Family violence
Projects
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IMplementation Of Primary HealthCAre for Family Violence (IMOCAFV): Development of an International Consensus of Implementing Family Violence Model of Care in Primary Care Setting
Women living with family violence live in constant fear. They frequently attend health facilities for mental health issues but often failed to receive a timely support. Hence, the abuse tend to escalate to a severe form. Abusive relationship lead to a negative impact on victim’s productivity at work. Explicit policies are seldom available to support family violence victims at workplace. It is not uncommon for victims to be terminated due to productivity issues. Maintaining employment is key to provide more decisional choices and self-esteem. Family violence also affect maternal parenting. Attempting to survive on a day-to-day basis while having to provide an effective care to children can be overwhelming for mothers. Poverty and maternal depression further affect their parenting style and leaves a negative impact on children development. This project goal is in line with the Sustainable Development Goals and the World Health Organisation aim in promoting good health, gender equality, peace and justice. The project aims to develop country and multi-country (Malaysia, United Kingdom, Africa and India) level consensus on how to provide effective care to address family violence in primary care. Specifically, it explores different community care models across countries; and formulate a roadmap on how to promote and implement effective practice management to international guidance. Other objectives include providing the situational analysis of women victims who are working in healthcare setting and their struggles in parenting their children. Using a mixed methods approach, a scoping review of available resources (Acts, guidelines, framework) and input from interviews of key informants will formulate current scenario in Malaysia. This project is expected to produce a policy proposal, a model of care to support victims at primary care and at workplace and community engagements. The findings will inform policy makers and public regarding the issues and the support resources for family violence victims. Researchers Prof. Dr. Sajaratulnisah Binti Othman (PI), Dr. Fadzilah Hanum Mohd Mydin, Dr. Hasmah Mohd Zain, Dr. Nurainul Hana Shamsuddin, Pn. Fatimang Ladola, Prof. Dr Claire Choo Wan Yuen, Dr. Azah bt Abdul Samad, Dr. Noor Raihan bt Khamal, Dr. Syahrul Nellis, Ms. Mastura Azalee, international collaborators (Prof. Dr. Lodewijk Pas, Prof. Dr. Joyce Kenkre, Dr. Filiz Ak, Dr. Raquel Gomez Bravo, Prof. Dr. Carmen Fernandez Alonso) Institution Collaborators
Timeline: 07/12/2020 to 06/12/2022 Grant: Impact Oriented Interdisciplinary Research Grant (IIRG004A-2020HWB) - University Malaya Output
Media Articles
Societal Engagement
Multimedia (Photos & Video)
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Education, Training & Awareness Of Service Providers On Elder Abuse & Neglect (Subprogram 3 of PEACE) Prevent Elder Abuse and NegleCt InitiativE (PEACE) is a five-package research program which attempts to strategically advance elder abuse and neglect research and services through a state-wide effort. The PEACE program employs a coordinated multistep approach involving various stakeholders (such as Ministry of Health, Department of Social Welfare, community, etc) in the aim to build partnerships, fostering community empowerment and promoting social protection for the elderly population. Elder abuse and neglect (EAN), also known as elder mistreatment or elder maltreatment, includes psychological, physical, and sexual abuse, neglect, and financial exploitation. The Prevent Elder Abuse and NegleCt initiativE (PEACE) addresses empirical and practical significance. This new Initiative reflected our desire to better prepare the community to address the inevitable societal changes brought about by an aging population. This initiative focuses exclusively to protect elder abuse rights, re-orientate and empowering the community to be actively engaged in elderly issues, and support independent living among the elderly. This initiative addresses five main areas; examine the magnitude, risk factors and consequences of EAN, investigate the role of social capital and caregiver strain in preventing EAN, developing provision of education and training to service providers providing direct service delivery to elderly, support and train family caregivers who provide care for elderly and protecting elderly against elder abuse and neglect by identifying the existing laws and understanding as well as refining these laws. Researchers Prof. Dr. Sajaratulnisah Binti Othman, Dr. Fadzilah Hanum Mohd Mydin, Prof. Dr. Noran Naqiah Hairi, Prof. Dr. Claire Choo Wan Yuen, Assoc. Dr. Farizah Mohd Hairi, Assoc. Dr Jal Zabdi Mohd Yusoff, Dr Zulazhar Tahir. Institution collaborators
Timeline: 05/09/2014 to 04/03/2020 Grant: UM Research Grant Grand Challenge- HTM (Wellness) (GC001C-14HTM)- University Malaya Output ACADEMIC JOURNALS
BOOKS
MULTIMEDIA (PHOTOS & VIDEO) Standing up against elder abuse (Video) https://www.youtube.com/watch?v=Fgbhi94mlLA World Elder Abuse Awareness Day (Video) https://www.youtube.com/watch?v=_FSF-VGO0qk
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#itubukancinta: Program Tingkatkan Amalan Perhubungan Sihat Dan Tolak Perhubungan Tidak Sihat - Universiti Malaya Community Engagement Centre (UMCares), University Malaya
