Prevention of Violence Against Children: A Qualitative Exploration of Colombian Policymakers', Programme Facilitators' and Caregivers' Perceptions

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-08-28 DOI:10.1111/cch.13325

Jorge Cuartas, Luciana Beccassino, Helen Baker-Henningham, Oscar Iván Pineda Díaz, María Fernanda Rodríguez

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Abstract

Objective

Violence against children (VAC) is a global public health and human rights issue that can lead to long-lasting negative consequences for individual and societal outcomes. While extensive evidence indicates that parenting programmes might be effective in preventing VAC, there are several unsolved questions on how to ensure interventions are acceptable, feasible, effective and sustainable, particularly in low- and- middle-income countries (LMICs).

Method

In this study, we report findings from a qualitative examination of policymakers' (N = 10), early childhood and parenting programme facilitators' (N = 20) and parents' and other caregivers' (N = 38) perspectives on VAC prevention to examine the implementation ecosystem of parenting programmes in Colombia, including contextual risk and protection factors, features of existing programmes, and stakeholders' needs. We conducted interviews and focus groups using a semistructured format, along with a thematic approach, to analyse the data from each group of participants (i.e., policymakers, facilitators and caregivers) independently.

Results

Overall, the data revealed the critical role of intersecting and interacting factors at the micro (e.g., caregivers' capabilities and beliefs), meso (e.g., programme content and delivery approaches) and macro (e.g., policymakers' vision and existing infrastructure) levels in exacerbating risks/imposing barriers versus protecting/promoting VAC prevention.

Conclusions

These findings provide evidence on the implementation ecosystem of prevention programmes to inform the design of novel strategies and programmes aimed at preventing violence and promoting families' well-being and young children's development.

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预防针对儿童的暴力：对哥伦比亚政策制定者、计划推动者和照顾者看法的定性探索

目标暴力侵害儿童（VAC）是一个全球性的公共卫生和人权问题，可对个人和社会造成长期的负面影响。虽然有大量证据表明，亲职教育计划可以有效预防暴力侵害儿童行为，但如何确保干预措施是可接受的、可行的、有效的和可持续的，特别是在中低收入国家（LMICs），还有一些问题没有解决。方法在本研究中，我们报告了对政策制定者（10 人）、幼儿和育儿计划促进者（20 人）以及父母和其他照护者（38 人）关于预防自愿幼儿保育的观点进行定性研究的结果，以考察哥伦比亚育儿计划的实施生态系统，包括背景风险和保护因素、现有计划的特点以及利益相关者的需求。我们采用半结构化形式进行了访谈和焦点小组讨论，并采用主题方法对每组参与者（即政策制定者、促进者和照顾者）的数据进行了独立分析。结果总体而言，数据揭示了微观（如护理人员的能力和信念）、中观（如计划内容和实施方法）和宏观（如政策制定者的愿景和现有基础设施）层面的交叉和相互作用因素在加剧风险/设置障碍与保护/促进预防自愿咨询方面的关键作用。结论这些研究结果为预防计划的实施生态系统提供了证据，为设计旨在预防暴力、促进家庭幸福和幼儿发展的新战略和计划提供了参考。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.