Paramedic-conducted Mental Health Counselling for Abused Women in Rural Bangladesh: An Evaluation from the Perspective of Participants
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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.
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The Chaudoir et al. framework is particularly helpful for task-sharing because it explicitly includes the characteristics of providers, which have been found to influence implementation and intervention outcomes.
“The Chaudoir et al. [35] framework is particularly helpful for task-sharing because it explicitly includes the characteristics of the providers, which have been found to influence implementation and intervention (i.e., client and service) outcomes [10, 36–38].”
From Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks (2022) · cites this paper as [36]
The Results (section ‘Determinants of considering the session useful’; page not provided) link a paramedic’s encouragement to a client-rated outcome: women strongly encouraged to explore a way out of violence were almost seven times more likely to rate the session as very useful. This supports a link between provider behaviour and a client outcome, but the paper does not establish an effect on implementation outcomes. The statement about what the Chaudoir framework includes is attributed to a different citation, [35]. (LLM, conf=0.84)
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References 56 · Cited by 32
Research works printed but not linked: 2
- [30]Butler M Guidelines for feminist therapy In: Rosewater LB, Walker L, editors. Handbook of feminist therapy 1985 New York, NY Springer 2 38
- [36]Gray J Elements of a two-process theory of learning 1975 New York, NY Academic Press 426
- Authors
- Naved, R. T., Rimi, N. A., Jahan, S., & Lindmark, G.
- Affiliations
- International Centre for Diarrhoeal Disease Research (BD)
- Uppsala University (SE)
- Corresponding author
- Naved, Ruchira T
- Venue
- Journal of Health, Population and Nutrition
- Published
- 2009-09-16
- Volume
- 27
- Issue
- 4
- Pages
- 477-91
- ISSN
- 1606-0997 (ISSN-L)
- PMC
- PMC2928104
- OpenAlex
- W2003510015
- Cited by
- 32
- References
- 56
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 3 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 2 · 2013: 3
- FWCI
- 1.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Health Population and Nutrition (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion)
- Bioline International (Bioline International) (submittedVersion)
- Funders
- United States Agency for International Development
- Styrelsen för Internationellt Utvecklingssamarbete
- UNICEF
- Australian Agency for International Development
- Department for International Development
- Vetenskapsrådet
- Uppsala Universitet
- International Centre for Diarrhoeal Disease Research, Bangladesh
- Medical Research Council
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Keywords
- paramedics, mental health counseling, domestic violence, battered women, rural Bangladesh, community mental health services, women's self-confidence, participant perceptions
- MeSH terms
- Adolescent, Adult, Allied Health Personnel, Bangladesh, Counseling, Female, Humans, Interviews as Topic, Mental Health Services, Rural Population, Program Evaluation, Logistic Models, Women's Health, Patient Satisfaction, Battered Women, Young Adult
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