Phases of the development of the framework | Data source | Description | Contribution to readiness analysis |
---|---|---|---|
Phase 1. Initial development | Literature | ▪ Rapid literature review of studies on health system barriers and enablers to integrating IPV care and on readiness elements | ▪ Identification of system capabilities for the development of the initial conceptual framework |
Phase 2: Examination of appropriateness of the framework’s dimensions | In-depth interviews with health providers | ▪ Views and attitudes among health providers on IPV response; knowledge, ability to offer IPV care; training received; perceived challenges; supervision and ongoing support; | ▪ Values and organisational culture ▪ Health provider preparedness |
In-depth interviews with health managers | ▪ Views and beliefs about IPV response and role of health systems; views on role of managers in supporting clinical team; monitoring and evaluation; allocation of resources; views on challenges | ▪ Values ▪ Organisational support and leadership ▪ Management at operational level | |
Facility observations | ▪ Data on available resources, including availability of protocols and guidance documents, dedicated staff, adequacy of infrastructure (including confidential space to discuss IPV); availability of referral mechanisms and multi-sectoral coordination; documentation process | ▪ Organisational and service delivery capabilities (facility readiness) | |
Document review | ▪ Document analysis of national policy documents, guidelines and reports on IPV | ▪ Governance and leadership ▪ Monitoring & Evaluation/surveillance | |
Phase 3: Refinement of the initial framework | Data synthesis |