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

3. Perceived barriers to accessing services (15 minutes)
Activity: Discussion
“In the stories of Martha, you discussed various sources of support, information, and health
care that Martha could seek in the case of having this experience. Let’s talk some more
about these services.”
Discussion questions:
How common is it in this community that a person like Martha would actually seek out
all of those sources of support How common is it that a woman like Martha wouldn’t
seek any services or help Why Would it make any difference if Martha were age 17 or
age 60 How common is it that a woman like Martha would seek all the services and
sources of help we discussed Why
How easy or difficult is it for a person like Martha to find out where she can go for help
Does everyone in your community know about (name of
service/resource/clinic/NGO/auntie) and how (same) can help them How do people find
out that (same) exists
Outputs of activity 3: Additional sticky notes on map representing barriers to seeking
particular services (plus transcripts).
4. How to improve service delivery (10 minutes)
Activity: Discussion/Ranking
“You are the experts on this topic. You’ve just told us all about some problems that exist in
your community and also how people can receive support if they experience these
problems. Now let’s close our conversation by thinking of how this situation could be
improved.”
Steps:
Free listing: Tell us now, what could be done to improve the services available for
survivors of violence What could be done to help survivors access these services
Ranking: This is a great list of options for improving services. Which do you think is the
most important of these options Can we identify the top two or three priorities for your
community in this regard
Output of activity 4: Ranked list of top options for improving services (plus transcript).
Closing (10 minutes)
1. Thank participants for their time and ideas, and express how helpful it has been for the
facilitators.
2. Explain the next steps: “We will look at all the information and will make a presentation
to representatives of the CHAMPION project and other groups working in your district.
They will use this information in making their plans for the next few years of work in this
area.”
3. Make referral sheets available. “This is a sheet of additional information for you in case
today’s conversation has made you want to talk more about these issues with someone
individually, for any reason.”
4. Re-emphasize need for confidentiality.
Help-Seeking Pathways and Barriers for Survivors of GBV in Tanzania March 2013
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