Help-Seeking Pathways and Barriers for ... - EngenderHealth
Help-Seeking Pathways and Barriers for ... - EngenderHealth
Help-Seeking Pathways and Barriers for ... - EngenderHealth
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Introduction (10 minutes)<br />
1. Introduce facilitators<br />
2. Introduce community members<br />
3. Explain why we are here: “We want help in underst<strong>and</strong>ing some health <strong>and</strong> security<br />
problems in your community. We will be doing similar activities with [other groups] both<br />
here <strong>and</strong> in [other districts].”<br />
4. Explain ground rules: All in<strong>for</strong>mation shared during the discussion should be treated<br />
confidentially; only one person should speak at a time; respect opinions that differ from<br />
your own; etc. Ask participants to suggest other ground rules that will help them feel<br />
com<strong>for</strong>table sharing their ideas during the group discussion.<br />
Activity Guide<br />
1. Community definitions of sexual <strong>and</strong> gender-based violence (30 minutes)<br />
Activity: Free listing, ranking, <strong>and</strong> discussion<br />
“We know that women experience many types of violence at home <strong>and</strong> in the community.<br />
Let’s start by talking about the fact that every married or dating couple will have<br />
disagreements from time to time. We are curious to discuss what kinds of actions might<br />
happen in these situations <strong>and</strong> how you feel about them. Let us build a list of all the kinds of<br />
actions that can happen in these situations.”<br />
Steps:<br />
<br />
<br />
Free listing: Facilitator seeks a list of types of violence from group members <strong>and</strong><br />
compiles in a location visible to all<br />
When responses slow, facilitator probes about any of the types of violence from the<br />
prepared list (see box below) that were not previously mentioned:<br />
Prepared list of actions:<br />
Yelling at or humiliating in public;<br />
Throwing things;<br />
Having affairs outside of marriage;<br />
Dem<strong>and</strong>ing sex from your partner when she doesn’t want it;<br />
Threatening to hit;<br />
Threatening to withdraw financial support;<br />
Destroying objects that belong to the partner (such as clothes, dishes, radio);<br />
Not paying <strong>for</strong> household expenses;<br />
Pushing or shoving;<br />
Slapping;<br />
Blows with the fist, on any part of the body except the head, that don’t<br />
leave a scar;<br />
Beating up with bruises or swelling;<br />
Saying constantly that your partner is stupid or worthless;<br />
Controlling your partner’s activities (work, visits, friends);<br />
Beating up with wounds or fractures;<br />
Blows with a fist to the head;<br />
Blows during pregnancy;<br />
Threats with a gun or knife<br />
( from WHO/PATH Guidebook on Researching Violence Against Women)<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 />
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