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Anastasia Fadeeva granted NIHR fellowship to study health economics

Dr Anastasia Fadeeva

I have recently started the National Institute for Health and Care Research (NIHR) Development and Skills Enhancement (DSE) Fellowship. The focus of the DSE post-doctoral funding is to support training and development activities while securing salaried time and providing mentorship opportunities. I chose to apply for this NIHR award to develop my expertise and knowledge in health economics, an increasingly important skill in applied health research. NIHR and other funders often require expertise in this area within grant applications.

I was awarded the NIHR grant for 18 months, covering my protected time and training until the end of 2027. During this period, I will undertake an MSc in Health Economics and Policy at City St George’s University of London and also four placements with the Health Determinants Research Collaboration (HDRC) Tower Hamlets, Health Economics Analysis and Research (HEART) and Health Economics Policy Lab (HELP) at UCL, the Health Economics Policy Research Unit (HEPRU) at Queen Mary University of London, and the Violence Reduction Academy (VRA).

I will be supported by two brilliant mentors – Dr Victoria Serra-Sastre, Director of the City Health Economics Centre (CHEC) and Reader in Economics at City St George’s and Dr Ceryl Teleri Davies, NIHR Advanced Fellow based at the Centre for Health Economics and Medicines Evaluation (CHME) at Bangor University. Additionally, I am planning to attend two conferences—the Health Economics Study Group (HESG) Annual Meeting and the HDR UK Annual Conference—which will both be covered by the grant.

At the conclusion of the fellowship, I will have acquired new skills and knowledge in health economics, including a strong quantitative component, and developed the methodological expertise required to apply these approaches in my research. Through the placement opportunities, I will gain practical experience and improve my understanding of how practitioners in local authorities and the NHS operate. Engagement with academics, practitioners, policymakers, and local communities will help me to inform and refine my research priorities, while also allowing me to explore opportunities involving stakeholders throughout the research process.

AI illustration provided via Adobe Photo Stock subscription

5th VISION annual conference: Presentations and illustrations now available

The fifth VISION annual conference was held on 7 July at The Light Auditorium in Friends House. The theme was Violence prevention in dialogue: Research and Policy.

After five years of research looking at violence prevention and the resulting health inequalities and focusing on improved measurement, policy, and practice, and delivering through a strong cross-sector partnership, we showcased our research in partnership with stakeholders Refuge, High Trees, Migrants’ Rights Network, Gloucestershire police constabulary, and Revolving Doors. In addition, we invited those working in violence prevention to critically assess our contributions and identify where further research and prioritised focus are required.

Jo Todd of Respect and Professor Gene Feder, VISION Director, reflected on 25 years of working in violence prevention as frontline practitioners and researchers. Drawing on their extensive experience, they highlighted both the progress made and the challenges that remain. While collaboration between government, academia, and the third sector has improved, longstanding silos—particularly across the health and criminal justice sectors—persist. Overcoming these barriers requires sustained commitment to relationship-building and cross-sector working.

They noted that significant progress has been made in violence prevention policy, including the publication of the government’s Violence Against Women and Girls (VAWG) strategy last year. However, there remains considerable interest in how the incoming Prime Minister will take forward the Labour government’s commitment to halve violence against women and girls within a decade, and what this will mean for future policy, practice, and investment.

Professor Liz Kelly from London Metropolitan University was our 2nd keynote speaker and shared her thoughts on the language and naming of violence in the 21st century. Liz highlighted that language changes not just what we say but what we know and recognise. The words we use in the field as researchers, analysts, policymakers, officials, and practitioners matter and should be clear and grounded in victim / survivor agency and freedom.

VISION research was highlighted in three symposiums:

