Violence Prevention Violence Prevention Training Course with a Training Course with a

Public Health Approach Public Health Approach an Experiencean Experience from El from El

SalvadorSalvador

Violence Prevention Violence Prevention Training Course with a Training Course with a

Public Health Approach Public Health Approach an Experiencean Experience from El from El

SalvadorSalvador

Emperatriz Crespín Emperatriz Crespín MD. MPH MD. MPH

Panamerican Health Organization (PAHO)/ &German Technical Cooperation GTZ

International Physiciansfor the Prevention ofNuclear War /IANSAPublic HealthNetwork

• Could violence be prevented as other diseases like diarrhea ,malaria ?

• Could health workers do something ?

• What do we need to learn to prevent violence ?

There is a role of physicians and other healthworkers in the preservation and promotionof peace is the most significant factor forthe attainment of health for all. In El Salvador, almost 3, 000 homicidesinvolving firearms occur each year, youngsters

are involved as victims and perpetrators.

Objective

to assess the role of violence prevention

training course with a public healthapproach addressed for people workingwith Youth Programs in El Salvador, tomake suggestions to improveimplementation and follow up.

Material and methods.

The implementation of the Youth ViolencePrevention Curricula of WHO has beendeveloped. the program with 43 participantsfrom different NGO´s (now more than 100) ,members from civil society working with violenceprevention programs for youngsters and studentsfrom the National University of El Salvador fromdifferent health specialties developed in threeseries of workshops

TEACH VIP Youth esta basado en: TEACH VIP Youth esta basado en:

A curricula developed by PAHO and A curricula developed by PAHO and designed to be implemented with designed to be implemented with students from the health sector and students from the health sector and health workers that work in violence and health workers that work in violence and injury prevention. injury prevention.

T raining, T raining, E ducating, E ducating, A dvancingA dvancingC ollaboration inC ollaboration inH ealth onH ealth on

V iolence and V iolence and I njury I njury P revention forP revention forY outhY outh

TEACH – VIP Curricula

• TEACH-VIP :core and advanced curricula

• TEACH – VIP Youth : curricula to be used with multisector .

Training trainers

Theorical Framework Theorical Framework

Pobreza Violencia Medios Cultura

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

CASA DE LA CULTURA

GOBIERNO LOCAL

INSTITUCIONES PÚBLICAS

ORGANIZACIONES JUVENILES

ORGANIZACIONES DE BASE

Enfoque ecológico Intervención multinivel

Familia, escuela y empresaMunicipio y comunidad

Socio-PolíticoSocio-Político

ComunitarioComunitario InterpersonalInterpersonal IndividualIndividual

Grupos operativos de ayuda mutua

Capacitación a tutores en desarrollo juvenil integral.

Familias fuertes – Amor y límites

Trabajo en red multisectorial

Políticas municipales de juventudNormas 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

EducaciónEducación

MunicipioMunicipio

SaludSalud

SociedadSociedadCivilCivil

EmpresaEmpresaPrivadaPrivada JóvenesJóvenes

Fomento Fomento de desarrollode desarrollo

de losde los jóvenesjóvenes

Participants • NGO´s • Medical Students • Health workers • Municipalities • Community leaders

The curricula • Conceptos (adolescencia y juventud ,

Epidemilogia ,etc)• Tipologia de la violencia• Enfoques de Prevencion de Violencia • Alianzas Multisectoriales • Evidencia en Prevencion de violencia

Curricula • Teorias de cambio de conducta

por niveles del modelo ecologico• Monitoreo orientado a impactos

PROCESS

Workshops

Material and methods.

semi-structured interviews withparticipants of workshops in order toexplore how this training improvedtheir skills to work against violence. the follow up period was for 6 months.

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?

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?

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 .

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)

Question 2Desde 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)

Question 3 • Have you been involved in

violence prevention projects in the last months ?

• Yes : 69.76% (30)• No : 30.23% (13)

Question 4 Did you applied your knowledge into

your projects ? • No : 39.73%• Yes : 60.27%

Question 5• Have you promoted the TEACH-VIP

?Yes : 100%NO : 0%

Question 6Que elementos del TEACH VIP

considera que fortalecerían su trabajo en campo

Follow up : 100% More training : 25% Mentoring : 10%

Question 7 ha evaluado las actividades que

desarrolla en prevención de violencia?

• Yes : 6.97% (3)• No : 93.0% (40)

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)

Question 9 Recomendations :• Encourage more training • a follow up • To Get involved other sectors ,

provinces and communities • Include more materials .

Discussion and conclusions.

It was found that an improved trainingprogram for violence prevention with apublic health approach for health workersand civil society would benefit the currentyouth violence prevention programs whichcould be cost-effective and may evenprevent further violence.

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 .

THANKS