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Help-Seeking Pathways and Barriers for ... - EngenderHealth

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B. Existing Services <strong>and</strong> Sources of Support<br />

This section describes the profile of GBV services <strong>and</strong> types of support that emerged from<br />

the key in<strong>for</strong>mant interviews in Dar es Salaam, Iringa, <strong>and</strong> Mbeya. As described in the<br />

methodology, the research team interviewed service providers from civil society, health,<br />

legal <strong>and</strong> justice, <strong>and</strong> government sectors, as well as “in<strong>for</strong>mal” resource persons such as<br />

respected community elders <strong>and</strong> local leaders. 16 While there is considerable variation in the<br />

services available across locations, the analysis below outlines the package of expected<br />

support <strong>for</strong> each provider type. Subsequently, in Sections C <strong>and</strong> D, the paper will discuss<br />

the socio-cultural <strong>and</strong> structural barriers to help-seeking as well as adequate service<br />

provision.<br />

1. Family <strong>and</strong> Social Networks<br />

Key in<strong>for</strong>mants consistently described the family as the first source of help-seeking <strong>for</strong><br />

survivors of GBV. The family’s role is to offer advice, emotional support, <strong>and</strong>, in the case of<br />

domestic violence, help mediate between the woman <strong>and</strong> her husb<strong>and</strong>. In general, married<br />

women are expected to first speak with their husb<strong>and</strong>’s family members be<strong>for</strong>e reporting<br />

violence to the police. A frequent pathway reported by both service providers <strong>and</strong><br />

community members begins with the marital family (often fathers, mothers, <strong>and</strong> brothersin-law).<br />

If the issue remains unresolved, a survivor may then consult members of her natal<br />

family, <strong>and</strong>, subsequently, a family meeting can be arranged between both families. Other<br />

members of one’s social network—<strong>for</strong> example friends, neighbors, <strong>and</strong> respected elders—<br />

can participate in these meetings, acting as mediators <strong>and</strong> providing advice. While the<br />

structure <strong>and</strong> mechanisms of a family meeting differ by community, ultimately the goal is to<br />

find a solution <strong>and</strong> reconcile the marriage. Only when a problem cannot be solved within the<br />

family or immediate social network is it socially acceptable to approach external sources of<br />

support. For example, the following quotation illustrates the centrality of the family in<br />

addressing GBV.<br />

She [a GBV survivor] was told to keep quiet because it will bring shame, <strong>and</strong> going to<br />

the police will humiliate their son. I intervened as a social worker but they [her in-laws]<br />

wanted to deal with it within the family, then I had to let go.<br />

Duty Bearer, Mbeya<br />

For unmarried women who experience intimate partner violence their source of help was not<br />

so much the family but rather, friends since their relationship was considered “not <strong>for</strong>mal.”<br />

In cases of stranger violence the role of the family is primarily concerned with emotional<br />

support (rather than reconciliation) <strong>and</strong> linking the survivor to <strong>for</strong>mal help-seeking<br />

channels.<br />

16 While precise definitions of “<strong>for</strong>mal” versus “in<strong>for</strong>mal” providers varied across in<strong>for</strong>mants, overall unpaid<br />

individuals or volunteers who do not work out of an office were most often described as in<strong>for</strong>mal, <strong>for</strong><br />

example elderly members of the community considered to be “wise” <strong>and</strong> “respected.”<br />

<strong>Help</strong>-<strong>Seeking</strong> <strong>Pathways</strong> <strong>and</strong> <strong>Barriers</strong> <strong>for</strong> Survivors of GBV in Tanzania March 2013<br />

Page 25

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