Insight: Key findings on definitions and measurement within violence prevention
- Dr Vishal Bhavsar (Kings College London) and Professor Miranda Horvath (University of Suffolk) presented on intimate partner violence perpetration.
- Dr Madeleine Janickyj (University College London) and Emma Pickering (Refuge) presented on technology facilitated abuse.
Inclusion: Violence prevention research with marginalised populations
- Dr Alexandria Innes (City St George’s UoL), Aya Khedairi (Migrants’ Rights Network) and Professor Gargi Bhattacharyya (University College London) presented on insecure migration status. Andri and Aya discussed their project, Understanding Violence: the risks for migrants with rising far-right fascism and the resulting output, Workbook: Migrant Community Insights on Building Safety. Gargi highlighted how the far right is misusing genuine work and research and that media discussion of VAWG frequently descends into racism and incitement.
- Dr Annie Bunce (City St George’s UoL) and Lauren Bennett and Anthony Donohoe from Revolving Doors presented their work on developing principles for co-analysis with Lived Experience.
Involve: A look at two ongoing, impactful pieces of VISION research with partners
- Dr Elizabeth Cook (City St George’s UoL) and Harry Jenkins (High Trees) presented their collaborative research developing Built on Trust, a report with youth from Lambeth in London on the role of youth spaces and trusted adults in reducing young people’s exposure to violence.
- Dr Ruth Weir (City St George’s UoL) and Sophie Jarrett (Gloucestershire Police) presented on their system-wide partnership with central and local government, police, education trusts, and the third sector to understand and prevent teenage relationship abuse (TRA). This work has resulted in the establishment of a national group on TRA and a local group wtihin Gloucestershire.

VISION co-Deputy Directors, Professor Sally McManus (City St George’s UoL) and Dr Estela Capelas Barbosa (University of Bristol) closed the conference by reflecting on the achievements of the VISION consortium and outlining priorities for the future of violence prevention research, policy, and practice. Sally highlighted the wide range of datasets, tools, resources, and publications developed by VISION over the past five years. Looking ahead, Estela emphasised the need for further research on violence affecting LGBTQI+ communities and minoritised women and children. She also stressed the importance of breaking down the persistent silos between the health and criminal justice sectors, noting that the impacts of violence extend across both systems. Effective prevention and support therefore require joined-up services, coordinated policies, and cross-sector collaboration.

Visual artists, Abigail and Chloe Baldwin, from Buttercrumble, beautifully captured the day in a series of illustrations which can be downloaded below along with the keynote and symposium presentations.

To download the presentations:

Insight Symposium: Insight Symposium_Perpetrators of IPV; Insight Symposium_Tech Abuse
Inclusion Symposium: Inclusion Symposium_Insecure migration status; Inclusion Symposium_Co-design of analysis principles
Involve Symposium: Involve Symposium_Partnering with young people; Involve Symposium_Teenage Relationship Abuse
Professor Liz Kelly, 2nd Keynote: Keynote 2_The language and naming of violence
Professor Sally McManus, VISION Achievements: VISION achievements

To download the illustrations:

The Mann review: Avoiding the risk of asymmetric anti-racism policy

VISION Director Gene Feder (University of Bristol) has recently been published with colleague Rubin Minhas and Aziz Sheikh in The British Medical Journal. In their opinion piece, The Mann review: Avoiding the risk of asymmetric anti-racism policy, they state that the NHS must build anti-racism systems that are transparent, fair, and trusted by all.

Antisemitism remains a persistent problem —including in healthcare—and must be tackled directly. The Mann review of antisemitism and other forms of racism in the NHS and healthcare regulatory system asks if in an increasingly polarised society, the NHS can respond to one form of racism while maintaining confidence that all racism will be scrutinised and tackled by the same standards. The review containing 36 recommendations, now accepted by government, also represents a major extension of regulatory reach into professional conduct, disciplinary investigation, eligibility to practise, and expression of personal beliefs.

The authors call for a clear implementation plan due to the risk that reforms may be applied differently across or within organisations, regulators, protected characteristics, and local contexts.

Upcoming webinar – Left behind: People without support after experiencing violence

Thursday 4 June 2026, 13:00 – 14:30, online

This event is in the past.

Join VISION for a free webinar exploring groups who can be overlooked by health services, policing, and specialist support systems after experiencing violence.

Register here: TicketTailor – 4 June VISION webinar

Many people affected by violence do not receive the help they need, for a variety of reasons. At VISION, we’ve analysed data sources such as the Crime Survey for England and Wales to better understand these gaps. In some cases, individuals do not seek medical care from hospitals or GPs for violence-related injuries, while others choose not to report incidents to the police. There are also those indirectly affected—such as people whose loved ones have experienced serious assault—who frequently go unsupported. In addition, a significant but less visible group includes victims of intimate partner violence and serious sexual assault in England and Wales who do not disclose their experiences, particularly to specialist services.

This research offers fresh insights into the risk factors, lived experiences, inequalities, and consequences of violence among those who neither seek nor receive support—the left behind.

After the short presentations, there will be a ’roundtable’ discussion with all present to look deeper into each presentation and talk about the barriers and opportunities. We want to better identify these missing populations and understand their behaviours for not seeking help and conversely for those that are looking for support but the services aren’t necessarily there.

