Paramedic-conducted Mental Health Counselling for Abused Women in Rural Bangladesh: An Evaluation from the Perspective of Participants

Authors

  • Ruchira T Naved ICDDR,B, Dhaka
  • Nadia A Rimi ICDDR,B, Dhaka
  • Shamshad Jahan ICDDR,B, Dhaka
  • Gunilla Lindmark International Maternal and Child Health, Uppsala University, Uppsala

DOI:

https://doi.org/10.3329/jhpn.v27i4.3391

Keywords:

Battered women, Counselling, Mental health, Paramedics, Bangladesh

Abstract

This paper reports on evaluation of an initiative to use paramedics as the first-level mental health counsellors of abused women in rural Bangladesh (2003-2004) from the perspective of the abused women who participated in one or more counselling sessions. Thirty in-depth interviews, followed by a survey (n=372), targeted to cover all participants, were conducted in 2006. Overall, the arrangement, management of ethical issues, and skills of paramedics were rated favourably. Most (89%) abused women (n=372) considered the session useful; one-fourth of these women considered it very useful; and only a few abused women considered the session useless. Usefulness of the session was expressed mostly in terms of relief attained after talking about the issue. Most (87%) women reported being encouraged to be self-confident. In a context characterized by low self-confidence of women, lack of opportunity to talk about violence, and absence of professional mental health counselling services, this initiative is sufficiently promising to warrant further testing.

Key words: Battered women; Counselling; Mental health; Paramedics; Bangladesh  

doi: 10.3329/jhpn.v27i4.3391

J Health Popul Nutr 2009 Aug;27(4):477-491

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Author Biography

Ruchira T Naved, ICDDR,B, Dhaka

Dr. Ruchira Tabassum Naved
Public Health Sciences Division
ICDDR,B
GPO Box 128, Dhaka 1000
Bangladesh
Email: ruchira@icddrb.org

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How to Cite

Naved, R. T., Rimi, N. A., Jahan, S., & Lindmark, G. (2009). Paramedic-conducted Mental Health Counselling for Abused Women in Rural Bangladesh: An Evaluation from the Perspective of Participants. Journal of Health, Population and Nutrition, 27(4), 477–491. https://doi.org/10.3329/jhpn.v27i4.3391

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Original Papers