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

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Discussion/Ranking: Which actions are common in this community, in terms of<br />

frequency<br />

Discussion/Ranking: Which actions does the community consider normal in<br />

relationships Which go “too far”<br />

Discussion/Ranking: We have been talking about actions within married or dating<br />

couples. Let’s now discuss these items imagining if they were done by a stranger or<br />

mere acquaintance. Which are common Which are normal <strong>and</strong> “too far”<br />

Discussion/Ranking: For which actions on this list would a survivor likely seek help<br />

afterward Would a survivor seek help from family members From professionals From<br />

someone else<br />

Output of activity 1: Free list of types of violence, categorized by all of the above topics of<br />

discussion: which are common, which are normal, which are “violent,” how this changes<br />

outside intimate partnerships, <strong>and</strong> which prompt help-seeking (plus transcripts).<br />

2. <strong>Help</strong>-seeking options <strong>and</strong> behaviors (30 minutes)<br />

Activity: Open-ended story <strong>and</strong> mapping<br />

“Thank you very much <strong>for</strong> all the in<strong>for</strong>mation you’ve already shared with us. Your input is<br />

already very helpful. You have said that after experiencing certain actions, a survivor would<br />

be likely to seek help. We’re now going to discuss how the survivor seeks help <strong>and</strong> where<br />

she can go in your community.”<br />

Steps:<br />

<br />

<br />

<br />

<br />

Divide PFG participants into two groups.<br />

Each group receives an open-ended story prompt about “Martha.” For one group, Martha<br />

is a survivor of repeated physical violence by her husb<strong>and</strong>. For the other group, Martha<br />

is a survivor of rape by a non-intimate male acquaintance. (Story prompts have been<br />

adapted from WHO/PATH guidebook on Researching Violence Against Women, page 145,<br />

“Rosita’s story”)<br />

Groups receive question prompts that establish how <strong>and</strong> where Martha will seek help.<br />

Facilitators guide participants in making a physical map of available services <strong>and</strong><br />

Martha’s path through them. Prompts include:<br />

o<br />

o<br />

Where does Martha go to ask <strong>for</strong> help What do they say to her What will she<br />

decide to do next (repeat through whole path)<br />

If Martha feels very sad, depressed, or scared about the experience, what will<br />

she do Where can she go <strong>for</strong> help<br />

o If Martha fears that she has serious health consequences, what will she do<br />

Where can she go <strong>for</strong> help<br />

o What would be different if Martha were age 17 60<br />

Each group presents its map in plenary <strong>and</strong> the facilitators guide a brief comparative<br />

discussion to elicit the differences in help-seeking between the two types of violence<br />

experienced.<br />

Outputs of activity 2: H<strong>and</strong>-drawn maps of the participant’s community including<br />

available services <strong>and</strong> Martha’s path through them (plus transcripts).<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 72

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