Paramedic-conducted Mental Health Counselling for Abused Women in Rural Bangladesh: An Evaluation from the Perspective of Participants |
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Authors: | Ruchira T Naved Nadia A Rimi Shamshad Jahan and and Gunilla Lindmark |
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Institution: | 1 ICDDR,B, GPO Box 128, Dhaka 1000, Bangladesh;2 International Maternal and Child Health, Uppsala University, Uppsala, Sweden |
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Abstract: | This paper reports on evaluation of an initiative to use paramedics as the first-level mental health counsellors of abused women in rural Bangladesh (2003–2004) from the perspective of the abused women who participated in one or more counselling sessions. Thirty in-depth interviews, followed by a survey (n=372), targeted to cover all participants, were conducted in 2006. Overall, the arrangement, management of ethical issues, and skills of paramedics were rated favourably. Most (89%) abused women (n=372) considered the session useful; one-fourth of these women considered it very useful; and only a few abused women considered the session useless. Usefulness of the session was expressed mostly in terms of relief attained after talking about the issue. Most (87%) women reported being encouraged to be self-confident. In a context characterized by low self-confidence of women, lack of opportunity to talk about violence, and absence of professional mental health counselling services, this initiative is sufficiently promising to warrant further testing.Key words: Battered women, Counselling, Mental health, Paramedics, Bangladesh |
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