improving access to medical services through partnership · 2017. 10. 10. · meggy verputten, msf...
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IMPROVING ACCESS
to MEDICAL SERVICES
through PARTNERSHIP
in PAPUA NEW GUINEA M. Verputten
Medecins Sans Frontieres
3
PAPUA NEW GUINEA
BACKGROUND PAPUA NEW GUINEA
SEXUAL AND GENDER-BASED VIOLENCE
Meggy Verputten, MSF Improving access to medical care through partnership in PNG
58% lifetime
prevalence of
intimate partner
violence¹
28% report
sexual abuse
below the age of
16 years²,³
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
Highest rates of family and
sexual violence occurred
in PNG in one location
- 1 in 5 women’s 1st sexual
experience rape
- one-third of men
experienced sexual abuse
as children
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
OBJECTIVE
MSF AND KEY PARTNERS
NDOH: NATIONAL DEPARTMENT OF
HEALTH
MSF: MEDECINS SANS
FRONTIERES FSAC: FAMILY AND SEXUAL
VIOLENCE COMMITTEE
To describe how partnership and being a catalyst for
change enables access to free and comprehensive
care for survivors of sexual violence
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
“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
Meggy Verputten, MSF Improving access to medical care through partnership in PNG
Routine patient and
program data
Program and
policy development
MSF IN PNG 2007 - 2016
Meggy Verputten, MSF Improving access to medical care through partnership in PNG
Quality medical care
and counseling
Community and
sector awareness
Catalyst for change
27,993 survivors
received care
68,840 surgeries
Family and Sexual
Violence Centre
(FSC)
Hep B & Tetanus vaccination
Counseling
COMPREHENSIVE MEDICAL CARE
Prophylaxis STI & HIV PEP
Emergency Contraception
Termination of Pregnancy on
request
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
Medical certificate
Pathway to FSC
Traditional Village Courts
Police
Health Centers
Community and Sector
engagement
COMMUNITY & SECTOR
Awareness raising
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
Variety of methods and visuals
RESULTS ROUTINE DATA
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
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
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
50 % SV survivors < 15 years
1 out of 6 children < 5 years of age
HOME
IS
WHERE
THE
HURT IS
Meggy Verputten, MSF OCA, Health services for sexual and gender-based
violence in PNG
A mother holds her
6 year old son after
he received medical
treatment
© Jodi Bieber
MEDICAL CARE ALONE = NOT ENOUGH
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
Ongoing violence
1 in 10 women
2 in 5 children
Lack services
Legal – Social – Protection
CATALYST FOR CHANGE -1-
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
Partner Conference:
Medical
Legal
Protection
Training of staff
Training curriculum
2011 – 2013 – 2016
Advocacy reports
CATALYST FOR CHANGE - 2 -
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
2009 2013 2015 2016
Free care
FSV Units
Police
FSC Guidelines Family Protection Act
Clinical Guidelines for Medical and Psychosocial Care
Freephone Hotline
Referral Pathways
Lukautim Pikinini
(Child Welfare) Act
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
TAKE HOME
Survivors will come for care when free, accessible,
quality and confidential health services
are known and available
CONCLUSION
Meggy Verputten, MSF
Improving access to medical care through partnership in PNG
Availability services
Medical - Legal - Social -
Protection
Engagement with
Community and Sector
Long lasting change
ACKNOWLEDGEMENTS
The people of PNG
PNG national and international teams
Key partners in PNG FSVC & NDoH
Photos: Kate Geraghty and Jodie
Bieber Meggy Verputten, MSF Improving access to medical care through partnership in PNG
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