Health Program Planning for Sexual Violence in Women

This report will provide a detailed framework of women health services essential principle required to develop for prevention of gender inequity and sexual violence in Aboriginal and Torres Strait Island women. The paper will consider the social-political and domestic context in which violence occurs in women and it will identify crucial elements to guide the aboriginal people to prevent the violence and gender inequity.

Running head: HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
Health program planning for sexual violence in women
Name of the student:
Name of the university:
Author note:

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
Executive summary:
This report will provide a detailed framework of women health services essential
principle required to develop for prevention of gender inequity and sexual violence in Aboriginal
and Torres Strait Island women. This paper will consider the social-political and domestic
context in which violence occurs in women and it will identify crucial elements to guide the
aboriginal people to prevent the violence and gender inequity. The pieces of evidence suggested
that the statistics of sexual abuse is higher for the indigenous people than non-aboriginal people
of Torres Strait Island. The time frame of this observation will take two years to get a possible
outcome starting from the August 2018 to February 2019.
This framework aims to identify those barriers that exist in aboriginal people to prevent
such violence and treat women equally and provide the proper health care to the victims of such
violence. This paper will also provide a framework of participants that involved and participated
through the use of a focus group which includes the evaluation plan and communication plan and
possible useful outcome of the plan. It will take approximately one week.

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
Table of Contents
Introduction:....................................................................................................................................3
2. Need assessments aim and methodology:....................................................................................3
2.1 Aim of the study:...................................................................................................................3
2.2 Objective:...............................................................................................................................4
2.3Outcome:.................................................................................................................................4
2.4: Approached methodology:...................................................................................................4
3. Background of the issue (Secondary data)..................................................................................5
3.1 Sexual violence in aboriginal women of Australia:...............................................................5
3.2 Why focus on aboriginal women?.........................................................................................5
3.3 Issues that encourages the sexual violence:...........................................................................6
3.4 impact of sexual abuse on women:........................................................................................7
4. Primary data collection in needs assessment technique:.............................................................8
Part 1: Gathering information......................................................................................................8
Part 2: Preparing strategy.............................................................................................................9
Partner inventory:..........................................................................................................................10

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
Introduction:
This paper developed by the women health services in Australia which explore the
involvement of aboriginal male for reduction of the sexual violence and gender equality against
women and indigenous women in caring about their human rights. Aboriginal women face
massive challenges in living their human rights. Moreover, aboriginal women experienced
different forms of gender discrimination, lack of proper education and access to education,
sexual abuses at home and workplaces (Wilson et al., 2017). Despite of having such issues, a
majority of women in the population are reluctant to highlight such problems publically and
voice against it. Consequently, women are suffering from health problems such as sexually
transmitted disease, emotional distress, self-harm, teenage pregnancy, sleep disorder and suicide
(Funston and Herring 2017). Therefore, indigenous women play a massive role in preventing
such violence by involving them in the process of gaining appropriate education about these
essential issues and social, economic factors that influence such problems (Berns 2017).
2. Need assessments aim and methodology:
2.1 Aim of the study:
To address the health issues of aboriginal women experiencing due to sexual violence
and gender equity and strategies a plan to reduce health issues along with the prevention of
abuse.
2.2 Objective:
• To determine the method of appropriate care to the victims by addressing their weakness and
mental health issues they are facing
• Legal steps to proceed with the implementation plan to reduce such effects.

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
2.3Outcome:
• Prevention of the health issues such as sexually transmitted disease and depression
• Improved capacity to the local services to the cure such health issues.
2.4: Approached methodology:
The direction of this need assessment has been determined by project group who will
conduct the study in a different geographical location. The approached methods of doing the
research are the following:
• Consult with professionals and medical practitioner to understand the core of the health
issues faced by indigenous women due to the high rate of gender discrimination and sexual abuse
(Braithwaite and daly 2017). Based on this data the accurate models of the preventing the
sexually transmitted disease such as AIDS is possible, and this will appropriate for women who
are suffering from physical, mental issues.
• Conduct the discussion with client group about the reason of sexual abuse at the home and
highlight the prevalence of sexually transmitted disease as a consequence of sexually transmitted
disease.
• Based on this information, a questioner will be provided to the individuals and a platform will
be arranged that the individuals will talk about their personal experience if trauma.
• Volunteers will discuss the cause of sexual violence and consequences of sexual abuse.
• The medical practitioner from different sectors will be participated in the programme to
address the health issues that may threaten life due to health consequences and provide the
implementation plan to reduce such problems (Tarzia 2017)

