Violence Prevention Training Course with a Public Health Approach

Violence Prevention Training Course with a Public Health Approach

Violence Prevention Training
Course with a Public Health
Approach an Experience
from El Salvador
Emperatriz Crespín
MD. MPH
Panamerican Health Organization (PAHO)/ &
German Technical Cooperation GTZ
International Physicians
for the Prevention of
Nuclear War /IANSA
Public Health
Network
• Could violence be prevented as other
diseases like diarrhea ,malaria ?
• Could health workers do something ?
• What do we need to learn to prevent
violence ?
There is a role of physicians and other health
workers in the preservation and promotion
of peace is the most significant factor for
the attainment of health for all.
In El Salvador, almost 3, 000 homicides
involving firearms occur each year, youngsters
are involved as victims and perpetrators.
Objective
to assess the role of violence prevention
training course with a public health
approach addressed for people working
with Youth Programs in El Salvador, to
make suggestions to improve
implementation and follow up.
Material and methods.
The implementation of the Youth Violence
Prevention Curricula of WHO has been
developed. the program with 43 participants
from different NGO´s (now more than 100) ,
members from civil society working with violence
prevention programs for youngsters and students
from the National University of El Salvador from
different health specialties developed in three
series of workshops
T raining,
E ducating,
A dvancing
C ollaboration in
H ealth on
V iolence and
I njury
P revention for
Y outh
TEACH VIP Youth esta basado en:
A curricula developed by PAHO and
designed to be implemented with
students from the health sector and
health workers that work in violence and
injury prevention.
TEACH – VIP Curricula
• TEACH-VIP :core and advanced
curricula
• TEACH – VIP Youth : curricula to be
used with multisector .
Training trainers
Theorical Framework
MULTIPLES CAUSAS DE LA VIOLENCIA
Pobreza
Violencia
Medios
Cultura
POLICIA
NACIONAL
CASA DE LA
CULTURA
GOBIERNO
LOCAL
CASA DE LA
CULTURA
Fomento de
Desarrollo
Juvenil y
Prevención de
la Violencia
INSTITUCIONES
PÚBLICAS
ORGANIZACIONES
NO
GUBERNAMENTALES
(ONG)
ORGANIZACIONE
S DE BASE
ORGANIZACIONE
S JUVENILES
Enfoque ecológico
Intervención multinivel
Enfoque multisectorial
ESTRATEGIA FOMENTO DEL DESARROLLO JUVENIL Y PREVENCIÓN DE LA VIOLENCIA
Salud
ACTORES
Educació
Educación
Fomento
de desarrollo
de los
jóvenes
Empresa
Privada
Sociedad
Civil
Jóvenes
Municipio
Familia, escuela y empresa
Municipio y comunidad
Socio-Político
Políticas municipales de
juventud
Normas de prevención de
la violencia
que afecta a los jóvenes
Evaluación
de Efectos
/Impactos
Interpersonal
Comunitario
Familias fuertes – Amor y límites
Trabajo en red
multisectorial
Se asegura la sostenibilidad
e implementación de la
propuesta integral de
intervención.
Capacitación a tutores en
desarrollo juvenil integral.
Se trabaja la
problemática de los
jóvenes de manera
articulada.
• Mejora de la comunicación
padres e hijos.
• Disminuya los factores de
riesgo.
Individual
Grupos operativos
de ayuda mutua
Se potencia la
capacidad de resolver
conflictos y el manejo
emocional.
Participants
•
•
•
•
•
NGO´s
Medical Students
Health workers
Municipalities
Community leaders
The curricula
• Conceptos (adolescencia y juventud ,
Epidemilogia ,etc)
• Tipologia de la violencia
• Enfoques de Prevencion de Violencia
• Alianzas Multisectoriales
• Evidencia en Prevencion de violencia
Curricula
• Teorias de cambio de conducta por
niveles del modelo ecologico
• Monitoreo orientado a impactos
PROCESS
Workshops
Material and methods.
semi-structured interviews with
participants of workshops in order to
explore how this training improved
their skills to work against violence.
the follow up period was for 6 months.
Survey
1. Conoce los contenidos del TEACH-VIP
Youth?
• No se que es
• Lo conozco pero no lo uso
• Pocas veces utilizo
• Lo utilizo con frecuencia
2. Desde su capacitación en el TEACH-VIP
Youth ha utilizado sus contenidos en
forma parcial o completa?
Survey
3. Se ha involucrado en proyectos de prevención de violencia en
los ultimos meses?
4. Ha aplicado algunos de los conocimientos adquiridos durante
el taller TEACH-VIP en la realización de sus proyectos?
5. Ha promovido con otros el taller TEACH-VIP?
6. Que elementos del TEACH VIP considera que fortalecerían
su trabajo en campo?
7. ha evaluado las actividades que desarrolla en prevención de
violencia?
8. considera que existen contenidos del taller TEACH-VIP que
no se aplican a su campo de trabajo?
9. Que recomendaciones daría al equipo de facilitadores del
Taller TEACH-VIP para capacitaciones futuras?
Results.
• 43 people were trained in the violence
prevention course. A second phase of
follow up included semi –structured
interviews after 3 months since the first
workshop and a second round of interviews
3 months later in order to explore how
the participants applied their knowledge
into their current youth violence
prevention programs .
Results
Question 1:
Conoce los contenidos del TEACH-VIP
Youth?
no se lo que es =0%
Lo conozco pero no lo uso : 11.62% (5)
Pocas veces lo utilizo : 27.9 % (12)
Lo utilizo con frecuencia : 60.47 % (26)
Question 2
Desde su capacitación en el TEACHVIP Youth ha utilizado sus contenidos
en forma parcial o completa
• Parcial : 58 % (25)
• Completa : 11.62 % (5)
• No lo ha usado : 30.23%(13)
Question 3
• Have you been involved in violence
prevention projects in the last
months ?
• Yes : 69.76% (30)
• No : 30.23% (13)
Question 4
Did you applied your knowledge into
your projects ?
• No : 39.73%
• Yes : 60.27%
Question 5
• Have you promoted the TEACH-VIP ?
Yes : 100%
NO : 0%
Question 6
Que elementos del TEACH VIP
considera que fortalecerían su
trabajo en campo
Follow up : 100%
More training : 25%
Mentoring : 10%
Question 7
ha evaluado las actividades que
desarrolla en prevención de violencia?
• Yes : 6.97% (3)
• No : 93.0% (40)
Question 8
• Do you consider that there are some
elements that can not be applied for
your field ?
• No : 93% (40)
• Yes : 2.32 %(1)
• Do not know : 4.65 (2)
Question 9
Recomendations :
• Encourage more training
• a follow up
• To Get involved other sectors ,
provinces and communities
• Include more materials .
Discussion and
conclusions.
It was found that an improved training
program for violence prevention with a
public health approach for health workers
and civil society would benefit the current
youth violence prevention programs which
could be cost-effective and may even
prevent further violence.
Some products !
Program for violence
prevention in a church .
Teachers at Centres for
Youth Rehabilitation are
applying the concepts of
the curricula
Phyquiatrist working at a
hospital is doing a follow up
of her patients .
THANKS