Violence and health in Turkey

1
Violence and health in Turkey

• Dr. Sarp Üner
• Hacettepe University, Faculty of Medicine,
• Department of Public Health
• sarpuner_at_hacettepe.edu.tr

2
Typology of violence
World report on violence and health, Ed Krug,
Dahlberg, Mercy, Zwi, Lozano, World Health
Organization, Geneva, 2002, CHAPTER 1. VIOLENCE
--- A GLOBAL PUBLIC HEALTH PROBLEM , p.7
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• Do we have violence in Turkey?
• What do we know about violence in Turkey?
• insidans?
• prevalens?
• indicators?

4
World Health Organization

• The most important reason not developing
  indicators related to violence is not being able
  to collect data of countries.
• no data no indicator
• It is necessary to collect information about
• Size, type and severity
• Causes, impact and / or co morbid factors
• Short, medium and long-term results
• Cost
• of violence nationwide
• Intervention programs to prevent violence needs
  absolutely a high-quality and reliable
  information system.

5
World Health Organization

• Violence-specific researchs
• Routine data collection (surveillance system)
• Regular follow-up and evaluation

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• Do we know the size of violence in Turkey?
• Research ?

7
Some important researches in the previous years

• Research on violence on students enrolled in
  secondary education and affecting factors in
  Turkey
• Research on violence against women in Turkey
• National research on domestic violence against
  women in Turkey

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• Research on Violence on Students Enrolled in
  Secondary Education and
• Affecting Factors in Turkey, (April 2007)
• Grand National Assembly of Turkey, Prof. Dr.
  Hilal Özcebe et al

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Report Research on Violence in Students
Enrolled in Secondary Education and Affecting
Factors in Turkey

• Method
• Type of the study School based, cross-sectional
  field research
• Universe of the study all students, enrolled in
  Secondary Education, 6294 schools, 3028092
  students
• Sample design 261 schools 26009 students are
  selected with stratified cluster sampling
  technique to calculate special rates for school
  type (public-private) and sex for nationwide.

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Report Research on Violence in Students
Enrolled in Secondary Education and Affecting
Factors in Turkey

• Result
• physical violence 22 .
• verbal violence 53 .
• emotional violence 36 .
• sexual violence 16.

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• Research on violence against women in Turkey,
  2007
• The Scientific and Technological Research Council
  of Turkey /Dr. Ayse Gül Altinay, Prof. Dr. Yesim
  Arat
• www.kadinayoneliksiddet.org
•  

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Research on violence against women in Turkey

• Method
• Qualitative Interviews with nearly 150 women
  from women NGOs, woman commissions of
  Municipalities and Bar Councils which are
  combating VAW, in 27 provisions.
• Quantitative field research
• 56 provisions
• overall 1800 married woman
• representing Turkey (12 Statistical Region Units)

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Research on violence against women in Turkey

• Results
• 1/3 woman physical violence
• 78 in divorced or separated
• education, income
• having violence in family
• 9/10 women express violence as unfair.
• man education
• violence is private.

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• National Research on Violence against Women in
  Turkey, 2008
• The Directorate General of the Status of Women/
  Prof Dr. Sabahat Tezcan et al
• http//www.ksgm.gov.tr/tdvaw/belgeler.htm

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National Research on Violence against Women in
Turkey

• Method
• Qualitative 9 focus group discussions 64
  in-depth and semi structured interviews.
• Quantitative a weighted, stratified and
  multi-staged cluster sample
• Turkey, 12 regions, urban/ rural strata.
• age group, education level, socio-economic
  status
• 15-59 age group, 51 provision, 542 cluster
• 12795 women, 17168 household

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National Research on Violence against Women in
Turkey

• Key findings
• husband.
• 39 physical violence
• 15 sexual violence
• higher educated women

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National Research on Violence against Women in
Turkey

• Key findings
• ¼ married women have been injured
• 1/10 women beaten during pregnancy
• hidden problem
• very rarely seek help
• more general and mental health problems

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• Do we know the size of violence in Turkey?
• Research ?
• Rutin surveillance system ?

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Four main actions module
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Combating Domestic Violence Against Women
Project (December 2006- December 2008)

• Directorate General on the Status of Women
• The European Union
• United Nations Population Fund

21
The achieved results in the framework of the
project

• 1- The National Action Plan on Combating
  Domestic Violence 2007-2010
• .. defines the activities and responsibilities of
  all relevant agencies-institutions in short, mid
  and long-run for combating domestic violence
  against women

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The achieved results in the framework of the
project

• 2- Increased sensitivity amongst public officials
  on violence against women
• Study Tours
• Ministry of Justice,
• Ministry of Health,
• Directorate General of the Status of Women
• Directorate General on Social Services and
  Children Protection,
• Directorate General of Security.
• Subsequent report has been prepared on the
  service delivery models of Denmark and Austria

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The achieved results in the framework of the
project

• 3- Shelter standards and alternative management
  models
• The Womens Shelters Guide has been prepared
  in order to provide guidance to existing shelter
  managers, and municipalities and non-governmental
  organizations that run or are willing to open
  shelters.

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The achieved results in the framework of the
project

• 4- Development and implementation of a national
  communication strategy
• Activities
• Stakeholders Meeting
• Regional Conferences
• Gender and Media Workshops
• Combating Domestic Violence Manual
• Male Involvement in Combating Violence against
  Women Conferences and Workshops

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The achieved results in the framework of the
project

• 5- Service delivery model and training programs
• Workshop
• Basic Training on Domestic VAW
• The Seminar on Techniques of Interviewing the
  Victims and Perpetrators of Violence
• Womens NGOs and Media Training
• Training of Trainers Program

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The achieved results in the framework of the
project

• 6- National database and information system
  model
• Model Proposal for National Database and
  Information System on Combating Domestic Violence
  against Women Assessment of Current Situation
  and a Model Proposal for Turkey
•  
•  
• Dr. Banu Çakir, Dr. Sarp Üner
•  
• December, 2007

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In light of the findings of the report the
prioritized points

• National advisory
• Nation-wide cross sectional study
• Module
• Minimal data set
• Standardized forms,
• Evaluation
• Combination of data
• In-service training,
• Legal infrastructure
• Institutional and national budgets
• Gender-specific tables.

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• Thank you

Dr. Sarp Üner Hacettepe University, Faculty of
Medicine, Department of Public Health
sarpuner_at_hacettepe.edu.tr