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Violence Prevention & Possibilities for
Health Professionals
RAPUDO HAWI
Medical Peace Workshop, April 12th & 13th, 2014
Crime and Violence are Separate Concepts
Crime is an act that violates a law.
Violence is the intentional use of physical force,
threatened or actual, that can lead to injury, death,
psychological harm, or deprivation.
Both undermine citizen security, the fundamental
right to live and develop in a safe environment.
Violence prevention is
 Springboard for Knowledge Sharing
 Policy evidence for Legislative + Institutional change
 Viable mechanism for Citizen Involvement &
Participation
Crime and Violence are Separate Concepts
Crime is an act that violates a law.
Violence is the intentional use of physical force,
threatened or actual, that can lead to injury, death,
psychological harm, or deprivation.
Both undermine citizen security, the fundamental
right to live and develop in a safe environment.
Violence prevention is
 Springboard for Knowledge Sharing
 Policy evidence for Legislative + Institutional change
 Viable mechanism for Citizen Involvement &
Participation
Re-engineering Our Thinking
OLD
The State v. the Offender
Offender breaking the
criminal code
Solution:
1. Punishment and
Deterrence
2. Change offenders
disposition to commit
crime
Victim Offender
Situation
Solution:
Intervene in the situation/ risk
factors that produces Violence
NEW
Theory of Change
Changes from Violence Prevention
a) Increase feelings of safety (for residents); and,
b) Decrease incidents of Violence and Crime
Community identified 3 conditions to achieve these
changes:
+ + =
Safe and
welcoming
physical
environment
Actively
engaged
residents
Actively
engaged
and
responsive
partners
FEELINGS
OF SAFETY
INCIDENTS
OF violence
Risk factors accumulate in Community/Institutions
6
SOCIETAL
COMMUNITY
SCHOOLS/HOSPITAL/
PEERS
FAMILY
INDIVIDUAL
Ecological Risk Model
(Source: WHO, 2002)
Examples of Risk Factors:
 Societal level: culture of violence, high
levels of inequality; organized crime
 Community level: gun and drug
availability, low social cohesion and
trust, urban decay
 Schools/Hospital/Peers level: peers
who are gang members, school
violence, health related
 Family level: harsh parenting style;
domestic violence and abuse; drug
abuse
 Individual-level: biological (gender,
age); low self esteem; inability to
regulate emotions
Multi-Sectoral Approach
Promote integrated and multi-sectoral
approaches in violence prevention
Targeting Risk +
vulnerable groups
Social prevention
Situational
prevention-
Space related
Strengthening criminal
justice institutions
Police
Judiciary
Prisons
Linking local to
national
Violence
Observatory
National
Government
Policies
County
Government Plans
1. Community Safety Forum as launch-pad for partners
/At-risk groups
2. Crime Data, Patterns and trends from Kisii Police
Station + Chief Office + Ram Hospital + Children Office into
Observatory
3. Community Safety Audit + Plan Consultations with
Core team-FBO, Chamber of Commerce, YWCA, Hospital,
County government, Planning Department & Police Station
4. Training and Capacity Building: World Bank Institute
and Kenya School of Government-Crime and Violence
Prevention, CJPC Safety Audit & Crime Observatory
Navigating Prevention In Community
Safety Data for Violence Prevention
 73 % high prevalence of Drug and
substance abuse. Youth at Car wash
were likely offenders arrested on
suspicion of handling stolen goods
every month.
