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Women Integrated SRH services and Rights - UNFPA

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Mauricio Vazquez

on 13 July 2016

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Transcript of Women Integrated SRH services and Rights - UNFPA

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What is integration?
The basic principle of integration of SRH and GBV services is to make as many services as possible conveniently available to women, without undue waiting times, delays or multiple visits.
The basics!
Basic elements in addressing GBV in SRH services
Provided that the minimum conditions mentioned before and a do not harm strategy are met:

1) Prevention of GBV through educating clients.

2) Screening, most SRH services offer the opportunity to note signs.

3) Provision of the appropriate SRH and other medical services.

4) Referral to social or legal services.
A systemic approach
What we need to add!

Women Integrated SRH services and Rights - UNFPA
What we have in place from a SRH perspective?
Prevention and demand creation
Three models of integration:

Selective provider and/or facility-level integration: a few selected services are integrated into existing services by the same provider and/or on one site.

Comprenhensive provider and/or facility-level integration (same site); a wide range of services are integrated into existing services by the same provider or at same site.

Systems-level integration (multi-site linkages) in addition to the facility-level integration. Coordination with other sectors with a solid referral system.
Basic precautions when programming SGBV integration:

1) Ensuring the woman's safety as the primary concern of all interventions.
2) Protecting women's privacy and confidentiality.
3) Ensuring that health care providers have adequate knowledge, attitudes and skills to offer the following:
A compasionate, non-judgemental response that clearly conveys the message that violent is never deserved and women have the right to live free of violence.


Appropriate medical care for injuries and health consequences, including STI and HIV prophylaxis and emergency contraception post-rape, with referral systems for medical conditions that the facility cannot address.


Information about legal rights and any legal or social service resources in the community.
Changes in norms, policies and protocols
Infrastructure upgrades to ensure private consultations
Training of all staff (including managers) on screening for GBV, safety planning for victims and provision of emotional support.
Increased availability of emergency voluntary testing and counselling services (HIV, STI, pregnancy) as well as HIV PEP, treatment of STIs, emergency contraception and treatment of other common health consequences of GBV.
Strengthening of referral networks with other GBV providers such as legal services, psycosocial support and shelter.
Minimum Prerequisites for the integration of services addressing gender-based violence in resource-poor settings where most of the recommended components of a GBV service may not exist:

Basic reference materials on health and legal aspects of GBV available for providers.


Educational materials on GBV available for those in waiting rooms, including audio-visual materials in local language.


Providers trained to treat the health consequences of GBV, to be compassionate and non-judgemental, and to conduct danger assessment and safety planning.


Privacy and confidentiality systems in place.


Contact information for any social or legal support services in the community posted and/or available.


For post-sexual violence services, availability of HIV PEP and emergency contracepton.
Basic components of GBV to be integrated into SRH services:

1)Assessments to understand the profile of GBV and SRH in the service/programme setting.

2) Infrastructure or strategies to guarantee privacy.

3) Systems and protocols to guarantee confidentiality.

4) Training of staff to provide gender-sensitive and rights based care and basic counselling for all forms of GBV.

5) Components related to integration of services within a health facility.

6) Screening policies and protocols, including tools to identify women and girls at high risk.

7) Protocols for each type of provider when a women or girl who has been abused is identified.

8) Referral networks for services not available on-site, including counselling and peer support groups.

9) Service components, equipment, and supplies related to post-rape services and medico legal requirements.
In a nutshell
BCC activities
Community based actors
Women groups and associations
Provision of Services
Contraceptives availability
HIV and STI testing and services
Training of BHS
Reproductive Health services
Emergency referrals
What we need to add!
Prevention of VAWG, increase knowledge of SRH rights and demand creation of SRH services
Quality and women sensitive SRH/GBV services
Referral to other service providers and coordination
Basic reference materials on health and legal aspects of GBV available for providers.

Community dialogue and women’s groups methodology with VAWG focus

Educational materials on GBV available for those in waiting rooms, including audio-visual materials in local language.

Assessments to understand the profile of GBV and SRH in the service/programme setting.

For post-sexual violence services, availability of HIV PEP and emergency contraception.

Service components, equipment, and supplies related to post-rape services and medico legal requirements.

Components related to integration of services within a health facility.

Screening protocols, including tools to identify women and girls at high risk.

Protocols for each type of provider when a women or girl who has been abused is identified.

Training of staff to provide gender-sensitive and rights based care and basic counselling for all forms of GBV.

Infrastructure or strategies to guarantee privacy.

Systems and protocols to guarantee confidentiality.

Contact information for any social or legal support services in the community posted and/or available.

Referral networks for services not available on-site, including counseling and peer support groups
Full transcript