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Pages 187-204

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From page 187... ... 6 Sustaining Intimate Partner Violence Services During Public Health Emergencies ESSENTIAL HEALTH CARE SERVICES DURING PUBLIC HEALTH EMERGENCIES The World Health Organization (WHO) has described the process of prioritizing essential services during a public health emergency (PHE) Read the entire page →
From page 188... ... 188 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV health services built off WHO's guidance and defined essential services in this way: "Essential health services -- including services for human immunodeficiency virus (HIV) infection and/or acquired immunodeficiency syndrome (AIDS) Read the entire page →
From page 189... ... IPV SERVICES DURING PUBLIC HEALTH EMERGENCIES 189 PREVENTION MITIGATION PREPAREDNESS RESPONSE RECOVERY Initial/ Response Stabilization immediate operations FIGURE 6-1 Five phases of emergency planning, with three phases of disaster response needs of the community and enable all other aspects of society to function" (FEMA, 2023) Read the entire page →
From page 190... ... 190 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV or through the employment of a contingency response solution. At this point all essential health care services related to IPV are available for all individuals. Read the entire page →
From page 191... ... IPV SERVICES DURING PUBLIC HEALTH EMERGENCIES 191 Recommendation: 5 Essential health care services related to intimate partner violence during steady state conditions remain essential during public health emergen cies (PHEs) , but health care systems should restore them in phases that consider the obstacles to delivering this care during different phases of the PHE response (see Table 6-1) Read the entire page →
From page 192... ... 192 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV The committee integrated the Community Lifelines approach in the development of a phased approach to sustaining and restoring essential health care services related to IPV. It prioritized delivery of essential health care services related to IPV that are most integral to protecting life safety during the initial phase of PHE response. Read the entire page →
From page 193... ... IPV SERVICES DURING PUBLIC HEALTH EMERGENCIES 193 implants, require an office procedure and a specially trained clinician (Teal and Edelman, 2021) Read the entire page →
From page 194... ... 194 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV were evident during the COVID-19 pandemic, when clinicians had to make difficult choices about resource allocation, such as reuse of PPE, identifying what surgeries must be performed and which should be delayed or canceled, and deciding who on the health care team was deemed essential. A lack of planning for women's health needs during PHEs potentially increases risks for those who have been experiencing IPV. Read the entire page →
From page 195... ... IPV SERVICES DURING PUBLIC HEALTH EMERGENCIES 195 in global humanitarian crisis settings, which can inform federal plans. GBV is a broader term used to refer to acts of violence that disproportionately affect a group of people based on their gender. Read the entire page →
From page 196... ... 196 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Individuals who experience IPV may be reluctant to disclose or ask for help if they do not encounter survivor-centered attitudes or if clinicians are not equipped to discuss or knowledgeable about IPV. Therefore, the GBVIMS guidance for survivor-centered care emphasizes the following actions for health care facilities: • Having female staff present; • Asking appropriate questions in a nonjudgmental manner; • Having private spaces for consultation; • Having protocols for provision of health care, essential medicines, and supplies to survivors; BOX 6-1 Essential Actions to Support IPV Survivors During PHEs • Pre-position supplies to ensure receipt of post-exposure prophylaxis for HIV and emergency contraception within 72 hours of potential exposure. Read the entire page →
From page 197... ... IPV SERVICES DURING PUBLIC HEALTH EMERGENCIES 197 • Offering confidential mechanisms for documentation; • Communicating clearly about the types of services that are avail able; and • Communicating that any disclosure made will be approached with respect, sympathy, and confidentiality (UNFPA, 2019, p. Read the entire page →
From page 198... ... 198 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Minimum Initial Services Package for Sexual and Reproductive Health The Minimum Initial Services Package (MISP) 3 for Sexual and Reproductive Health is UNFPA's set of priority life-saving sexual and reproductive health services and activities designed to be implemented at the onset of all humanitarian emergencies (UNFPA, 2020) Read the entire page →
From page 199... ... IPV SERVICES DURING PUBLIC HEALTH EMERGENCIES 199 that allow for health care provider access, referral networks, procedures for just-in-time training, management of chronic and ongoing health conditions without causing further trauma) can be adapted from these international resources. Read the entire page →
From page 200... ... 200 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV who have expertise on women's experiences, risks, and perspectives, can help guide decisions about resource allocation (UNFPA, 2020) Read the entire page →
From page 201... ... IPV SERVICES DURING PUBLIC HEALTH EMERGENCIES 201 Protecting Confidentiality Protecting the confidentiality of individuals experiencing IPV is essential to health and personal safety. During the immediate response period, when usual health care operations are disrupted or care is being provided in austere settings, such as a field hospital, the standard means of communicating and reporting protected health information may be altered. Read the entire page →
From page 202... ... 202 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV and contacts for mandatory reporting and safeguarding protected health information when electronic health record systems are not functional. CHAPTER SUMMARY Essential health care services are defined in terms of their impact on human health. Read the entire page →
From page 203... ... IPV SERVICES DURING PUBLIC HEALTH EMERGENCIES 203 Gurley, N., E Ebeling, A Read the entire page →
From page 204... ... 204 ESSENTIAL HEALTH CARE SERVICES ADDRESSING IPV Toccalino, D., H Read the entire page →

From page 187...

... 6 Sustaining Intimate Partner Violence Services During Public Health Emergencies ESSENTIAL HEALTH CARE SERVICES DURING PUBLIC HEALTH EMERGENCIES The World Health Organization (WHO) has described the process of prioritizing essential services during a public health emergency (PHE)