1 Violence Prevention Training Course with a Public Health Approach an Experience from El Salvador Emperatriz Crespín Emperatriz Crespín MD. MPH
2 Panamerican Health Organization (PAHO)/ & German Technical Cooperation GTZ International Physicians for the Prevention of Nuclear War /IANSA Public Health Network
3 Could violence be prevented as other diseases like diarrhea,malaria ? Could health workers do something ? What do we need to learn to prevent violence ?
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5 There is a role of physicians and other health workers in the preservation and promotion of peace is the most significant factor for the attainment of health for all. In El Salvador, almost 3, 000 homicides involving firearms occur each year, youngsters are involved as victims and perpetrators.
6 Objective to assess the role of violence prevention training course with a public health approach addressed for people working with Youth Programs in El Salvador, to make suggestions to improve implementation and follow up.
7 Material and methods. The implementation of the Youth Violence Prevention Curricula of WHO has been developed. the program with 43 participants from different NGO´s (now more than 100), members from civil society working with violence prevention programs for youngsters and students from the National University of El Salvador from different health specialties developed in three series of workshops
8 TEACH VIP Youth esta basado en: A curricula developed by PAHO and designed to be implemented with students from the health sector and health workers that work in violence and injury prevention. A curricula developed by PAHO and designed to be implemented with students from the health sector and health workers that work in violence and injury prevention. T raining, E ducating, A dvancing C ollaboration in H ealth on V iolence and I njury P revention for Y outh
9 TEACH – VIP Curricula TEACH-VIP :core and advanced curricula TEACH – VIP Youth : curricula to be used with multisector.
10 Training trainers
11 Theorical Framework PobrezaViolenciaMediosCultura MULTIPLES CAUSAS DE LA VIOLENCIA Enfoque multisectorial Fomento de Desarrollo Juvenil y Prevención de la Violencia POLICIA NACIONAL ORGANIZACIONES NO GUBERNAMENTALES (ONG) CASA DE LA CULTURA GOBIERNO LOCAL INSTITUCIONES PÚBLICAS ORGANIZACIONE S JUVENILES ORGANIZACIONE S DE BASE Enfoque ecológico Intervención multinivel
12 Familia, escuela y empresa Municipio y comunidadSocio-Político Comunitario Comunitario Interpersonal Individual Individual Grupos operativos de ayuda mutua Capacitación a tutores en desarrollo juvenil integral. Familias fuertes – Amor y límites Trabajo en red multisectorial Políticas municipales de juventud Normas de prevención de la violencia que afecta a los jóvenes ESTRATEGIA FOMENTO DEL DESARROLLO JUVENIL Y PREVENCIÓN DE LA VIOLENCIA Evaluación de Efectos /Impactos Mejora de la comunicación padres e hijos. Disminuya los factores de riesgo. Se trabaja la problemática de los jóvenes de manera articulada. Se asegura la sostenibilidad e implementación de la propuesta integral de intervención. Se potencia la capacidad de resolver conflictos y el manejo emocional. ACTORES Educación Municipio Municipio Salud SociedadCivil Empresa EmpresaPrivada Jóvenes Jóvenes Fomento de desarrollo de los de los jóvenes jóvenes
13 Participants NGO´s Medical Students Health workers Municipalities Community leaders
14 The curricula Conceptos (adolescencia y juventud, Epidemilogia,etc) Tipologia de la violencia Enfoques de Prevencion de Violencia Alianzas Multisectoriales Evidencia en Prevencion de violencia
15 Curricula Teorias de cambio de conducta por niveles del modelo ecologico Monitoreo orientado a impactos
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17 PROCESS
18 Workshops
19 Material and methods. semi-structured interviews with participants of workshops in order to explore how this training improved their skills to work against violence. the follow up period was for 6 months.
20 Survey 1. Conoce los contenidos del TEACH-VIP Youth? No se que es Lo conozco pero no lo uso Pocas veces utilizo Lo utilizo con frecuencia 2. Desde su capacitación en el TEACH-VIP Youth ha utilizado sus contenidos en forma parcial o completa?
21 Survey 3. Se ha involucrado en proyectos de prevención de violencia en los ultimos meses? 4. Ha aplicado algunos de los conocimientos adquiridos durante el taller TEACH-VIP en la realización de sus proyectos? 5. Ha promovido con otros el taller TEACH-VIP? 6. Que elementos del TEACH VIP considera que fortalecerían su trabajo en campo? 7. ha evaluado las actividades que desarrolla en prevención de violencia? 8. considera que existen contenidos del taller TEACH-VIP que no se aplican a su campo de trabajo? 9. Que recomendaciones daría al equipo de facilitadores del Taller TEACH-VIP para capacitaciones futuras?
22 Results. 43 people were trained in the violence prevention course. A second phase of follow up included semi –structured interviews after 3 months since the first workshop and a second round of interviews 3 months later in order to explore how the participants applied their knowledge into their current youth violence prevention programs.
23 Results Question 1: Conoce los contenidos del TEACH-VIP Youth? no se lo que es =0% Lo conozco pero no lo uso : 11.62% (5) Pocas veces lo utilizo : 27.9 % (12) Lo utilizo con frecuencia : 60.47 % (26)
24 Question 2 Desde su capacitación en el TEACH- VIP Youth ha utilizado sus contenidos en forma parcial o completa Parcial : 58 % (25) Completa : 11.62 % (5) No lo ha usado : 30.23%(13)
25 Question 3 Have you been involved in violence prevention projects in the last months ? Yes : 69.76% (30) No : 30.23% (13)
26 Question 4 Did you applied your knowledge into your projects ? No : 39.73% Yes : 60.27%
27 Question 5 Have you promoted the TEACH-VIP ? Yes : 100% NO : 0%
28 Question 6 Que elementos del TEACH VIP considera que fortalecerían su trabajo en campo Follow up : 100% More training : 25% Mentoring : 10%
29 Question 7 ha evaluado las actividades que desarrolla en prevención de violencia? Yes : 6.97% (3) No : 93.0% (40)
30 Question 8 Do you consider that there are some elements that can not be applied for your field ? No : 93% (40) Yes : 2.32 %(1) Do not know : 4.65 (2)
31 Question 9 Recomendations : Encourage more training a follow up To Get involved other sectors, provinces and communities Include more materials.
32 Discussion and conclusions. It was found that an improved training program for violence prevention with a public health approach for health workers and civil society would benefit the current youth violence prevention programs which could be cost-effective and may even prevent further violence.
33 Some products ! Program for violence prevention in a church. Teachers at Centres for Youth Rehabilitation are applying the concepts of the curricula Phyquiatrist working at a hospital is doing a follow up of her patients.
34 THANKS