Adolescent and young people are more vulnerable to unhealthy relationships that is associated with partner violence, mental health disorder and sexually transmitted diseases including HIV/AIDS. A local evidence reported that university students, regardless of their gender, were exposed to sexual abuse. Discussion regarding establishing healthy relationship in life is practically non-existent in the formal curriculum and within the family circle. The approach of this project was by conducting interactive workshop that allow meaningful discussion regarding close relationship, understand the difference between healthy and unhealthy relationships, and the role that technology can play in these relationships. Short videos depicting behaviours in close relationship were used to prompt discussion which will be conducted in small groups, guided by trained facilitators. The take home messages for the participants include 1) awareness of the qualities of healthy relationship; 2) ability to identify problematic behaviours suggestive of harmful relationship; 3) opportunity to discuss of unclear matters (moral, criminal, religious) related to close relationship; and 4) acquire skills to offer support friends who are involved in troubled relationships. In the long run, this project is expected to transform the community's views in this healthy relationship. Within a year, this project has successfully collaborated with two residential colleges and Student Health Clinic; trained 41 campus ambassadors, engaged with 80 participants for the interactive workshop and 365 UM campus students for the validation process of assessment tools. There was no specific policy in the University of Malaya to safeguard students/staff in relation to close relationship issues. Preliminary findings found that 54% have observed relationship abuse personally or among their friends. With this program; 90% were awareness of resources for help and 88% know how to respond if a friend is being hurt by their partner. Researchers Prof. Dr. Sajaratulnisah Binti Othman, Prof. Choo Wan Yuen, Dr. Mohazmi Mohamed, Dr. Luqman Lee, Assoc. Prof. Dr. Wong Yut Lin, Betty Yeoh, Dr Mohd Amir Mat Omar, Amalina Mustafa, Muhammad Anas Mahmood Institution collaborators
Timeline: 01/01/2019 to 30/11/2020 Grant: RU Geran- UMCares (RU014-2018E)- University Malaya
Output Proceeding: ACE Conference 2019 MULTIMEDIA (PHOTOS & VIDEO)
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Providing Vulnerable Teens And Young Adults With Skills To Prevent Gender-based Violence (GBV) And Teen Pregnancy
Adolescents growing up in urban poor areas are vulnerable to violence exposure and unsafe sexual activities. A community-academics partnership (CAP) effort of three universities, NGO and the local public community clinic allows a multi-level capacity building and two-way transfer of knowledge and skills, and to create sustainable strategies for long term outcome for youth health and well-being. The project aimed at empowering youth towards healthy relationship and being knowledgeable of sexual reproductive health related matters; identifying adolescent Peer Leaders and supporting local community clinic to provide “Adolescent Friendly Services” Part 1 involved with adolescent focus group discussions using arts and story-telling (15 adolescents, age ranging from 14 to 17) and conducting roundtable discussions with the healthcare providers and community leaders (chair of the local Parent-Teacher Association, community representatives); Part 2 involved in empowering the adolescents by providing incremental information and skills on issues related to relationship and sexual reproductive health. Four workshops provided inputs including but not limited to • Understanding of individual rights, dynamics of power and control, early warning signs, and aspects of healthy and unhealthy relationships • Problems of unplanned pregnancy and sexually transmitted diseases• Skills building around effective communication and conflict resolution. Support for the adolescents at the local community clinic is strengthened via four separate workshops for health care providers aimed at creating awareness on adolescent health issues; existing health protocols and laws related to managing adolescent; communication and counseling skills and strategic planning for adolescent-friendly services. Empowering the community was done via a health fair with the theme Remaja Sihat! (Healthy Adolescents!) Adolescents who are in the project were able to showcase what they have learnt throughout the course of the project and the community clinic was able to promote adolescent-friendly services to the local community. Representative Committee managed to reach a total of 300 visitors from the same neighbourhood. The high turnout is an achievement in itself because that community usually does not participate in public events. Evaluation of the project found that 70 adolescents participated in this project (14-18 years old). They either attended all (9 adolescents) or at least one. Twenty adolescents have been identified to become youth leaders at the end of the project. Direct observation over the four workshops showed that all adolescents were able to recall ‘take home’ messages of the previous attended workshops and their communication has improved with less shouting and more tolerance to differences of each other. They were mindful with whom they hanged out with and their views of future. Ninety-eight health care providers (5 medical officers, 4 medical assistants (assistant medical officers), 51 nurses, 2 pharmacists, 3 assistant pharmacists and 17 other clinic staff) were trained. The knowledge score on adolescent health improved significantly after the training (pre-workshop score 5.74; post workshop score 7.30; p <0.005). Similarly, there were attitudinal changes with their involvement of the project. The clinic head staff pledged for a ‘Adolescent friendly health services’ They are more accepting to adolescents and a specific consultation room for adolescents was identified.
