Between 2000 and 2018, nearly one in three women worldwide had experienced physical or sexual violence. This violence had an impact on their health (physical, mental, sexual and reproductive). With regard to primary healthcare, numerous resources have been developed to help caregivers identify and care for women who are victims of domestic violence. In France, in 2016, the first House of Women was created to offer a single, multidisciplinary and local care pathway and treatment facility. In 2021, a House of Women project was launched in Annonay (a rural commune of 16 359 inhabitants located in the Ardèche department).To explore the expectations of healthcare professionals in Annonay regarding the creation of House of Women.A qualitative study using a grounded theory approach was conducted with healthcare professionals through individual interviews in Annonay in 2024 until sufficient data. Theoretical sampling was based on type of profession, mode of practice (primary care or hospital), age and gender. The COREQ 32 criteria were followed. This work was approved by a Ethics Committee.Fifteen healthcare professionals participated. They described the House of Women as a referral center for all women, offering a warm welcome, a listening ear and information. Professionals disagreed as to whether it should be located in the city center or more hidden, in the hospital or not. They agreed it had to be accessible geographically and temporally. Its team had to be benevolent and reassuring. It was also imagined as a centralized and multidisciplinary team for an optimized pathway in complete safety. It was seen as a necessary reflex for society, with preventive and educational actions at a population level.Whether or not the Women's Centre is located within the hospital, can it not nevertheless provide a reassuring and welcoming environment? A qualitative study conducted in the United Kingdom among hospitalised patients on their perception of the hospital revealed that they perceived it as a favourable environment.This work could be useful for projects to set up Houses of Women. Next step is an evaluation of the house of women by users..

Gender-based violence (GBV) is a major public health issue with severe consequences for women’s physical, mental, and social well-being. Primary Health Care (PHC) is a key entry point for prevention, early detection, and coordinated management of GBV. Spain has developed a strong legal, policy, and institutional framework to support health-sector responses, yet the extent and consistency of PHC implementation remain uneven across regions.    To map and synthesize existing evidence on GBV detection and management strategies within PHC and emergency health services in Spain, identifying best practices, barriers, enablers, and gaps requiring further investigation.A scoping review was conducted following the Arksey and O’Malley framework and PRISMA-ScR guidelines. Literature published between 2006 and 2024 was searched in PubMed, Scopus, ScienceDirect, and Web of Science, complemented by grey literature from institutional repositories and national observatories. Studies addressing GBV detection, clinical management, or professional training in Spanish PHC or emergency settings were included. Data were extracted and synthesized thematically, integrating quantitative and qualitative evidence. Of 869 records identified, 76 studies and 20 grey literature sources met the inclusion criteria, including 13 Good Practices officially recognized by the Spanish National Health System. Evidence shows that standardized protocols, validated screening tools, structured training, and intersectoral coordination improve detection, documentation, and referral. However, implementation varies widely among autonomous communities. Persistent barriers include limited consultation time, insufficient training, inconsistent data recording, and fragmented coordination. Vulnerable groups—such as adolescents, migrant women, and Roma women—remain underserved, and few studies evaluate long-term outcomes or sustainability of interventions.Findings illustrate the progressive institutionalization of GBV responses within Spanish PHC, supported by national policies and mechanisms for knowledge translation (Catalogue of Good Practices). Successful models emphasize socio-educational interventions, improved information systems, training networks, and intersectoral collaboration. Nevertheless, heterogeneity in implementation and limited evaluation highlight the need to strengthen monitoring, integrate GBV indicators into electronic health systems, and ensure sustained professional training.Spain has made substantial progress in integrating GBV prevention and care into PHC, yet inconsistent implementation and limited evaluation hinder system-wide impact. Enhancing coordination, data integration, and long-term assessment is essential to ensure equitable, effective, and sustainable GBV responses across regions.

Intimate partner violence (IPV) is a public health problem, and primary healthcare (PHC) professionals are key in support women. Digital health tools can assist professionals in developing safety planning for women, but studies on such tools are scarce.We developed and assessed the feasibility of a digital health tool (app and website) to support decision-making and safety planning for Brazilian women experiencing IPV in PHC settings.We previously developed a prototype named “Eu-Decido” (I-Decide) with survivors and professionals from a specialized IPV service in XXXXXX Brazil. In the current phase, we evaluated Eu-Decido through qualitative research with participants from two PHC Units. We conducted 17 in-depth interviews with women and two Focus Groups Discussions with PHC professionals (n=31), including doctors, nurses and allied health staff. Data were recorded, transcribed, coded and subjected to thematic analysis through data triangulation and feminist/gender theoretical perspectives.Participants indicated that Eu-Decido is highly feasible for PHC settings, highlighting important issues: 1) PHC teams often lack confidence in caring for abused women, and Eu-Decido provided them with reliable information to develop a safety plan for their patients; 2) women found the tool viable for supporting their decision-making, helping them understand their exposure to IPV and assess their risks; 3) both groups felt that Eu-Decido provides updated information on women's rights and available help, though user safety measures need improvement, as many partners monitor women’s devices.PHC is universal and accessible across all 5,570 Brazilian municipalities and is considered the main gateway to care for abused women. Eu-Decido can be a valuable support tool for PHC professionals. However, refinements and additional research are needed to expand the applicability of our local study to the broader Brazilian context.The perspectives of professionals and the needs of women in PHC are informing the refinement of the current prototype, resulting in version 2.0. This new version will be submitted to a longitudinal evaluation with 400 women from across Brazil. If proven efficient and safe, the plan is for Eu-Decido to be made available free of charge for national use, supporting PHC professionals in providing comprehensive care for women experiencing IPV.