We welcome anyone working in government, police, healthcare, academia, specialist services, education and the community and voluntary sector interested in and / or working in violence prevention and support for those affected.

Programme

Chair: Kimberly Cullen, VISION Knowledge Exchange Manager, City St George’s University of London

Disclosure of Intimate Partner Abuse and Sexual Violence to Formal Agencies and Specialist Services: Comparing Inequality Patterns, Victim Profiles, and Harms by Disclosure, Dr Hannah Manzur, VISION Research Fellow, City St George’s University of London and Dr Annie Bunce

Our study examines the hidden population of victims of intimate partner violence (IPV) and serious sexual assault (SSA) in England and Wales who report non-disclosure of their victimisation, particularly to specialised services. Whilst evidence-building largely relies on victim-survivors’ disclosure through help-seeking pathways and interventions, the experiences and inequality patterns for victim-survivors outside of these pathways are significantly missing from evidence and support provision. In particular, specialised services support some of the most marginalised and invisible victims of violence, yet barriers to disclosure and resource limitations pose significant challenges for both data collection and support access for these groups. The nationally representative Crime Survey for England and Wales offers a unique opportunity to analyse data on IPV and SSA victim-survivors who have not contacted specialised services or disclosed to any other formal agency (inc. The police and health services). Using pooled data (2004-2019) on past-year IPV and lifetime SSA, we compare inequality patterns (by gender, ethnicity, and migrant-status) and victim profiles (including risk-factors, victimisation characteristics, and harms) of victim-survivors based on disclosure (CSEW only, formal agency, or specialised services). Here, we reveal new insights into the risk-factors, experiences, inequalities, and impacts of violence against otherwise hidden violence victims, particularly those excluded from specialised services support.

Healthcare inequalities following violence: analysis of the Crime Survey for England and Wales 2010-2024, Dr Anastasia Fadeeva, VISION Research Fellow, City St George’s University of London

Although healthcare is key to supporting victims of physical violence, some do not receive it despite injuries. The present research used the Crime Survey for England and Wales (combined waves 2010-2024) to identify which victims of physical violence were less likely to receive healthcare. Despite the presence of injuries, in almost a half of the incidents, victims receive no healthcare. We examined individual and violence-related factors that were associated with not receiving healthcare following violence victimisation.

Reporting of violence victimisation to the police in England and Wales, Dr Polina Obolenskaya, VISION Research Fellow, City St George’s University of London and Dr Annie Bunce, VISION Research Fellow, City St George’s University of London

Who reports violence to the police, and under what circumstances, remains a critical but under‑examined question in England and Wales. Although national victimisation surveys consistently show that more than half of violent incidents never come to the attention of police, existing research is fragmented, often focused on single forms of violence (e.g., intimate partner or sexual violence), based on small studies or non-UK contexts. By mapping multiple routes through which violence does or does not come to the attention of the criminal justice system, this research advances an understanding of the “justice gap” and offers evidence with implications for policy, prevention, and victim‑survivor support.

Indirect victims of violence: Mental health and the close relatives of serious assault victims in England, Professor Sally McManus, VISION co-Deputy Director, City St George’s University of London and Dr Elizabeth Cook, VISION co-Investigator, City St George’s University of London

Violence does not just harm direct victims; its effects ripple out through families. Drawing on a representative survey of adults in England, this study found that one in twenty adults were closely related to a victim of serious assault, and that these relatives carry a disproportionate burden of poor mental health. Even after accounting for their own histories of violence, adversity, and disadvantage, close family members face significantly higher levels of depression, anxiety, and feeling unsafe: evidence that policy must recognise, and victim services be resourced to respond to, the needs of families too.

Join us at this free webinar on 4 June, 13:00 – 14:30. To book your place please register here: TicketTailor – 4 June VISION webinar

Photograph provided via Adobe Stock subscription

VISION presenting at the Prevention Research 2026 conference

Nine VISION colleagues have had workshop, symposium and individual abstracts accepted at the upcoming Prevention Research 2026 conference in March. The Population Health Improvement UK and the National Institute for Health and Care Research, in partnership with VISION funder, the UK Prevention Research Partnership, organised the event to explore the latest research and collaborative strategies for preventing non-communicable diseases and reducing health inequalities across the UK. This year’s theme is Connecting Research, Policy, and Practice for Health Equity.

VISION research is interdisciplinary and as such, several colleagues collaborated on symposiums and the workshop. We are partnering with Groundswell, Kailo and PHI UK Population Mental Health as well as the Violence, Abuse and Mental Health Network, and High Trees Community Development Trust amongst others.