Researchers
Prof. Dr. Sajaratulnisah Othman, Assoc. Prof. Dr. Wong Yut Lin, Amalina Mustaffa, Vickneswari Ayadurai, Betty Yeoh Siew Peng, Dr. Fadzilah Hanum Mydin, Dr. Julia Suhaimi, Dr. Khasnur Abdul Malek, Dr. Suraya Abdul Razak, Dr. Sharina Mohd Razali, Prof. Dr. Low Wah Yun
Institution collaborators
Timeline: 21/01/2014 to 20/10/2016
Grant: Knowledge Transfer Grant (KT002-2014A)
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Domestic Violence among Workers in Healthcare: Impact on Mental Health and Work Performance DV is widely recognized as a problem that might impact the health outcomes and employment of workers. Specifically, workers in the health sector who are already at high risk of experiencing mental health issues due to workload will be more disturbed when problems from home, such as DV are brought to work, endangering health care services. DV among workers has been associated with a reduction in job performance. In addition to impacting working victims, DV may also bring loss to the organisation and negatively affected co-workers (Reeves & O'Leary-Kelly, 2007; Cambridge Public Health Department, 2019). Acknowledging and addressing DV as a workplace issue may open another solution for DV victimisation in Malaysia as the employer can play an important role in providing assistance and preventing DV and its consequences. This can be done by the formation of policies and intervention related to DV at the organisational level (Logan, 2007; Swanberg, 2006; Swanberg, 2005; Samuel, 2011; Niolon et al., 2017). Nevertheless, no study has been conducted to investigate the situation of DV victim workers in Malaysia’s health care setting. Therefore, understanding the current situation of DV victim workers in the health care setting will be a focus in this project, which will give direction towards formulation of policy brief through policy analysis. Researchers
Associate Prof. Dr. Norbani Che Ha (PI), Prof. Dr. Sajaratulnisah Othman, Prof. Dr. Choo Wan Yuen, Mastura Azalee, Dr. Norhasmah Mohd Zain
Institution collaborators
Timeline: 07/12/2020 to 06/12/2022
Grant: Impactful Interdisciplinary Grant (IIRG), IIRG004B-2020HWB
Output Article: DOMESTIC VIOLENCE AMONG WORKING WOMEN IN MALAYSIA: A MARGINALISED PHENOMENON? in the International Journal for Studies on Children, Women, Elderly and Disabled People Vol. 15, Jan. 2022 (ISSN 0128-309X) |
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Intimate Partner Violence (IPV) Victimisation and Maternal Parenting Practices: The Mediating Role of Mental Health Intimate Partner violence (IPV) is a public health concern because the consequences on mental health persist after the violence has ceased and the acute physical injuries have healed (Ouellet-Morin et al., 2015). Other than that, mothers exposed to IPV can show negative mental health outcomes, including post-traumatic stress (PTS), depression, and social problems (Gurtovenko & Katz, 2017). Depression, posttraumatic stress disorder (PTSD) and anxiety are, on average, two to four times more prevalent in victims of partner violence than in the general population (Ouellet-Morin et al., 2015). As caretakers, the impact of IPV to mothers may spill-over to the children. Considering how IPV affects maternal parenting and mental health of the mothers, it is important to consider these factors together in one study to get a better insight into building a safe space for Malaysian women in healthcare. Therefore, the aim of this proposed study was to provide more understanding how domestic violence between intimate partners (IPV) can affect maternal parenting practises and to what extent mental health can influence this relationship. The expected outcomes will be used to propose effective strategies for positive maternal parenting practices among the victims. Researchers
Dr Haslina binti Muhamad (PI), Prof Dr Sajaratulnisah binti Othman, Assoc Prof Dr Norbani binti Che Ha, Assoc Prof Dr Nik Daliana binti Nik Farid, Dr Asbah binti Razali, Siti Nor Zolilah binti Idris
Institution collaborators: Women Aid’s Organization Centre
Timeline: 07/12/2020 to 06/12/2022
Grant: Impactful Interdisciplinary Grant (IIRG)(IIRG004C-2020HWB) |
