Project Report â Fiji 2010 - Pacific Health Voices

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Figure 3: VAW Clinical Practice by Health Care Workers in MOH 8.4 Assailants The health professionals stated that 96% of the VAW patients know the assailant under these categories: 45% were their current boyfriend, 43% were close family relative, 32% were their divorced husbands, 29% were VAW patients’ neighbors, 27% were their separated husbands, 26% were ex-boyfriend, 16% were their current female sexual partner, 16% were the VAW patients work mate, 16% were friends who have no intimate relationship with the VAW patients, 15% were children of the VAW patients, and 8% were former female sexual partner. In 4% of the VAW patients, the assailant was a stranger to the VAW patient. The common methods used by the assailant to cause physical or psychological injury to the women in these acts of violence are as follows: 86% from physical abuse as in assault: punching; 74% had verbal abuse – as in swearing; 67% were hit with slapping; 68% were assaulted through kicking; 49% were assaulted through a blunt object –such as wood, rope or belt; 36.7 % were hit or stabbed with sharp objects - e.g. knife, broken bottle; 19.4% were due to burning; 1-3% were due to other injuries such as: forced to sleep outside house, refused to be given food, refusal to breastfeed child by husband and family, psychological trauma - (critics), forceful sex, rape, sexual intercourse, sexually abuse, sexually violence, using embarrassing words to VAW patients in front of people and Verbal threats. With the status of their mind, the assailants or perpetrators at the time in causing the violent injuries: 70% of them were sober; 74% had alcohol intoxication; 30% were intoxicated with drugs; 38% were intoxicated with yaqona; 9% were known mental patient or of unsound mind. 8.5 VAW patients: With the state of mind of the victims in the consultation period at the health facilities: 68% were crying; 50% were blank and in state of shock; 50% were calm and cooperative; 17% were combative, abusive and uncooperative; 14% the woman was a known mental patient of unsound mind. 26 | P a g e
The Commonest way in which the VAW patient arrives at the health facility are: 70% brought by relatives; 61% came by herself; 61% were brought in by the Police; 38% brought in by parents 35% by friends; 22% were brought by the assailant; 15% by fellow workers; 12% not sure how they arrive; 11% by health workers; 9% by social/NGO workers; and 6% by religious workers. In the time of arrival to the health facility for treatment for the first time, the VAW patients came: 61% Less than 6 hours after the violent attack; 48% arrive between 6-12 hours after the attack; 55% arrive after 24 hours; 30% arrive several days after the attack; 18% arrive week after the attack; and 19% arrive more than 1 week after the attack. The main injuries that were seen by the health professionals in these VAW patients were: 85% facial & scalp, 59% Jaw injuries, 51% Upper limb injuries, 50% head injuries, 31% Lower limb injuries, 30% Attempted Rape, 21% Chest injuries, and 13% were Abdominal injuries. The Treatment offered by health professionals in the health facilities from Jan 2005 to Dec 2009 were: 56% only require Minor First Aid (include ice packs and analgesics); 73% had moderate severity injuries requiring frequent return Outpatient Visits (stitching, dressing); 45% had severe injuries, require Inpatient Treatment (Altered Conscious levels, require head injury observation, fractures major bones, bleeding; 17% would be classified as - life threatening injuries require emergency surgery or intensive care treatment. The ordering of further blood and radiological investigations were only done by 47% of the health professionals who will only do it if absolutely necessary. 93% of the health professionals stated there is no Written Policy available on the Management of Women who receives injuries through violent acts within MOH. 8.6 Notification of VAW For the notifications of VAW patients: 39% of the health professionals always report it to the police and 33% does it only at times; 29% do not report it at all. 49% of the VAW patients are referred to counselors for counseling with: 20% to WCC, 7% to religious organization, 5% to St Giles Hosp, 13% to others. Only 6% report it and refer patient to WCC, 20% report it sometimes only and 74% never report it. 34% of health professional has filled a police medical report. 60% keep a Copy of the report in the patients’ folder; 14% in the Police record book, 3% in the A&E Register and others. 5% of the health professionals have been summoned by the Court to give testimony on a VAW case. B. DATA FROM FIJI HEALTH FACILITIES 8.7 Descriptive This research component involved the collection of data on cases of violent incidents which were presented at the A&E, GOPD, PATIS and inpatient registers in selected MOH health facilities in Fiji. The data collected were records written committed on women and girls from the ages of 1 to 90 years, in the last 5 years, i.e. January 2005 to December 2009. Data was collected from sixteen (16) health facilities in the 4 national health divisions of Fiji – the Northern, Western, Central and Eastern divisions; specifically from the divisional and subdivisional hospitals, health centres and nursing stations (Table 4 and refer Figure 1). 27 | P a g e
Page 1 and 2: Qwertyuiopasdfghjklzxcvbnmqwertyu i
Page 3 and 4: CONTENTS Page i. Foreword 4 ii. Acr
Page 5 and 6: ii. ACRONYMS A&E Accidents and Emer
Page 7 and 8: Executive Summary 1. Introduction W
Page 9 and 10: o o o o 5.4 Assailants 96% of the V
Page 11 and 12: VIOLENCE AGAINST WOMEN: A PUBLIC HE
Page 13 and 14: Are these type of injuries given a
Page 15 and 16: in public. Violence against women i
Page 17 and 18: 4. Preliminary data from Kiribati s
Page 19 and 20: Sexual assault and harassment was f
Page 21 and 22: I: COMPONENT 1 - CONDUCT BASELINE P
Page 23 and 24: 6. METHODOLOGY This is a selective
Page 25: Figure 2: Self Assessment of Health
Page 29 and 30: As this was a pilot project and sit
Page 31 and 32: Table 7: VAW Record by Month 2005 -
Page 33 and 34: 8.10 Girl Children There were 175 g
Page 35 and 36: Table 9: Health Facility by Abuse T
Page 37 and 38: 8.19 Final Diagnosis There were 717
Page 39 and 40: All forms of abuse have lasting eff
Page 41 and 42: 4. Maintain timely and accurate rec
Page 43 and 44: Key health Indicators A comprehensi
Page 45 and 46: Figure 1 : Distribution of deaths i
Page 47 and 48: Pamphlets and Brochures 47 | P a g
Page 49 and 50: Annex 4 - Summary of the VAW stakeh
Page 51: 13. REFERENCES AusAID, (2008), Viol

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Project Report â Fiji 2010 - Pacific Health Voices