 Poor utilization and Management
of Public Space. 10,000 Motorbikes
operating in Town valued at Kshs 800
million, but risk 遜 of revenue to
injuries, insecurity or accidents
 65% strong association between
Sexual Based Violence and Alcohol
abuse. 200 entertainments spots
employ about 1,000 bar
attendants exposed to sexual
assault, rape, support teen
prostitution, drug/Alcohol abuse,
84 % existence of vigilantes, 52% pay for
protective services
Kisii Police Station crime report: Petty crimes
were 5917 of 6678 (2008), 5816 of 6475 (2009) ,
4209 of 4891 (2010) and 1139 of (2011)
Hawi Medical Peace Work Presentation 2014
Mobilizing Communities into Violence Prevention
Community Safety Strategies
1. Community priorities-Public
Spaces; Youth Violence, Drugs
and substance abuse; Restoring
formal Justice
2. Community Forum- 50% (At
risk groups) + 30% (Community)
+ 20% partners/Govt actors
3. Community Action Plans
 Local Safety Initiative
 Collect data on crime and
violence
 Monitor policing service
delivery + Accountability
 Document Community voices
Journey + Stories + Photos
0 Example of Car Wash Risk As Champion of Prevention
Facts and Data
Group Daily Income for 15 members = 15
members X Kshs 600 X 30 days= Kshs
270,000
10 Carwash income in Kisii  Kshs 2.7
Million
Loss 遜 of savings to drugs , Alcohol,
injuries and police arrests = 1 million
Work with them
1) Regulations restricts use of alcohol and
drugs at the station
2) Campaign on alcohol and drugs as
hindrance to investment and youth
innovation
3) Partnership + Matchup scheme for
those give up alcohol and drug
4) Customer Satisfaction feedback (desk)
Possibilities for Health Professional
Functions Partnership
Assessment and
Research
 Hospital Observatory that has data + facts on Community, Intimate
Partner, Domestic violence
 Educational Research on Violence prevention
 Documentation and Reporting of Best Practices (HIV/AIDS,
Collaborations and
Participation
 Model for Doctor  Patient Conflict Violence
 Community consultations /projects for (youth (rehabilitation + other risk
groups) that offer alternative-to-violence
 Communication systems that help share information on plans and
policies regarding violence prevention- (Web platform for pregnant
mothers )
 Space utilization and Management within Health facilities that cause
injuries, accidents and death
Preparedness and
Planning
 Emergency response campaign for area prone to disaster victims
 Skills programs on first aid, mediation and conflict transformation
Laws and Regulations  Policy advocacy on laws regarding forensic evidence,
 Review Health professionals within county framework regarding violence
prevention
Thank You & For
enquiries
Tel: 0720975498
Email: rapudo.hawi@usalamaforum.org
www.usalamaforum.org

More Related Content

Hawi Medical Peace Work Presentation 2014

  • 1. Violence Prevention & Possibilities for Health Professionals RAPUDO HAWI Medical Peace Workshop, April 12th & 13th, 2014
  • 2. Crime and Violence are Separate Concepts Crime is an act that violates a law. Violence is the intentional use of physical force, threatened or actual, that can lead to injury, death, psychological harm, or deprivation. Both undermine citizen security, the fundamental right to live and develop in a safe environment. Violence prevention is Springboard for Knowledge Sharing Policy evidence for Legislative + Institutional change Viable mechanism for Citizen Involvement & Participation
  • 3. Crime and Violence are Separate Concepts Crime is an act that violates a law. Violence is the intentional use of physical force, threatened or actual, that can lead to injury, death, psychological harm, or deprivation. Both undermine citizen security, the fundamental right to live and develop in a safe environment. Violence prevention is Springboard for Knowledge Sharing Policy evidence for Legislative + Institutional change Viable mechanism for Citizen Involvement & Participation
  • 4. Re-engineering Our Thinking OLD The State v. the Offender Offender breaking the criminal code Solution: 1. Punishment and Deterrence 2. Change offenders disposition to commit crime Victim Offender Situation Solution: Intervene in the situation/ risk factors that produces Violence NEW
  • 5. Theory of Change Changes from Violence Prevention a) Increase feelings of safety (for residents); and, b) Decrease incidents of Violence and Crime Community identified 3 conditions to achieve these changes: + + = Safe and welcoming physical environment Actively engaged residents Actively engaged and responsive partners FEELINGS OF SAFETY INCIDENTS OF violence
