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European Strategies to Combat Violence Against Women

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European Strategies to Combat Violence Against Women EUROPEAN STRATEGIES TO COMBAT VIOLENCE AGAINST WOMEN Report of the first technical meeting Copenhagen, Denmark 11–13 December 1997 SCHERFIGSVEJ 8 EUR/ICP/FMLY 05 03 02 DK-2100 COPENHAGEN Ø ORIGINAL: ENGLISH DENMARK EUR/HFA TARGET 8 TEL.: +45 39 17 17 17 E61935 TELEFAX: +45 39 17 18 18 1998 TELEX: 12000 E-MAIL: [email protected] WEB SITE: HTTP://WWW.WHO.DK TARGET 8 HEALTH OF WOMEN By the year 2000, there should be sustained and continuing improvement in the health of all women. ABSTRACT The Technical Meeting on European Strategies to Combat Violence against Women was held in Copenhagen on 11–13 December 1997. The WHO Regional Office for Europe acted on its commitment to combating violence against women by bringing together academic experts and representatives from health services and women’s organizations from across the European Region of WHO, including many from central and eastern Europe and central Asia. The overall objective of the Meeting was to build on existing links between WHO and country-based networks and centres specializing in the issue of violence against women in an effort to draw up proposals for joint strategies at the European level and to strengthen future cooperation and coordination. The Meeting presented research studies, surveys and concrete projects from countries in the western and eastern parts of the Region. The Meeting made recommendations on epidemiology and data collection, addressing the consequences of violence against women for their mental health and providing appropriate health services. The Meeting was a starting-point for exchanging experiences and sharing information on the extent and implications of the problem. The recommendations of the Meeting are intended to contribute to the adoption of formal guidelines and policies at both national and European levels that effectively combat violence against women. KEYWORDS BATTERED WOMEN DOMESTIC VIOLENCE – prevention and control WOMEN’S HEALTH WOMEN’S HEALTH SERVICES HFA STRATEGY COORDINATION EUROPE EUROPE, EASTERN © World Health Organization All rights in this document are reserved by the WHO Regional Office for Europe. The document may nevertheless be freely reviewed, abstracted, reproduced or translated into any other language (but not for sale or for use in conjunction with commercial purposes) provided that full acknowledgement is given to the source. For the use of the WHO emblem, permission must be sought from the WHO Regional Office. Any translation should include the words: The translator of this document is responsible for the accuracy of the translation. The Regional Office would appreciate receiving three copies of any translation. Any views expressed by named authors are solely the responsibility of those authors. Contents Acknowledgements......................................................................................................................... 1 Foreword ......................................................................................................................................... 2 Section 1. The technical meeting.................................................................................................. 3 1. Introduction: scope and purpose of the Meeting......................................................................... 3 Scope and purpose................................................................................................... 3 Aims of the Meeting................................................................................................ 3 Description of the agenda........................................................................................ 4 Main outcomes........................................................................................................ 4 2. Main outcomes of the Meeting ................................................................................................... 6 Recommendations from the working group on epidemiology chaired by Karin Helweg-Larsen ............................................................................ 6 Recommendations from the working group on the mental health consequence of violence against women chaired by Leila Gulcür........................................................................................... 9 Recommendations of the working group on health services................................. 11 General conclusions .............................................................................................. 12 Summary and key recommendations .................................................................... 13 Section 2. Conference presentations.......................................................................................... 15 3. Opening address – Ms Carolyn Murphy .................................................................................... 15 4. Session 1. Epidemiology and data collection chaired by Dr Karin Helweg Larsen..................................................................... 17 Women’s health and development report on the WHO multicentre study of violence against women Dr Claudia Garcia Moreno .................................................................................... 17 Prevalence of domestic and sexual violence and the consequences of violence in Nordic countries Dr Karin Helweg Larsen........................................................................................ 21 Domination and violence against women within the couple Ms Lucienne Gillioz.............................................................................................. 26 A survey on domestic violence in the Russian Federation: methodology and results Ms Marina Pisklakova........................................................................................... 31 5. Session 2. Mental health consequences of violence against women chaired by Ms Mary Petevi.................................................................................... 36 Violence against women and its psychosomatic consequences Ms Regina Lackner................................................................................................ 36 Possibilities for effective help for battered women: the example of the Vilnius Crisis Centre for Battered Women Ms Lilija Vasiliauskiene ........................................................................................ 38 The mental health consequences of violence and the responses of the health sector Dr Elvira Reale and Ms Vittoria Sardelli ............................................................. 39 6. Session 3. Helping health services to elicit appropriate responses chaired by Dr Nils-Otto Sjömberg ....................................................................... 47 The reproductive health consequences of violence Dr Berit Schei........................................................................................................ 47 Helping health services: report on a pilot project in Dublin Ms Monica O’Connor............................................................................................ 53 Strategic approach to influencing health services in a city Ms Sue Laughlin and Ms Siobhan McCartney...................................................... 57 7. Session 4. Addressing the issue of violence against women in war situations chaired by Dr Annemiek Richters .......................................................................... 59 Sexual violence in war: psychosociocultural wounds and healing processes: the example of the former Yugoslavia Dr Annemiek Richters ............................................................................................ 59 Immediate appropriate medical answers to women victims of sexual violence in refugee situations Dr Daniel Pierotti .................................................................................................. 72 The Khujand Women’s Centre “Gulruxor” Ms Sanavbar M. Sharipova ................................................................................... 79 Annex 1. Documents showing WHO political commitment in the field of violence against women ........................................................................................ 81 Annex 2. Participants ............................................................................................................ 82 European strategies to combat violence against women EUR/ICP/FMLY 05 03 02 Page 1 Acknowledgements The success of the WHO Regional Office for Europe Technical Meeting on European Strategies to Combat Violence against Women is due to the collaboration of all participants, who gave invaluable input during the preparation of the meeting through their papers, comments and suggestions. EUR/ICP/FMLY 05 03 02 European strategies to combat violence against women Page 2 Foreword This document is the report from the first WHO Regional Office for Europe Technical Meeting on European Strategies to Combat Violence against Women, held on 11–13 December 1997. The meeting was organized by the Regional Office Sexual and Reproductive Health programme and the Women and Child Health programme, and brought together academic experts and representatives from health services and women’s organizations from across the WHO European Region, including many from central and eastern Europe and Central Asia. The overall objective of the meeting was to build on existing links between the WHO Regional Office for Europe with country-based networks and collaborating centres specializing in the issue of violence against women, in an effort to draw up proposals
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