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
• The legal practitioner will brief about the women rights to prevent such violence and provide
ethical framework to receive accurate treatment for healing.
3. Background of the issue (Secondary data)
3.1 Sexual violence in aboriginal women of Australia:
From the ancient era, women are the victim of the sexual abuse in the domestic area and
public area worldwide. However, the frequency of experiencing domestic and public sexual
violence is lesser as compared to indigenous people who frequently faced the sexual abuse. In
Australia, approximately 15% of the incidence of sexual abuse reported every year (Dowling et
al. 2016). Majority of the women do not voice about their experiences due to brutal sexual
violence and consequences of it. Especially, Aboriginal women are facing significant challenges
in fulfilling their rights indifferent. The age group of meeting such violence mostly belongs to
the age in between 15 to 40 and due to lack of the knowledge, lack of enough courage they do
not think of voice about these experiences publically. Consequently, the frequency of
reoccurrences of such trauma increases exponentially along with the sexually transmitted
disease.
3.2 Why focus on aboriginal women?
In the difficult part of the city, women are more educated and independent as compared
to the population that lived outskirts or island where technology and education are less advanced
(Prentice ,Blair and O’Mullan 2017) . Therefore, in developed or core of the city women voice
out their experiences if they suffer from such violence and take action legally. Moreover, they
are also aware of the health consequences of such violence and take precaution against it. On the

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
other hand, aboriginal women lack the access to knowledge in fundamental areas, and they are
unaware of the consequences of violence, women rights to prevent it. As a result, the majority of
the women are experiencing health issues such as HIV infection followed by AIDS (Mooney and
Sariago 2015). Adolescent girls and married women are particularly susceptible to this infection
because they suffer forced rape in their house premises. Due to a lack of sound knowledge, they
failed to address such problems and incidence of AIDS, unwanted pregnancy, sleep deprivation
and suicide (Marchetti and Daly 2017).
3.3 Issues that encourages the sexual violence:
Since not every layer of the community is aware of the sexual abuse and negative
consequences of it, sexual violence becomes a neglected part of the women’s life. In most of the
community sexual violence portrayed as a horrific situation that people are ignorant about
(Trescak et al. 2015). Moreover, the majority of the male are ignorant about the knowledge of
sexual abuse due to gender inequity in the community (Varney, Rumbold and Sampson 2014). In
the domestic atmosphere most of the priority gained by men in every city because the men
portrayed as the earning members of the house in the community. On the other hand, aboriginal
women lack the access of educated so became a victim of such practices (Burnette and Figley
2016). Language, culture and beliefs also influence the episodes of sexual violence and
consequently, the unreported incidence of sexual abuse increases exponentially (Lake 2017).
Australian Bureau of Statistics reported that one in five women experiences sexual violence and
it increase by 1.2 % every year. Consequently, the prevalence of AIDS observed in 29% of
women out of 87% of the victims (Azzopardi et al. 2018). Political and economic factors
significantly influenced the sexual violence in the domestic and public area that increases the
incidence of the sexually transmitted disease (Devries et al. 2011).

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
3.4 impact of sexual abuse on women:
Violence against women and HIV considered as two major public health problems that
affect the sexual and reproductive health in Torres Strait Island. Evidence shows that HIV one of
the most significant risk factors for sexual violence in aboriginal women since they faced sexual
abuse by their partners, family members and community members (Shannon et al. 2015).
Majority of the women are also suffering from secondary infection due to AIDS. The prime
reason behind this secondary infection is vulnerable to immune surveillance. Also, many women
experienced sudden anxiety, fear of violence, depression, and sleep deprivation. The severity of
sexual abuse can cause suicide. Cultural clash, male ego, dominance, community influence and
other political factors lead to such violence (Abrahams et al. 2015). Approximately 76% of the
women commit suicide due to sexual abuse at the home. In urban areas, the rate of death due to
sexual violence is less than other suburban and islands (Flynn et al. 2018). However, in all areas
of the due to male-dominated community, sexual violence treated as the neglected crime (Pearce
et al. 2015). A significant number of women died because of HIV infection and reluctance
towards the disease. Moreover, many intimate partners do not use the condom for having sex and
women have to face the consequences of it mentally and physically (Dowling et al. 2016).
Therefore, the awareness related to health issues and use of protection during sex is required for
leading quality life. Psychoanalysis of these women with empathy is also an effective way to
reduce the violence and spread health issues ( Vos et al. 2016). Due to dominance and
insecurities, males are more prone to commit such crime. Therefore, the involvement of man in
this journey is essential to prevent such practices (Abebe et al. 2018).

