Project Report â Fiji 2010 - Pacific Health Voices
Project Report â Fiji 2010 - Pacific Health Voices
Project Report â Fiji 2010 - Pacific Health Voices
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although the pattern of such violence may be different to that experienced in the context of<br />
long-term partnerships, and studies often examine the two issues separately.<br />
Sexual violence occurs both within intimate partnerships and outside them. It has a significant<br />
impact on both girls and boys, although among adults women are at substantially greater risk of<br />
victimization than men. Sexually violent acts can be perpetrated by intimate partners, family<br />
members, friends, acquaintances, authority figures such as teachers or clergy, or strangers. In<br />
most communities however intimate partners and people known to the victim are by far the<br />
most common category of perpetrator. Sexual violence takes different forms over the life<br />
course, from child sexual abuse to forced sexual initiation to sexual coercion within and outside<br />
intimate.<br />
In the Western <strong>Pacific</strong> Region, about 57 000 deaths occur annually because of violence (Global<br />
Burden of Disease, WHO, 2004). Many more are injured and suffer a range of physical, sexual,<br />
reproductive and mental health problems. Moreover, violence places a massive burden on<br />
national economies because of expenditure on health care and law enforcement, and lost<br />
productivity.<br />
2. BACKGROUND AND RATIONALE<br />
The gender sensitization and creating awareness activities with prevention strategies in<br />
violence against women (VAW) have been remarkably covered and championed by the NGO<br />
support groups in <strong>Fiji</strong> over the years – in particular the <strong>Fiji</strong> Women’s crisis centre, the Council<br />
of women and its affiliates, the church and religious groups, Department of Women, <strong>Fiji</strong> Police<br />
Force, Ministry of health and other stakeholders. For the past decades, these activities in<br />
Violence against women have been strengthened taking a new turn in advocacy and policy<br />
interventions, commenced the annual 16 days of awareness program including the reclaiming<br />
the night march in Suva and around the main cities in <strong>Fiji</strong>. The reconciliation stand and no drop<br />
policy adopted and implemented by the <strong>Fiji</strong> Police Force in all VAW reported cases since 2005<br />
has also made positive impact and strengthened this program.<br />
Most of the data now available on VAW in <strong>Fiji</strong> are from those that report it to the <strong>Fiji</strong> Women’s<br />
crisis centre from the records of the <strong>Fiji</strong> Police Force – voluntarily done so by victims of VAW.<br />
However, one of the gaps identified is the number of cases of Injuries and other sustained<br />
impacts on VAW seen in the health facilities in <strong>Fiji</strong>. There is no data available from <strong>Fiji</strong> MOH in<br />
health services and on service providers on VAW patients that are managed and treated in the<br />
government health facilities. What is also not known are:<br />
whether injuries sustained through VAW come to the hospitals or health facilities,<br />
are these data easily captured in the PATIS, or hospital records or CMR or nurses reports<br />
what types of injuries are sustained – which ones are commonly seen,<br />
what type of treatment was given – whether they were treated as outpatients, admitted<br />
or referred to a higher health facility<br />
What are the outcomes of these injuries<br />
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