Abstract :
Background: Domestic violence is a public health problem with physical, psychological, and social consequences.
Objective: This study aimed to analyze the role of healthcare workers in screening, identifying, and providing medical and psychological services for domestic violence survivors at inpatient primary health centers in Kendari City.
Methods: This qualitative descriptive study used in-depth interviews, observation, and documentation involving 16 informants. Data were analyzed thematically using NVivo.
Results: Screening was mainly conducted through clinical observation and trust-based communication rather than consistent use of standardized tools. Identification relied on visible injuries, recurrent psychosomatic complaints, and private anamnesis. Medical care was prioritized, while psychological support was limited by the absence of psychologists, restricted counseling rooms, and uneven training.
Conclusion: Domestic violence screening and identification at primary health centers remain reactive and insufficiently standardized. Strengthening SOPs, healthcare worker training, referral pathways, and psychological support services is needed.
Keywords :
Domestic violence, Healthcare workers, primary health care, psychological support, Screening.References :
- World Health Organization. Violence against women. World Health Organization. 2024. https://www.who.int/news-room/fact-sheets/detail/violence-against-women
- Dokkedahl SB, Kirubakaran R, Bech-Hansen D, Kristensen TR, Elklit A. The psychological subtype of intimate partner violence and its effect on mental health: A systematic review with meta-analyses. Systematic Reviews. 2022;11(1). doi:10.1186/s13643-022-02025-z
- Lortkipanidze M, Javakhishvili N, Schwartz SJ. Mental health of intimate partner violence victims: Depression, anxiety, and life satisfaction. Frontiers in Psychology. 2025;16. doi:10.3389/fpsyg.2025.1531783
- Siregar WZB. Causes and impacts of domestic violence against women: Cases in Indonesia. Jurnal Sosiologi Dialektika. 2024;19(1):77-88. doi:10.20473/jsd.v19i1.2024.77-88
- Sulaeman R, Febrina Sari NMWP, Purnamawati D, Sukmawati S. Faktor penyebab kekerasan pada perempuan. Aksara: Jurnal Ilmu Pendidikan Nonformal. 2022;8(3):2311. doi:10.37905/aksara.8.3.2311-2320.2022
- Emqi ZH, Hartini N. Pengetahuan tenaga kesehatan tentang kekerasan dalam rumah tangga sebagai masalah kesehatan. Jurnal EMPATI. 2023;12(5):418-423. doi:10.14710/empati.2023.33339
- Abebe KA, Kebede TN, Taye BT, Silesh M, Tadese M, Chekol MS, Demisse TL, Workineh BB, Solomon AA, Rade BK, Aynalem GL. Healthcare providers’ readiness to screen for intimate partner violence in obstetrics and gynecology units in Amhara Regional State referral hospitals, Ethiopia: Validation and cross-sectional survey using the DVHCPSS tool. Frontiers in Global Women’s Health. 2025;6:1408703. doi:10.3389/fgwh.2025.1408703
- Usanov C, Keedle H, Peters K, O’Reilly R. Exploration of barriers to screening for domestic violence in the perinatal period using an ecological framework. Journal of Advanced Nursing. 2023;79(4):1437-1450. doi:10.1111/jan.15560
- Colombini M, Mayhew SH, García-Moreno C, d’Oliveira AF, Feder G, Bacchus LJ. Improving health system readiness to address violence against women and girls: A conceptual framework. BMC Health Services Research. 2022;22(1):1429. doi:10.1186/s12913-022-08826-1
- Teshome L, Adugna H, Deribe L. Health providers readiness in managing intimate partner violence in public health institutions, Ethiopia. PLoS One. 2023;18(12):e0295494. doi:10.1371/journal.pone.0295494
- Iskandar L, Braun KL, Katz AR. Testing the Woman Abuse Screening Tool to identify intimate partner violence in Indonesia. Journal of Interpersonal Violence. 2015;30(7):1208-1225. doi:10.1177/0886260514539844
- Roberts VN, Hutchinson AM, Fiolet RL. The impact of trauma-informed care on patient engagement, experience and barriers to care: A qualitative study. Nursing Open. 2025;12(9):e70331. doi:10.1002/nop2.70331
- Anguzu R, Cassidy LD, Nakimuli AO, Kansiime J, Babikako HM, Beyer KMM, Walker RJ, Wandira C, Kizito F, Dickson-Gomez J. Healthcare provider experiences interacting with survivors of intimate partner violence: A qualitative study to inform survivor-centered approaches. BMC Women’s Health. 2023;23(1):607. doi:10.1186/s12905-023-02700-w
- World Health Organization. Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. World Health Organization; 2013. Available from: https://www.who.int/publications/i/item/9789241548595
- Kementerian Kesehatan Republik Indonesia. Pedoman Pelayanan dan Rujukan Kekerasan terhadap Perempuan dan Anak [Guidelines for Services and Referral of Violence against Women and Children]. Kementerian Kesehatan Republik Indonesia; 2021.
- Paphitis SA, Bentley A, Asher L, Osrin D, Oram S. Improving the mental health of women intimate partner violence survivors: Findings from a realist review of psychosocial interventions. PLoS One. 2022;17(3):e0264845. doi:10.1371/journal.pone.0264845

