BMJ global health · 2026
Hospital-based services for survivors of sexual violence in Ethiopia: who is missing out? A mixed-methods study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Woldie Sintayehu Abebe, Block Karen, Geremew Fikirte, Armstrong Gregory, Diemer Kristin, Kaba Mirgissa, Vaughan Cathy
Аннотация
BACKGROUND: Internationally, investment in hospital-based services for sexual violence is increasing. However, service providers, including in low-income countries such as Ethiopia, report discrepancies between the profile of survivors seeking help and those identified in population-based studies. Research on this remains limited.
METHODS: An explanatory mixed-method study design was employed, analysing 5 years' of retrospective records of 2283 women and girls attending hospital-based violence response services in Ethiopia; alongside interviews with 20 survivors of sexual violence and 17 key informants. Quantitative data were analysed using Stata V.18 to produce descriptive statistics. Interview data were analysed thematically.
RESULTS: Analysis of hospital violence response services' records showed that 43.9% of women and girls seeking services were under 15 years old. Over 93.5% sought services for sexual violence, and 71.0% reported their assailants were strangers. Qualitative interviews revealed that adult women survivors of sexual violence, especially survivors of intimate partner sexual violence, were unlikely to seek help at hospital-based services due to stigma, fear of retaliation, perceptions that services are primarily for gathering criminal evidence rather than providing comprehensive care, and that marital rape is not illegal.
CONCLUSIONS: Analysis of records from hospital-based violence response services revealed a cohort of young clients, largely reporting non-partner sexual violence-in contrast to what might be expected from national prevalence data. Addressing barriers to hospital-based services and ensuring these services provide care for all survivors is essential.
METHODS: An explanatory mixed-method study design was employed, analysing 5 years' of retrospective records of 2283 women and girls attending hospital-based violence response services in Ethiopia; alongside interviews with 20 survivors of sexual violence and 17 key informants. Quantitative data were analysed using Stata V.18 to produce descriptive statistics. Interview data were analysed thematically.
RESULTS: Analysis of hospital violence response services' records showed that 43.9% of women and girls seeking services were under 15 years old. Over 93.5% sought services for sexual violence, and 71.0% reported their assailants were strangers. Qualitative interviews revealed that adult women survivors of sexual violence, especially survivors of intimate partner sexual violence, were unlikely to seek help at hospital-based services due to stigma, fear of retaliation, perceptions that services are primarily for gathering criminal evidence rather than providing comprehensive care, and that marital rape is not illegal.
CONCLUSIONS: Analysis of records from hospital-based violence response services revealed a cohort of young clients, largely reporting non-partner sexual violence-in contrast to what might be expected from national prevalence data. Addressing barriers to hospital-based services and ensuring these services provide care for all survivors is essential.