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Improving elder abuse management in primary care setting Family doctor plays an essential role, nevertheless they are unprepared to intervene in elder abuse. This study aims to perform a process evaluation of Supporting Family Doctors to Address Elder Abuse (SAFE) intervention. The SAFE intervention consists of a training program and a clinical guideline to intervene in elder abuse. The SAFE intervention was implemented at 30 public primary care clinics in Penang state, Malaysia involves 160 family doctors. Mixed methods were utilized to evaluate the effect and implementation of the SAFE interventions after three years. The outcomes demonstrated that there is a significant stimulation of awareness, knowledge, attitude and empowerment, as well as the capabilities of family doctors to intervene in elder abuse. Yet, family doctors felt that their enthusiasm to assist older adults was hindered by diverse factors, including older adults and community context, resource constraints and absence of policy and law. Qualitative data were valuable to explain the implementation of the SAFE intervention, challenges and improvement strategies. We can conclude SAFE intervention was feasible and effective, yet the effort to intervene in elder abuse is not solely held by family doctors. Equally, it requires creating awareness among older adults and the community, consolidation of the organization and policy with permissive law. Researchers
Dr. Fadzilah Hanum Binti Mohd Mydin (PI), Prof Dr Sajaratulnisah binti Othman, Prof Dr Claire Choo Wan Yuen
Institution collaborators: Ministry of Health Malaysia
Timeline: 28/09/2016 to 28/03/2019
Grant: Bantuan Kecil Penyelidikan (BKP) BK062-2016 Output
Article: Mydin, F. H. M., Yuen, C. W., & Othman, S. (2021). The Effectiveness of educational intervention in improving primary health-care service providers’ knowledge, identification, and management of elder abuse and neglect: a systematic review. Trauma, Violence, & Abuse, 22(4), 944-960. |
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Elder Abuse and Neglect Intervention in the Clinical Setting: Perceptions and Barriers Faced by Primary Care Physicians in Malaysia This qualitative study attempts to explore the definition, perceptions, practice experience, and barriers of primary care physicians (PCPs) in identifying and intervening in cases of elder abuse and neglect at the primary care level. Semistructured in-depth interview was conducted among 10 PCPs. Participants were selected by purposive sampling. The interviews were audio recorded, transcribed verbatim, and analyzed using thematic analysis. In general, PCPs showed consistency in defining elder abuse and neglect. PCPs considered that they were optimally positioned to intervene in cases of elder abuse and neglect, but indicated the potential of overlooking such problems. The hurdles faced by PCPs in the identification and intervention of elder abuse were determined to be occurring at three levels: clinical, organizational, and policy. At the clinical level, PCPs recognize that they are lacking both the confidence and knowledge of elder abuse and neglect intervention. PCPs' conflicting personal and professional beliefs create barriers during the clinical practice. Time constraints, patients' other clinical problems, and, in addition, the preservation of a good doctor-patient relationship overshadow the importance of addressing and intervening in elder abuse and neglect issues during the consultation. This is further exacerbated by the barriers perceived by the patients: their nondisclosure and reluctance to accept outside intervention. At the organizational level, the lack of efficient interagency networks or support for the health system poses barriers. At the policy level, the absence of legislation specifically addressing elder abuse also creates considerable difficulties. However, PCPs gave differing responses when asked about a law concerning the elderly and mandatory reporting. Addressing these multilevel barriers is critical for ensuring that opportunities arising at the primary care level for elder maltreatment intervention are correctly utilized. Researchers
Dr. Fadzilah Hanum Binti Mohd Mydin (PI), Prof Dr Sajaratulnisah binti Othman
Timeline: 06/09/2013 to 06/12/2014
Grant: Postgraduate Research Grant (PPP) - Course & Disertation
Output
Article: Mohd Mydin, F. H., & Othman, S. (2020). Elder Abuse and Neglect Intervention in the Clinical Setting: Perceptions and Barriers Faced by Primary Care Physicians in Malaysia. J Interpers Violence, 35(23-24), 6041-6066. https://doi.org/10.1177/0886260517726411 |
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