DRAW, SPOT AND ACCOMPANY BY MEANS OF A QUESTIONNAIRE USED IN EASTERN PARIS SUBURB HOSPITALS. Violence against women (TRAQUE-VFF): methodology and first results

Abstract

Domestic violence is a major problem with social and
economic impact as well as consequences on morbidity
and mortality. They constitute a danger for maternal
and perinatal health, increasing by 1.9 the risk of miscarriage. Tracking violence against women must be a
diagnosis tool given to hospital staff, especially in gynaecology and obstetrics services, before allowing either a
penal, judicial or social action and envisaging women
and children protection.
Shortening the delay between the first committed act of
violence and the first complaint offers an effective prevention and protection tool widely developed by the
Convention signed by European Council.
The so-called TRAQUE-VFF protocol from the Grand
Hôpital de l’Est Francilien (Seine-et-Marne, France)
acts on three levels:
i) Train the nursing professionals (medical and not
medical) for the location, the care), the information and
the orientation of the women victims of violence;
ii) Facilitate the location otthe victims of violence against
women by the use of a questionnaire containing five
questions concerning the psychological violence, the
control by the partner, the fear generated by him, the
threats and the physical violence, the sexual abuses;
iii) Bring to the women victims of violence against
women a sanitary, social and legal answer within the
framework of a coordinated coverage.
The first 303 collected questionnaires were it easily with
an answer almost always from the first time (97,7%).
Among 296 filled questionnaires, 34 women gave at
least a positive answer that is 11.5%. Among the questioned women, 7.26% had undergone psychological violence, 3.96% controls by the partner, 5.94% the fear
generated by him, 3.96% the threats and the physical
violence and 1.65% the sexual abuses. For almost half of
the women having been victims of violence, these were
multiple. Further to this tracking and to the follow-up,
9 women on 30 (30%) began actions, often multiple
(psychologist and jurist, complaint and consultation by a
medical examiner, a consultation of the social services
department and resort to a judge for a civil action).