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

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Part V: Conclusion The results from this study illuminate an array of socio-cultural and structural barriers to help-seeking for Tanzanian women who experience gender-based violence. As a result of these barriers, few women seek or receive appropriate support services. In response, the current research has developed a set of recommendations based on participants’ input and data analysis to improve the response to GBV across all sectors and all levels of government. It is hoped that the findings will inform the efforts of the CHAMPION Project, other PEPFAR implementing partners, and the Government of Tanzania as they work together to design an effective, empirically-based strategy for increasing the availability, quality, and utilization of GBV services in Dar es Salaam, Iringa, and Mbeya. Help-Seeking Pathways and Barriers for Survivors of GBV in Tanzania March 2013 Page 61
Annexes Annex 1: Key Research Questions Building on the key questions listed in the scope of work provided by CHAMPION, ICRW proposes that the following research questions be explored in the field work: How do communities define GBV, and what distinctions are made between different forms of violence (e.g., rape versus forced sex) How do these perceptions differ among various groups How do communities respond to violence What kinds of violence are most likely to be reported What are typical help-seeking behaviors, and are there any discernible patterns of help-seeking How do communities perceive existing GBV services and what needs do they express What barriers to accessing services exist in the communities, including: social/attitudinal (e.g., stigma, acceptance of violence, restrictions to women’s mobility, etc.); logistical (e.g., distance, cost, hours of operation, etc.); and informational (e.g., lack of awareness of services, lack of knowledge regarding the importance of services, etc.) The research questions focused on assessing the availability and quality of services for survivors of violence, as well as geographic coverage, coordination among providers, and monitoring efforts. The assessment also addressed existing gaps, promising practices, and lessons learned. Specific questions included the following: What medical, legal, and psychosocial services (both formal and informal) are available in the area What organizations offer services and what is provided How do users – especially women and girls – perceive the quality of these services Is any other type of services provided within the community for survivors (e.g. gender empowerment, economic support, etc.) Are they effective How do survivors access these services For example, what kind of advertising is in place Where are services located Are fees required Are there any referral systems and, if so, how are they structured How do organizations monitor their activities, including referrals (if applicable) Are there any innovative or promising practices in the implementation of GBV services What are the key challenges and lessons learned Help-Seeking Pathways and Barriers for Survivors of GBV in Tanzania March 2013 Page 62
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Help-Seeking Pathways and Barriers
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Acknowledgments The authors would l
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List of Abbreviations AIDS Acquired
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included rape by a stranger, the th
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Address structural barriers to help
Page 12 and 13: The Channeling Men’s Positive Inv
Page 14 and 15: have received $21 million, with the
Page 16 and 17: directory of service providers comp
Page 18 and 19: Part III: Results A. Community Perc
Page 20 and 21: In our area I have seen problems an
Page 22 and 23: Being humiliated in public Insults,
Page 24 and 25: 4. Differences in Participants’ P
Page 26 and 27: B. Existing Services and Sources of
Page 28 and 29: Table 2: LGA Service Providers Leve
Page 30 and 31: the police department piloted Gende
Page 32 and 33: C. Pathways of Help-Seeking Given t
Page 34 and 35: Figure 2: Map Drawn by Participants
Page 36 and 37: Local leaders serve as gatekeepers
Page 38 and 39: It is not very often [to seek legal
Page 40 and 41: D. Barriers to Help-Seeking The cir
Page 42 and 43: 1. Common Socio-Cultural Barriers P
Page 44 and 45: Fear of being blamed for reported r
Page 46 and 47: 2. Common Structural Barriers Gende
Page 48 and 49: When I took my form [PF3] to the ho
Page 50 and 51: 3. Barriers to Specific Types of Su
Page 52 and 53: Corruption was once again cited as
Page 54 and 55: Civil society organizations The key
Page 56 and 57: at large, and (potential) perpetrat
Page 58 and 59: efforts might be grounded in struct
Page 60 and 61: E. Increase Access to Justice for S
Page 64 and 65: Annex 2: Key Informant Interview Gu
Page 66 and 67: 1. How do these requests differ by
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Page 70 and 71: 4. Multi-sectoral coordination a. H
Page 72 and 73: Introduction (10 minutes) 1. Introd
Page 74 and 75: 3. Perceived barriers to accessing
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