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. 2019 Dec 12;35(3):245–256. doi: 10.1093/heapol/czz151

Table 2.

Key dimensions of health system readiness to address DV

HS dimensions Values Leadership and governance Financing and other resources Co-ordination and community engagement Health workforce Infrastructure and supplies Information
Indicators at macro level (examples)
  • Supportive values and attitudes among health policy-makers’ (e.g. acknowledgement of DV as a public health problem)

  • Laws on DV/VAW

  • National protocol on DV/VAW response

  • Health policy-makers’ willingness and agency to support roll out of DV services

  • Dedicated budget line for DV/VAW response

  • National and subnational multi-sectoral partnerships (e.g. memorandum of understanding)

  • Mechanisms for DV/VAW multi-sectoral co-ordination (e.g. DV Co-ordinating Committees)

  • National co-ordinator on DV/VAW at MoH

  • National training on DV/VAW

  • Guidance (e.g. policy directive or guideline) that defines what infrastructure should be expected at the different levels of health-care services to respond to DV, and what supplies should be available for DV response

  • Existence of systems and procedures for collecting and compiling DV/VAW data from health-care services and documenting follow-up care (e.g. referrals offered and taken up)

Indicators at facility level (meso) (examples)
  • Supportive values and attitudes among health managers' and health staff

  • Facility standard-operational procedures for dealing with cases of DV

  • Health managers’ and staff willingness and agency to champion and implement DV services

  • Dedicated human, material and technical resources

  • Local referral network between health facility and support services (health and non-health)

  • Sensitization activities on DV at community level

  • Working with local NGOs/local leaders to raise awareness on DV

  • Dedicated and trained staff for dealing with DV

  • Training on DV for health staff (e.g. regular and annual)

  • System in place to support trained staff

  • Availability of private examination rooms/areas for providing care

  • Availability of drugs and supplies for DV cases

  • DV data collection forms (or separate register for DV cases)