IMPROVING ACCESS. to MEDICAL SERVICES. through PARTNERSHIP. in PAPUA NEW GUINEA. M. Verputten Medecins Sans Frontieres

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1 IMPROVING ACCESS to MEDICAL SERVICES through PARTNERSHIP in PAPUA NEW GUINEA M. Verputten Medecins Sans Frontieres

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3 PAPUA NEW GUINEA 3

4 BACKGROUND PAPUA NEW GUINEA SEXUAL AND GENDER-BASED VIOLENCE 58% lifetime prevalence of intimate partner violence¹ 28% report sexual abuse below the age of 16 years², ³ Highest rates of family and sexual violence occurred in PNG in one location - 1 in 5 women s 1 st sexual experience rape - one-third of men experienced sexual abuse as children Improving access to medical care through partnership in PNG 1 Lewis I, Maruia B, Walker S. Violence against women in PNG. 2 Lewis IR. At Risk: The Relationship between Experiences of Child Sexual Abuse and Women's HIV Status in PNG. 3 Fox T. Domestic violence as a major cause of trauma in Western Province, PNG 4. Jewkes, R. and partners, (2013) Family, Health and Safety Study, Bougainville, Papua New Guinea, Medical Research Council. South Africa: Cape Town

5 OBJECTIVE To describe how partnership and being a catalyst for change enables access to free and comprehensive care for survivors of sexual violence MSF AND KEY PARTNERS NDOH: NATIONAL DEPARTMENT OF HEALTH FSAC: FAMILY AND SEXUAL VIOLENCE COMMITTEE MSF: MEDECINS SANS FRONTIERES

6 MSF would be one of the few, to look after the victims of today MSF Explo, Papua New Guinea, 2006 I am one of those women-all the time being scared and beaten up in my own house. Woman from PNG

7 METHOD Routine patient and program data Program and policy development Improving access to medical care through partnership in PNG

8 MSF IN PNG Quality medical care and counseling Community and sector awareness Catalyst for change Family and Sexual Violence Centre (FSC) 27,993 survivors received care 68,840 surgeries Improving access to medical care through partnership in PNG

9 COMPREHENSIVE MEDICAL CARE Counseling Prophylaxis STI & HIV PEP Emergency Contraception Hep B & Tetanus vaccination Termination of Pregnancy on request Medical certificate

10 Community and Sector engagement Awareness raising COMMUNITY & SECTOR Variety of methods and visuals Pathway to FSC Traditional Village Courts Police Health Centers

11 RESULTS ROUTINE DATA 94 % Female - 6 % Male Time of Presentation Urgent Medical needs IPV 20 % with major injuries 69 % use of weapons 26 % death treats

12 RESULTS ROUTINE DATA CHILDREN 50 % SV survivors < 15 years 1 out of 6 children < 5 years of age HOME IS WHERE THE HURT IS

13 OCA, Health services for sexual and gender-based violence in PNG Jodi Bieber A mother holds her 6 year old son after he received medical treatment

14 MEDICAL CARE ALONE = NOT ENOUGH Ongoing violence 1 in 10 women 2 in 5 children Lack services Legal Social Protection

15 CATALYST FOR CHANGE Advocacy reports Partner Conference: Medical Legal Protection Training of staff Training curriculum

16 CATALYST FOR CHANGE Free care FSV Units FSC Guidelines Family Protection Act Freephone Hotline Referral Pathways Clinical Guidelines for Medical and Psychosocial Care Police Lukautim Pikinini (Child Welfare) Act

17 TAKE HOME Survivors will come for care when free, accessible, quality and confidential health services are known and available

18 CONCLUSION Engagement with Community and Sector Availability services Medical - Legal - Social - Protection Long lasting change

19 ACKNOWLEDGEMENTS Improving access to medical care through partnership in PNG The people of PNG PNG national and international teams Key partners in PNG FSVC & NDoH Photos: Kate Geraghty and Jodie Bieber