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
4. Primary data collection in needs assessment technique:
Part 1: Gathering information
Techniques: focus group
Level of engagement: communication and consultation
Health agency: women health services with the help of the Royal Australian College of General
Practitioners
Considering the focus group in a study is the efficient way to conduct a study where
information is not available in the literature. The groups will generally consist of 10 to 12 people,
and volunteers ask the questions to the questions to each person about their personal experiences
and the health issues they are facing due to damages to the mental and physical health.
.Description:
Women of Torres Strait Island who experienced the gender discrimination and sexual
violence will be contacted via emails. A member of women health services will add all the
gathered information to the system, and other volunteers will contact the healthy aboriginal
workers who can access the emails. Total focus groups of 7 will be set up around Australia
around the different geographical location such as inner and outer region and major city. A polite
approach will be adopted to ask a direct question in more traditional storytelling type (Prehn
2018). Moreover, participants will be encouraged to share their stories which will be appreciated
by empathy. The national health and medical research council published a guideline for the
population of Aboriginal and Torres Strait Island women will be followed throughout the
assessment plan by respecting their integrity and ethical values, culture and personal opinions
(Cescon et al. 2015).
Rational/purpose:

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
The purpose of this focus group is to address the core reason for sexual violence
experienced by aboriginal women and their health issues such as AIDS or HIV infection,
depression, anxiety. The project will cover the gathering information according to the priority of
the focus group and support the need of the individual for the prevention of sexual violence and
health issues.
Possible outcome:
The eventual outcome will be proper education to the people so that women will voice
about their sexual violence. Moreover, sound knowledge about the disease and prevention of
disease will help women to be aware of their conditions. By sharing their personal experiences,
the majority of the individual will get the solution to prevent violence and aware of the health
condition. Moreover, effective communication will help the individual to overcome their trauma
related to the disease.
Part 2: Preparing strategy
Level of engagement: collaboration
Collaboration with individuals of different field and community will help people to make
the recommendation for their health issues and area of concern that others failed to address.
Technique: search conference
Search conference will be arranged where a large group of individuals from different
background will involve in the conversation and will talk about their personal experience and
build a framework to strategies an implementation plan to overcome the health issues related to
violence .

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
Partner inventory:
General practices
 Modern medical clinic
 Deweyville medical centre
 Metceni health center
 Dynamic doctors group
 Peel Conolly medical center
Community health services
 Peel health campus
 Leslie street center
 Older adult mental health center
 Mimdi park inpatient unit
 Home and community care programme
Retriment villages
 Amana living
 Belswan pinjarra
 Coolibah retirement village
Community social support
 Mandurah library
 Halls head Recreation
 University of Third age

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
 Falcon lions club
 Rotatry club of Mandurah city
 Mandurah city dance club
 Mandurah city probus club
 Peel harmony chorus

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HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
Reference:
Abebe, K.Z., Jones, K.A., Culyba, A.J., Feliz, N.B., Anderson, H., Torres, I., Zelazny, S.,
Bamwine, P., Boateng, A., Cirba, B. and Detchon, A., 2018. Engendering healthy masculinities
to prevent sexual violence: Rationale for and design of the Manhood 2.0 trial. Contemporary
clinical trials.
Abrahams, N., Denvries, K., Watts, C., Pallito, C., Petzold, M., Shamu, S. and Garcia-Moreno,
C., 2015. Prevalence of non-partner sexual violence: A review of global data. Oxford Textbook of
Violence Prevention: Epidemiology, Evidence, and Policy, p.49.
Azzopardi, P.S., Sawyer, S.M., Carlin, J.B., Degenhardt, L., Brown, N., Brown, A.D. and Patton,
G.C., 2018. Health and wellbeing of Indigenous adolescents in Australia: a systematic synthesis
of population data. The Lancet, 391(10122), pp.766-782.
Berns, N.S., 2017. Framing the victim: Domestic violence, media, and social problems.
Routledge.
Braithwaite J, Daly K., 2017. Masculinities, Violence and. Crime control and women: Feminist
implications of criminal justice policy 12 (1), p.151.
Burnette, C.E. and Figley, C.R., 2016. Historical oppression, resilience, and transcendence: can a
holistic framework help explain violence experienced by indigenous people. Social work, pp.1-8.
Cescon, A., Patterson, S., Davey, C., Ding, E., Raboud, J.M., Chan, K., Loutfy, M.R., Cooper,
C., Burchell, A.N., Palmer, A.K. and Tsoukas, C., 2015. Late initiation of combination
antiretroviral therapy in Canada: a call for a national public health strategy to improve
engagement in HIV care. Journal of the International AIDS Society, 18(1), p.20024.
Devries, K., Watts, C., Yoshihama, M., Kiss, L., Schraiber, L.B., Deyessa, N., Heise, L., Durand,
J., Mbwambo, J., Jansen, H. and Berhane, Y., 2011. Violence against women is strongly

