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Managing in the Contemporary World: Rape Victims’ and Supporters’ Experiences of Barriers Within the Police and the Healthcare System in Tanzania
School of Medicine, Department of Obstetrics and Gynecology, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Umeå University, Epidemiology and Public Health Sciences, Dept of Public Health and Clinical Medicine.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology. (International Maternal and Reproductive Health)
Umeå University, Epidemiology and Public Health Sciences, Dept of Public Health and Clinical Medicine.
2011 (English)In: Journal of Interpersonal Violence, ISSN 0886-2605, E-ISSN 1552-6518, Vol. 26, no 16, 3187-3209 p.Article in journal (Refereed) Published
Abstract [en]

Grounded theory guided the analysis of 30 in-depth interviews with raped women and community members who had supported raped women in their contact with the police and health care services in Tanzania. The aim of this study was to understand and conceptualize the experiences of the informants by creating a theoretical model focusing on barriers, strategies, and responses during the help seeking process. The results illustrate a process of managing in the contemporary world characterized as walking a path of anger and humiliation. The barriers are illustrated by painful experiences of realizing it's all about money, meeting unprofessionalism and irresponsibility, subjected to unreliable services, and by being caught in a messed-up system. Negotiating truths and knowing what to do capture the informants' coping strategies. The study indicates an urgent need for improvement in the formal procedures of handling rape cases, improved collaboration between the police and the health care system, as well as specific training for professionals to improve their communication and caring skills.

Place, publisher, year, edition, pages
2011. Vol. 26, no 16, 3187-3209 p.
Keyword [en]
adult victims, disclosure, support seeking, prevention, Female, rape victim, Supporter, healthcare, police
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
URN: urn:nbn:se:uu:diva-122231DOI: 10.1177/0886260510393006ISI: 000295727200001OAI: oai:DiVA.org:uu-122231DiVA: diva2:309652
Note
The authors gratefully acknowledge the cooperation of the participants, and those who assisted in one way or another at the women help centres in Dar es Salaam and in rural Temeke. Available from: 2010-04-07 Created: 2010-04-07 Last updated: 2017-12-12Bibliographically approved
In thesis
1. Rape against Women in Tanzania: Studies of Social Reactions and Barriers to Disclosure
Open this publication in new window or tab >>Rape against Women in Tanzania: Studies of Social Reactions and Barriers to Disclosure
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis assessed responses toward rape against women as experienced by the victims and victim supporters in the context of the interaction between victims, supporters, and formal agencies in Tanzania. The overall research design was based on triangulation with a combination of qualitative and quantitative methods. A semi-qualitative study, in which free listings and semi-structured questionnaires were used, explored social reactions from 44 community nurses and 50 rape victims (Paper I). A tool developed from this first study was utilized for collecting data on people’s attitudes and their behavior toward rape and rape victims from a representative community sample of 1505 men and women aged 18-65 years (Paper II). Both studies helped to access suitable rape victims and supporters who participated in the third study to share experiences on the process of rape disclosure to formal and informal social networks (Papers III and IV). The results highlighted the salient social reactions and how rape victims perceived the impact of these reactions. Half of the participants interpreted rape situations based on social relationships, circumstances, and social status of the woman, rather than the legal definition. Two-thirds of the adults explained they would express negative social reactions toward a victim in some rape scenarios, and this correlated with their attitudes towards rape and rape victims. A variety of barriers in the informal and formal networks with potentially negative impacts on rape reporting, service utilization and, health outcomes were identified. In conclusion, successful interventions aimed at improving people’s response to rape, rape disclosure and, health outcomes in Tanzania should assume a holistic approach to address the negative factors identified at the individual, family and, community levels without forgetting the normative context that appears to underlie most decisions and practice.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2010. 55 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 554
Keyword
Rape, women, victim, supporter, social reaction, social network, community, Tanzania
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:uu:diva-122250 (URN)978-91-554-7788-2 (ISBN)
Public defence
2010-05-25, Rosensalen, Akademiska sjukhuset, Uppsala, 09:00 (English)
Opponent
Supervisors
Available from: 2010-04-29 Created: 2010-04-07 Last updated: 2010-05-18

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Muganyizi, ProjestineAxemo, Pia

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