Table 5.

Less comprehensive and integrated services and systems response: Barriers and facilitators

Studies of less comprehensive services	Barriers to integration	Facilitators for integration
Jacobs and Jewkes 2002	Negative experiences were largely related to the broader health system, such as shortage of staff to resolve the problem. Fear that health managers would not be supportive of IPV skill implementation.	Government and Department of Health support. Training of health managers and key referral providers. Successful implementation required ongoing advocacy with health management to recognize IPV as a public health problem that needs health system support for PHC staff.
Matseke and Peltzer 2013	Not documented	Not documented
Naved et al. 2009	Long waiting time before seeing the paramedic. Some women reported that coming to counseling sessions at the clinic could escalate violence from their husbands.	Paramedics were empathetic, nonjudgmental, and treated women as equals. Privacy and confidentiality were maintained. Ongoing support and debriefings during the first six months of the intervention.
Tiwari et al. 2005	Not documented	Not documented