Individual presentation

Violence across the life course and physical and mental health trajectories in later life

Anastasia Fadeeva, VISION Research Fellow, City St George’s University of London

Symposiums

Lessons Learned from Lived Experience Engagement in Violence and Trauma Research

Sian Oram, Professor at Kings College London and VISION Co-Investigator
Kimberly Cullen, VISION Knowledge Exchange Manager, City St George’s UoL
Alicia Stillman, Violence, Abuse and Mental Health Network at Kings College London
Polina Obolenskaya, VISION Research Fellow, City St George’s UoL
Annie Bunce, VISION Research Fellow, City St George’s UoL

Policy insights from a population understanding of mental health inequalities: using England’s mental health survey series, the Adult Psychiatric Morbidity Surveys (APMS)

Presenters include:

Sally McManus, Professor at City St George’s UoL and VISION Co-Deputy Director
Elizabeth Cook, Senior Lecturer at City St George’s UoL and VISION Co-Investigator

Centring the voices of young people – Learning from four participatory, place-based approaches to violence prevention

Presenters include:

Elizabeth Cook, Senior Lecturer at City St George’s UoL and VISION Co-Investigator
Ruth Weir, VISION Senior Research Fellow at City St George’s UoL

Understudied Commercial Drivers of Health: Exploring Industry Practices & Developing a Prevention Research Agenda

Presenters include Sally McManus, Professor at City St George’s UoL and VISION Co-Deputy Director

Workshop

Using Systems Approaches to Connect Communities and Tackle Complexity in Prevention

Workshop leads include Olumide Adisa, VISION Co-Investigator at City St George’s UoL

Anastasia Fadeeva shares thoughts on Data Impact Fellowship placement studying healthy ageing

Dr Anastasia Fadeeva

VISION researcher and Data Impact Fellow, Dr Anastasia Fadeeva, has written a personal blog, Reflections from being a Data Impact Fellow: a placement in Japan, about her time in the country visiting universities and discussing healthy ageing.

In the blog, Anastasia reflects on her short-term placement at Chiba University and Kyoto University, meeting fellow researchers interested in population health and a focus on studying the ageing population and promoting healthy ageing.

As a Data Impact Fellow, Anastasia is researching the issues of violence in older age, the long-term impacts of violence on mental health, and the lack of reliable data. The placement to Japan is one component of the fellowship.

For further information, please see VISION member awarded Data Impact Fellow to study violence and mental health in older age to find out more about her fellowship or contact Anastasia at anastasia.fadeeva@citystgeorges.ac.uk

Top photo supplied through Adobe Stock subscription and bottom photo supplied by Dr Anastasia Fadeeva.

Confronting ‘Honour‘-Based Abuse: Reflections on IKWRO’s 2025 Conference

By Ladan Hashemi, Senior Lecturer in Sociology of Health and Health Policy at City St George’s University of London

VISION was proud to sponsor their second collaboration with IKWRO (Women’s Rights Organisation) and host their annual conference. This year’s theme was Confronting ‘Honour‘-Based Abuse (HBA) in Policy, Technology, and Collective Action and held at City St George’s, University of London on 22nd October 2025.

The event brought together around a hundred survivor advocates, academics, frontline practitioners, and policymakers to critically examine urgent responses to HBA in today’s rapidly evolving world.

The conference featured three panels examining the flagship “Crime, Not Culture” campaign, the growing role of technology and media in shaping harm, and the resilience and leadership of survivors and community advocates. Throughout the day, speakers and attendees returned to a central question: How do we ensure HBA is recognised and treated as a serious crime rather than dismissed or misunderstood as ‘culture’?

Narratives, Evidence, and the Power of Speaking Out

The day opened with powerful survivor testimonies – deeply personal accounts of control, coercion and systemic failures. These stories underscored the need for meaningful training across policing, healthcare and the family courts. As one panel chair reflected, “It’s not that the government lacks the budget. It’s about priorities. Women from ethnic minorities are not a priority.” The consequences of this neglect, she noted, echo across public services, placing a substantial and avoidable burden on institutions such as the NHS and the police.

Scholars challenged common assumptions about “culture” and emphasised the importance of evidence-informed policy. Their discussions invited the audience to interrogate the ways colonial narratives have shaped understandings of honour, family, and gender norms.

