Funcionamiento de rutas de atención en salud para violencia sexual – Cuenca 2018

Abstract

At Carlos Elizalde Health Center in Cuenca, there is a place known as the first reception room for victims of gender violence, as indicated by the Technical Norm issued by the Ministry of Public Health. However, there are limitations and weaknesses in the operation of routes and protocols of health care for victims of sexual violence; so, this research aims to know the general operation of the aforementioned routes in order to define guidelines for a proposal to improve it. For the analysis, it was determined how the demographic aspects of victims of sexual violence are influencing the execution of the route; the characteristics of the victims of sexual violence attended in the ward were categorized and it was identified if the types of sexual violence influenced the execution of the route, during the period January to August 2017. For this purpose, a descriptive exploratory study was carried out using a mixed qualitative and quantitative approach. We worked quantitatively with the universe consisting of 64 data of victims of sexual violence that were included in the automated daily record of consultations and outpatient care (RDACAA) of the ward and 3 semi-structured interviews with the staff working in the ward. For the analysis of information, an Excel table and the Atlas.ti were used. The main results show that, in the operation of routes and the use of the technical norm, there are difficulties in the registry of information of the victims; lack of follow-up of cases, lack of involvement of professionals and limited supply of inputs, complicating the operation of the routes and significantly affecting the victims of sexual violence