IMPROVING ACCESS to MEDICAL SERVICES through PARTNERSHIP in PAPUA NEW GUINEA M. Verputten Medecins Sans Frontieres
PAPUA NEW GUINEA 3
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
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
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
METHOD Routine patient and program data Program and policy development Improving access to medical care through partnership in PNG
MSF IN PNG 2007-2016 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
COMPREHENSIVE MEDICAL CARE Counseling Prophylaxis STI & HIV PEP Emergency Contraception Hep B & Tetanus vaccination Termination of Pregnancy on request Medical certificate
Community and Sector engagement Awareness raising COMMUNITY & SECTOR Variety of methods and visuals Pathway to FSC Traditional Village Courts Police Health Centers
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
RESULTS ROUTINE DATA CHILDREN 50 % SV survivors < 15 years 1 out of 6 children < 5 years of age HOME IS WHERE THE HURT IS
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
MEDICAL CARE ALONE = NOT ENOUGH Ongoing violence 1 in 10 women 2 in 5 children Lack services Legal Social Protection
CATALYST FOR CHANGE -1-2011 2013 2016 Advocacy reports Partner Conference: Medical Legal Protection Training of staff Training curriculum
CATALYST FOR CHANGE - 2-2009 2013 2015 2016 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
TAKE HOME Survivors will come for care when free, accessible, quality and confidential health services are known and available
CONCLUSION Engagement with Community and Sector Availability services Medical - Legal - Social - Protection Long lasting change
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