, even if it is not explicitly written to avoid contacting the partner, issues regarding difficulties when women came accompanied are addressed.
  3. 3Total refers to the number of RHSs in which the indicator was present, against the total number of RHSs. The raw number and the percentage (in brackets) are provided.