Health system integration and equity-based services to support women who experience marginalization and IPV
department or school: Health and Social Development, Faculty of (Okanagan)
department or school: Nursing, School of
data provider: DSpace
degree campus: UBCO
creator: Davila Lara, G. Yazmin
issued: 2022-08-25T15:14:37Z
issued: 2022
related degree: Doctor of Philosophy - PhD
degree grantor: University of British Columbia
description: In 2015, the WHO released a call to action to stop violence against women. This call to action has been translated into initiatives to improve health and social policies and services. Health system integration, defined as the process to improve healthcare performance, can better organize and integrate the care of people, especially those experiencing inequities. For women who experience marginalization and intimate partner violence (IPV), health system integration has the potential to address inequities. This dissertation involved three phases to illuminate how health system integration and equity-based services can support women who experience marginalization and IPV. Phase 1 (Scoping Review), involved a comprehensive review of Canadian literature on health system integration and equity-based services to meet women’s needs. Phase 2 (Policy Analysis), involved the analysis of publicly available documents for the design and delivery of services related to the care for women in British Columbia (BC). Phase 3 (Discussion Session), involved a virtual session with women and relevant contributors to gather their insights, and develop recommendations for action in the Southern Interior of BC. Results demonstrated: a) services based on health equity limited social exclusion by supporting women’s healing processes; b) understanding the diversity of the needs of multiple groups of women is essential for women-centred care; c) providers often did not recognize the complexity of women’s experiences and reproduced systemic violence; d) a cross-sectoral approach facilitated the approval of policy actions related to care for women in BC. Key recommendations included: implementing a formal process of integrating women’s voices and direction in the design of policies and services locally, provincially, and nationally; and reinforcing trauma- and violence-informed care across sectors and levels of care. To limit further inequities, community-based approaches that consider preventive …
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/82522
note: HEALTH SYSTEM INTEGRATION AND EQUITY-BASED SERVICES TO SUPPORT WOMEN WHO EXPERIENCE MARGINALIZATION AND IPV by G. Yazmin Davila Lara PhD. Student A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY in THE COLLEGE OF GRADUATE STUDIES (Interdisciplinary Studies) THE UNIVERSITY OF BRITISH COLUMBIA (Okanagan) August 2022 © Guadalupe Yazmin Davila Lara, 2022 ii The following individuals certify that they have read, and recommend to the College of Graduate Studies for acceptance, a thesis/dissertation entitled: HEALTH SYSTEM INTEGRATION AND EQUITY-BASED SERVICES TO SUPPORT WOMEN WHO EXPERIENCE MARGINALIZATION AND IPV submitted by G. Yazmin Davila Lara in partial fulfillment of the requirements of the degree of Doctor of Philosophy . Dr. Nelly D. Oelke, School of Nursing Supervisor Dr. Silvina Mema, School of Population and Public Health Supervisory Committee Member Dr. Colleen Varcoe, School of Nursing Supervisory Committee Member Dr. Jan Cioe, Irving K. Barber Faculty of Arts and Social Sciences University Examiner Dr. Jane Koziol-Mclain. University of Auckland, New Zealand External Examiner iii Abstract In 2015, the WHO released a call to action to stop violence against women. This call to action has been translated into initiatives to improve health and social policies and services. Health system integration, defined as the process to improve healthcare performance, can better organize and integrate the care of people, especially those experiencing inequities. For women who experience marginalization and intimate partner violence (IPV), health system integration has the potential to address inequities. This dissertation involved three phases to illuminate how health system integration and equity-based services can support women who experience marginalization and IPV. Phase 1 (Scoping Review), involved a comprehensive review of Canadian literature on health system integration and equity-based services to meet women’s need…
has type: Thesis/Dissertation
date issued: 2022-09
is shown at: 10.14288/1.0417551
language: eng
degree discipline: Interdisciplinary Studies
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
contributor: Oelke, Nelly
type: Text
identifier URI: http://hdl.handle.net/2429/82522