13
HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
associated with suicide attempts: evidence from the WHO multi-country study on women’s
health and domestic violence against women. Social science & medicine, 73(1), pp.79-86.
Dowling, N., Suomi, A., Jackson, A., Lavis, T., Patford, J., Cockman, S., Thomas, S., Bellringer,
M., Koziol-Mclain, J., Battersby, M. and Harvey, P., 2016. Problem gambling and intimate
partner violence: A systematic review and meta-analysis. Trauma, Violence, & Abuse, 17(1),
pp.43-61.
Dowling, N., Suomi, A., Jackson, A., Lavis, T., Patford, J., Cockman, S., Thomas, S., Bellringer,
M., Koziol-Mclain, J., Battersby, M. and Harvey, P., 2016. Problem gambling and intimate
partner violence: A systematic review and meta-analysis. Trauma, Violence, & Abuse, 17(1),
pp.43-61.
Flynn, C., Damant, D., Lapierre, S., Lessard, G., Gagnon, C., Couturier, V. and Couturier, P.,
2018, June. When structural violences create a context that facilitates sexual assault and intimate
partner violence against street-involved young women. In Women's Studies International
Forum (Vol. 68, pp. 94-103). Pergamon.
Funston, L. and Herring, S., 2016. When will the stolen generations end?: A qualitative critical
exploration of contemporary'child protection'practices in Aboriginal and Torres Strait Islander
communities. Sexual Abuse in Australia and New Zealand, 7(1), p.51.
Lake, M., 2017. Australian frontier feminism and the marauding white man. In Gender and
imperialism. Manchester University Press.
Marchetti, E. and Daly, K., 2017. Indigenous partner violence, Indigenous sentencing courts, and
pathways to desistance. Violence against women, 23(12), pp.1513-1535.

14
HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
Mooney, B. and Sariago, P., 2015. 2Spirits: Providing a multi-generational, culturally competent
approach to health promotion for Aboriginal and Torres Strait Islander communities. HIV
Australia, 13(3), p.34.
Pearce, M.E., Blair, A.H., Teegee, M., Pan, S.W., Thomas, V., Zhang, H., Schechter, M.T. and
Spittal, P.M., 2015. The Cedar Project: historical trauma and vulnerability to sexual assault
among young Aboriginal women who use illicit drugs in two Canadian cities. Violence against
women, 21(3), pp.313-329.
Prehn, J., 2018. Improving the social and emotional well-being of Aboriginal men with bush
adventure therapy. In Indigenous health conference: Walking together (pp. 75-76).
Prentice, K., Blair, B. and O’Mullan, C., 2017. Sexual and family violence: overcoming barriers
to service access for Aboriginal and Torres Strait Islander clients. Australian social work, 70(2),
pp.241-252.
Shannon, K., Strathdee, S.A., Goldenberg, S.M., Duff, P., Mwangi, P., Rusakova, M., Reza-Paul,
S., Lau, J., Deering, K., Pickles, M.R. and Boily, M.C., 2015. Global epidemiology of HIV
among female sex workers: influence of structural determinants. The Lancet, 385(9962), pp.55-
71.
Smith, R.M., Parrott, D.J., Swartout, K.M. and Tharp, A.T., 2015. Deconstructing hegemonic
masculinity: The roles of antifemininity, subordination to women, and sexual dominance in
men’s perpetration of sexual aggression. Psychology of Men & Masculinity, 16(2), p.160.
Tarzia, L., Forsdike, K., Feder, G. and Hegarty, K., 2017. Interventions in health settings for
male perpetrators or victims of intimate partner violence. Trauma, Violence, & Abuse,
p.1524838017744772.

15
HEALTH PROGRAM PLANNING FOR SEXUAL VIOLENCE IN WOMEN
Trescak, T., Williams, M., Sloan, T.R., Bogdanovych, A. and Simoff, S.J., 2015. The aboriginal
dreaming meets virtual reality. In DH2015: Annual Digital Humanities Conference: Abstracts,
Sydney, Australia, 29 June-3 July 2015.
Varney, H., Rumbold, B. and Sampson, A., 2014. Evidence in a different form: The search
conference process. Journal of Applied Arts & Health, 5(2), pp.169-178.
Vos, T., Astbury, J., Piers, L.S., Magnus, A., Heenan, M., Stanley, L., Walker, L. and Webster,
K., 2016. Measuring the impact of intimate partner violence on the health of women in Victoria,
Australia. Bulletin of the World Health Organization, 84, pp.739-744.
Ward JS, Hawke K, Guy RJ. Priorities for preventing a concentrated HIV epidemic among
Aboriginal and Torres Strait Islander Australians. The Medical Journal of Australia. 2018 Jul
2;209(1):56.
Wilson, M., Jones, J., Butler, T., Simpson, P., Gilles, M., Baldry, E., Levy, M. and Sullivan, E.,
2017. Violence in the lives of incarcerated aboriginal mothers in Western Australia. Sage
open, 7(1), p.2158244016686814.