Abstract
Post-sexual violence service utilization is often poor in humanitarian settings. Little is known about the service uptake barriers facing male survivors specifically. To gain insights into this knowledge gap, we undertook a qualitative exploratory study to better understand the barriers to service utilization among male survivors in three refugee-hosting countries. The study sites and populations included refugees who had travelled the central Mediterranean migration route through Libya living in Rome and Sicily, Italy; Rohingya refugees in Cox's Bazar, Bangladesh; and refugees from eastern Democratic Republic of the Congo, Somalia, and South Sudan residing in urban areas of Kenya. Methods included document review, 55 semi-structured focus group discussions with 310 refugees, semi-structured key informant interviews with 148 aid workers and human rights experts, and observation of service delivery points. Data were thematically analyzed using NVivo 12. We identified eleven key barriers and situated them within a social ecological framework to describe impediments at the policy, community (inter-organizational), organizational, interpersonal, and individual levels. Barriers entailed: 1) restrictions to accessing legal protection...Continue Reading
References
Jan 16, 2008·The American Journal of Orthopsychiatry·Irit HershkowitzDvora Horowitz
Sep 22, 2009·Archives of Psychiatric Nursing·Claire Burke DrauckerCandice Poole
Dec 24, 2009·Transcultural Psychiatry·Helena de AnstissPeter Baghurst
May 10, 2011·Journal of Health Care for the Poor and Underserved·Ramin Asgary, Nora Segar
Jan 24, 2012·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Shelley D Golden, Jo Anne L Earp
Jun 14, 2013·Conflict and Health·Andrea L WirtzAlexander Vu
Feb 12, 2014·Lancet·Fiona Clark
Mar 4, 2015·Violence Against Women·Mandi F DeitzPeggy Cantrell
Mar 24, 2015·Conflict and Health·Sara E CaseyErin E Wheeler
Jul 15, 2015·Psychiatry·Doyanne DarnellDouglas Zatzick
Mar 11, 2016·Conflict and Health·Jennifer WhitmillBarbara Tomczyk
Sep 9, 2016·Conflict and Health·Alex AdakuWietse A Tol
Oct 8, 2016·Frontiers in Psychology·Valeria Markova, Gro M Sandal
Apr 5, 2017·PloS One·Lindsay StarkKathryn Falb
Nov 23, 2017·American Journal of Men's Health·Martina Delle DonneVictoria Frye
Jul 28, 2019·International Journal of Environmental Research and Public Health·Yulisha ByrowAngela Nickerson
Feb 23, 2020·Conflict and Health·Maureen MurphyManuel Contreras-Urbina
Mar 5, 2020·Conflict and Health·Ligia KissMazeda Hossain