  • 6. Risk factors accumulate in Community/Institutions 6 SOCIETAL COMMUNITY SCHOOLS/HOSPITAL/ PEERS FAMILY INDIVIDUAL Ecological Risk Model (Source: WHO, 2002) Examples of Risk Factors: Societal level: culture of violence, high levels of inequality; organized crime Community level: gun and drug availability, low social cohesion and trust, urban decay Schools/Hospital/Peers level: peers who are gang members, school violence, health related Family level: harsh parenting style; domestic violence and abuse; drug abuse Individual-level: biological (gender, age); low self esteem; inability to regulate emotions
  • 7. Multi-Sectoral Approach Promote integrated and multi-sectoral approaches in violence prevention Targeting Risk + vulnerable groups Social prevention Situational prevention- Space related Strengthening criminal justice institutions Police Judiciary Prisons Linking local to national Violence Observatory National Government Policies County Government Plans
  • 8. 1. Community Safety Forum as launch-pad for partners /At-risk groups 2. Crime Data, Patterns and trends from Kisii Police Station + Chief Office + Ram Hospital + Children Office into Observatory 3. Community Safety Audit + Plan Consultations with Core team-FBO, Chamber of Commerce, YWCA, Hospital, County government, Planning Department & Police Station 4. Training and Capacity Building: World Bank Institute and Kenya School of Government-Crime and Violence Prevention, CJPC Safety Audit & Crime Observatory Navigating Prevention In Community
  • 9. Safety Data for Violence Prevention 73 % high prevalence of Drug and substance abuse. Youth at Car wash were likely offenders arrested on suspicion of handling stolen goods every month. Poor utilization and Management of Public Space. 10,000 Motorbikes operating in Town valued at Kshs 800 million, but risk 遜 of revenue to injuries, insecurity or accidents 65% strong association between Sexual Based Violence and Alcohol abuse. 200 entertainments spots employ about 1,000 bar attendants exposed to sexual assault, rape, support teen prostitution, drug/Alcohol abuse, 84 % existence of vigilantes, 52% pay for protective services Kisii Police Station crime report: Petty crimes were 5917 of 6678 (2008), 5816 of 6475 (2009) , 4209 of 4891 (2010) and 1139 of (2011)
  • 11. Mobilizing Communities into Violence Prevention Community Safety Strategies 1. Community priorities-Public Spaces; Youth Violence, Drugs and substance abuse; Restoring formal Justice 2. Community Forum- 50% (At risk groups) + 30% (Community) + 20% partners/Govt actors 3. Community Action Plans Local Safety Initiative Collect data on crime and violence Monitor policing service delivery + Accountability Document Community voices
  • 12. Journey + Stories + Photos
  • 13. 0 Example of Car Wash Risk As Champion of Prevention Facts and Data Group Daily Income for 15 members = 15 members X Kshs 600 X 30 days= Kshs 270,000 10 Carwash income in Kisii Kshs 2.7 Million Loss 遜 of savings to drugs , Alcohol, injuries and police arrests = 1 million Work with them 1) Regulations restricts use of alcohol and drugs at the station 2) Campaign on alcohol and drugs as hindrance to investment and youth innovation 3) Partnership + Matchup scheme for those give up alcohol and drug 4) Customer Satisfaction feedback (desk)
  • 14. Possibilities for Health Professional Functions Partnership Assessment and Research Hospital Observatory that has data + facts on Community, Intimate Partner, Domestic violence Educational Research on Violence prevention Documentation and Reporting of Best Practices (HIV/AIDS, Collaborations and Participation Model for Doctor Patient Conflict Violence Community consultations /projects for (youth (rehabilitation + other risk groups) that offer alternative-to-violence Communication systems that help share information on plans and policies regarding violence prevention- (Web platform for pregnant mothers ) Space utilization and Management within Health facilities that cause injuries, accidents and death Preparedness and Planning Emergency response campaign for area prone to disaster victims Skills programs on first aid, mediation and conflict transformation Laws and Regulations Policy advocacy on laws regarding forensic evidence, Review Health professionals within county framework regarding violence prevention
  • 15. Thank You & For enquiries Tel: 0720975498 Email: rapudo.hawi@usalamaforum.org www.usalamaforum.org