Technology, Media, and Emerging Threats

The second panel explored the fast-changing digital landscape. Speakers examined how technology-facilitated abuse, sextortion, online misogyny, and surveillance increasingly interact with HBA. The panel highlighted that marginalised women and girls often face compounded risks: gendered, racialised, and technologically amplified.

Two short animations produced by the Women’s Research Hub team in collaboration with VISION, on HBA and sextortion were screened during the session. These visual narratives helped ground the discussion in the lived realities of young people navigating online harms – showing not just the risks, but also how digital tools can be used to educate, empower, and support.

One speaker captured the spirit of the day: “It seems it wasn’t enough to be oppressed by patriarchal systems; now we also face the same inequalities reflected back at us through AI and social media.”

Collective Action and Pathways to Change

The final panel focused on resilience and community action. Speakers discussed the importance of survivor leadership, culturally informed practice, and training that centres real voices rather than “death by PowerPoint.” Their reflections highlighted that effective change relies on collaboration between organisations, communities, and those with lived experience.

The conference closed with remarks from Jess Phillips MP, who reinforced the urgent need to strengthen protections and ensure survivors are heard and believed. Her contribution was a fitting conclusion to a day centred on solidarity, listening, and the collective responsibility to challenge harmful practices and support those affected.

One of the quilts created by survivors of ‘honour’-based abuse and IKWRO

A Day of Reflection and Resolve

The event showcased what happens when survivors, activists, academics, and practitioners come together with a shared purpose. Across panels, one message was clear: understanding and preventing ‘Honour‘-Based Abuse requires research, policy attention, resources, and above all, a commitment to centring the voices of those most affected.

VISION was proud to support this important gathering for a second time sparking further conversations about how evidence and collaboration can drive meaningful, long-lasting change.

Key to the event was the organisation and support of VISION’s Knowledge Exchange Manager, Kimberly Cullen and the IKWRO conference organising committee.

For further information, please contact Ladan at ladan.hashemi@citystgeorges.ac.uk

Photography supplied by IKWRO

Assisted dying bill: Safeguards against domestic abuse and coercion must be strengthened

One in four women and one in seven men in England and Wales have experienced domestic abuse. Coercive and controlling behaviours are core to domestic abuse. They result in loss of autonomy and independence and are intended to isolate and reduce self-worth. Such behaviours are common but hard for health professionals to detect.

If passed, the Terminally Ill Adults (End of Life) Bill will allow people who are terminally ill and expected to die within six months to request assistance to end their lives. VISION researchers Gene Feder, Elizabeth (Lizzie) Cook and Sally McManus have written an opinion published in The BMJ that calls for safeguards in the bill need to be strengthened to prevent coercion in the context of domestic abuse.

Assisted dying requires a careful consideration of the risks posed by domestic abuse and coercion. The current bill does not fully tackle specific safeguarding concerns for patients experiencing domestic abuse which can include economic, emotional, physical, and other forms of abuse from a partner or other family member. To safeguard against domestic abuse and associated coercion, Gene, Lizzie and Sally propose a set of principles that should be part of the UK bill.

For doctors responding to any request for assisted dying, training must be extensive, specialist, in person, and backed up by referral pathways. Independent domestic abuse advocates, with expertise in recognising coercive control, could contribute to assessment of assisted dying requests.
Commitments to confidentiality and data security must not obscure assisted dying decisions and the contexts in which they occur. The bill must ensure transparency.
The bill must establish accountability. Transparent data about each stage of the approval process would also enable monitoring and regular scrutiny of the processes and outcomes of assisted dying legislation.
Lawmakers must resist expansion. Dementia and mental health conditions are now being considered for eligibility. These are conditions prevalent in survivors of domestic abuse. The UK bill should include clauses that limit any expansion of scope to other conditions and situations.

To read the opinion piece: Safeguards against domestic abuse and coercion in the assisted dying bill must be strengthened

To cite: BMJ 2025;390:r1914

For further information, please contact Gene at gene.feder@bristol.ac.uk

Carers’ increased risk of domestic violence and poor health outcomes

The poor health of unpaid carers is well-established, and evidence also shows they experience high levels of domestic violence. However, the links between domestic violence and carers’ poor health remains overlooked. The study, Health morbidities in carers with experience of domestic violence and abuse, led by Drs Juliana Onwumere and Emilie Wildman of King’s College London along with research team member Professor Sally McManus, VISION co-Deputy Director, and others, examined this relationship using the Adult Psychiatric Morbidity Survey (APMS), a representative sample of the adult population of England.

