Venera Bekteshi, Mary van Hook, Eglantina Gjermeni, Jenn L Bellamy
{"title":"The Shadow Pandemic Contextualised: Albania's Response to Domestic Violence During COVID-19.","authors":"Venera Bekteshi, Mary van Hook, Eglantina Gjermeni, Jenn L Bellamy","doi":"10.1002/hpm.3884","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Domestic violence (DV) encompasses a pattern of psychological, physical, sexual, financial, and/or emotional abuse, manifesting through assault, threats, and intimidation. Economic and social stressors in conjunction with the COVID-19 pandemic escalated DV cases worldwide, including those in Albania. Socioeconomic vulnerabilities worsened the situation, with DV-related complaints to non-governmental organizations (NGOs) in Albania increasing by 60% between March and May 2020, compared to the same period in 2019. Despite government efforts through a comprehensive anti-DV strategy, as the pandemic subsided, 2986 Albanian women still reported enduring DV.</p><p><strong>Methods: </strong>Using the Contextual Influence in Acculturative Stress (CIAS) framework, this study identified key external and internal contextual factors contributing to DV in Albania. These factors were assessed to evaluate their integration into the national anti-DV policy and their potential for improving the policy's impact.</p><p><strong>Results: </strong>The Albanian government's response focused on four primary areas: legal protection, women's safety, economic well-being, and community awareness. However, many vulnerable groups remained underserved. Furthermore, economic assistance provided was insufficient to address the increased financial strain faced by victims. Educational and awareness campaigns were implemented, but despite these efforts, DV rates persisted at high levels throughout the pandemic.</p><p><strong>Conclusion: </strong>The findings underscore the need for more targeted, comprehensive, and context-sensitive approaches to DV intervention. The Albanian government's anti-DV strategy could be strengthened by addressing micro-level needs, such as tailored counselling, culturally sensitive services, and more robust economic support measures. Incorporating these elements into future policies may better address the structural and cultural barriers that perpetuate DV, particularly among vulnerable populations.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Health Planning and Management","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/hpm.3884","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Domestic violence (DV) encompasses a pattern of psychological, physical, sexual, financial, and/or emotional abuse, manifesting through assault, threats, and intimidation. Economic and social stressors in conjunction with the COVID-19 pandemic escalated DV cases worldwide, including those in Albania. Socioeconomic vulnerabilities worsened the situation, with DV-related complaints to non-governmental organizations (NGOs) in Albania increasing by 60% between March and May 2020, compared to the same period in 2019. Despite government efforts through a comprehensive anti-DV strategy, as the pandemic subsided, 2986 Albanian women still reported enduring DV.
Methods: Using the Contextual Influence in Acculturative Stress (CIAS) framework, this study identified key external and internal contextual factors contributing to DV in Albania. These factors were assessed to evaluate their integration into the national anti-DV policy and their potential for improving the policy's impact.
Results: The Albanian government's response focused on four primary areas: legal protection, women's safety, economic well-being, and community awareness. However, many vulnerable groups remained underserved. Furthermore, economic assistance provided was insufficient to address the increased financial strain faced by victims. Educational and awareness campaigns were implemented, but despite these efforts, DV rates persisted at high levels throughout the pandemic.
Conclusion: The findings underscore the need for more targeted, comprehensive, and context-sensitive approaches to DV intervention. The Albanian government's anti-DV strategy could be strengthened by addressing micro-level needs, such as tailored counselling, culturally sensitive services, and more robust economic support measures. Incorporating these elements into future policies may better address the structural and cultural barriers that perpetuate DV, particularly among vulnerable populations.
期刊介绍:
Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.