The results show that carers are more likely to be female, older, economically inactive, and in debt than non-carers, and that carers tend to have worse mental and physical health. One in three carers reported having had experience of domestic violence. With adjustment for confounders, carers were more likely than non-carers to be victims of physical, emotional and sexual forms of violence and abuse. People with experience of both caring responsibilities and domestic violence had particularly poor mental and physical health outcomes (compared to carers and non-carers without experience of domestic violence, as well as non-carers experiencing domestic violence).

NICE guidelines state that carers should be offered training to help them to provide care safely, including support around managing challenging behaviour from the person being cared for. However, professionals can struggle to identify and respond to carers’ experiences of domestic violence. Facilitating routine enquiry in carers is essential, particularly given that carers often delay seeking support for their own needs carers and may not readily and independently disclose their experiences of violence to professionals.

Recommendations

Efforts to incorporate inquiry into experiences of domestic violence into carers’ needs assessments, which unpaid carers are entitled to, may help facilitate identification and referral to appropriate support services.

Carers high risk of domestic violence goes largely unrecognised in UK policy and practice. This is a sensitive and hidden topic; these findings suggest that addressing carers’ poor health requires also identifying – and addressing – their experiences of domestic violence.

To download: Health morbidities in carers with experience of domestic violence and abuse

To cite: Wildman, E.K., Dickson, H., MacManus, D. McManus, S., Kuipers, E., Onwumere, J. Health morbidities in carers with experience of domestic violence and abuse. Soc Psychiatry Psychiatr Epidemiol (2025). Https://doi.org/10.1007/s00127-025-02959-4

For further information, please contact Juliana at juliana.1.onwumere@kcl.ac.uk

For further information about APMS, contact Sally at sally.mcmanus@citystgeorges.ac.uk

Photograph from Age Without Limits

Healthcare responding to violence and abuse in Brazil

Domestic violence against women (DVAW) is a public health issue and a breach of human rights, yet evidence on effective interventions remains limited, particularly in low-income and middle-income countries. In Brazil, around one third of women have reported current or previous experiences of DVAW, especially perpetrated by intimate partners. Brazil has a comprehensive policy framework on DVAW, however, their implementation has been piecemeal and low priority.

The research team, led by VISION co-Deputy Director Dr Estela Capelas Barbosa, aimed to evaluate changes in identification and referral to specialist support associated with system-level strategies implemented within Brazilian primary healthcare (PHC) to strengthen the response to DVAW as part of the Healthcare Responding to Violence and Abuse (HERA) programme.

The HERA Programme was an international collaboration, involving research partners in the UK, Brazil, Sri Lanka, Nepal and Palestine, which aimed to strengthen the healthcare system response to DVAW, in order to ultimately ensure better outcomes for women and children.

The researchers explored before and aftereffects using difference-in-difference techniques in a quasi-experimental design, using observational data. HERA intervention in Brazil was implemented in eight PHC clinics, while 33 served as controls. Data on DVAW identification and referral were obtained from the national Epidemiological Surveillance System.

Results indicated that the HERA implementation strategies were effective in increasing identification and referral of women who experienced violence and presented at primary care clinics. By prioritising the needs and experiences of women, under a gender and human rights perspective, the strategies may also have enhanced the quality of interactions between healthcare providers and patients.

To the research team’s knowledge, this is the first Brazilian study using a quasi-experimental design to evaluate a system-level set of implementation strategies to DVAW. It provides compelling evidence for the effectiveness of culturally tailored strategies aimed at improving the response of PHC settings to DVAW. The findings reveal significant improvements in both identification and referral rates. The evidence not only underscores the intervention’s potential but offers a valuable framework for policymakers and healthcare providers seeking to implement effective strategies in similar contexts, particularly in low- and middle-income settings.

To download: Healthcare responding to violence and abuse in Brazil: a quasi-experimental difference-in-differences analysis – ScienceDirect

To cite: Estela Capelas Barbosa, Stephanie Pereira, Loraine J. Bacchus, Manuela Colombini, Gene Feder, Lilia Blima Schraiber, Ana Flávia Pires Lucas d’Oliveira, Healthcare responding to violence and abuse in Brazil: a quasi-experimental difference-in-differences analysis, The Lancet Regional Health – Americas, Volume 47, 2025, 101114, ISSN 2667-193X, https://doi.org/10.1016/j.lana.2025.101114.

For further information, please contact Estela at e.capelasbarbosa@bristol.ac.uk

Photograph from Adobe Photo Stock subscription