Gender norms and structural inequalities strongly influence women’s perceptions of intimate partner violence (IPV). Understanding how gender role attitudes shape responses to IPV is essential for informing preventive public health strategies.To examine the relationship between women’s gender role attitudes and their attitudes toward IPV and assess how sociodemographic characteristics and generational differences influence these perceptions.This cross-sectional study included 1,091 women aged ≥18 years registered at XXX University Family Health Centers. Participants were randomly selected and stratified by generational cohort (X, Y, Z). Data were collected using a sociodemographic questionnaire, the Gender Roles Attitude Scale (GRAS), and the ISKEBE Attitude Scale. Descriptive statistics, Spearman correlations, Mann–Whitney U/Kruskal–Wallis tests, linear regression, and logistic regression analyses were performed (α=0.05).Participants’ mean age was 36.5 years; 75.2% held a university degree and 68.4% were employed. Lifetime IPV exposure included physical (16.5%), sexual (15.3%), psychological (41.4%), and economic violence (18.9%). Higher GRAS and ISKEBE scores were associated with higher education, employment, adequate income, and younger generations (all p<0.001). GRAS and ISKEBE scores showed moderate-to-strong positive correlations (ρ=0.52–0.69). Regression analyses identified education and generational cohort as the strongest predictors of egalitarian and anti-violence attitudes. Logistic regression showed that low income, lower education, and being separated or without a partner increased the risk of IPV, whereas attitudinal scales did not independently predict exposure.Education, employment and higher economic status were consistently associated with more egalitarian and violence-rejecting attitudes, while Generation Z women displayed the strongest opposition to IPV. Exposure analyses showed that psychological and economic violence are easily normalized, whereas witnessing violence significantly shaped identity- and body-related attitudinal subscales. Marital status and economic security emerged as key predictors across all violence types, highlighting their protective roles. The lack of a direct association between attitudinal scales and IPV exposure underscores the complexity of contextual and intergenerational influences.Women’s attitudes toward IPV and gender equality are shaped primarily by structural determinants—education, economic status, and generational context. Younger generations show stronger egalitarian and anti-violence orientations, highlighting the need for policies that enhance educational opportunities, financial empowerment, and generational engagement to reduce IPV.

Domestic and family violence (DFV) is common both in the community with one in four females subjected to intimate partner violence and one in two adults being survivors of child abuse. It is also common amongst healthcare workers including doctors. DFV survivors frequently present to primary care where general practitioners (GPs) who are survivors of DFV are likely to encounter them. General practice is unique as GPs look after whole families and have continuity of care. There have been no qualitative studies in general practice focusing on survivor GPs experiences when working with survivors of DFV.What are the experiences of survivors GPs when working with survivors of DFV?This study used a phenomenological qualitative approach to gain a deep understanding of [country] GP DFV survivors’ experiences when working with DFV survivors in their clinics. Participants were [country] GPs who self-identified as survivors of all forms of DFV. Purposive sampling was used to recruit participants from two [country] GP online groups. Semi-structured interviews took place and were audio recorded and transcribed verbatim. Reflexive thematic analysis was undertaken.Participants (20) were female and worked in a wide range of locations throughout [country]. All participants saw survivors of DFV in their clinics, and most saw more than their colleagues. Four themes were identified: Identifying with DFV survivors; wearing a cloak of professionalism; my experiences are my superpower to support survivors; going above and beyond.This is the first qualitative study to focus on survivor GPs experiences when working with DFV survivors. Secondary re-traumatisation was common, particularly when participants identified with DFV survivors. Despite this, participants experienced post-traumatic growth and were able to better identify, work with and advocate for their survivor patients because of their own DFV experiences. Views on reciprocal sharing were mixed due to the tension between remaining professional and improving rapport with survivor patients, an area which remains controversial amongst health professionals.Survivor GPs would benefit from support due to their high case-load of DFV and to improve well-being. Further research is recommended to investigate how best to support survivors GPs.

Immigrant women can experience high rates of domestic violence and abuse (DVA) and migration trauma and may seek help for DVA related mental and physical ill-health in primary care in diaspora countries. General practitioners (GPs) have limited DVA training or support to manage culturally-competent DVA primary care practice.HARMONY aimed to increase culturally-competent DVA identification and referral among all, but especially South-Asian women, attending Australian GP clinics.24 GP clinics recruited among South-Asian communities in Northwest and Southeast XXX, for a pragmatic waitlisted cluster trial, following CONSORT guidelines. Eligible clinics (i) employed ≥1 South Asian GPs, (ii) used 1 of 2 electronic software programs and (iii) agreed to anonymised, aggregated data extraction. Clinics randomised using computer minimisation. HARMONY’s intervention comprised a) GP DVA educator and bilingual South-Asian DVA advocate co-delivering accredited culturally-competent DVA training, and b) 12 months follow-up support by DVA advocate to intervention clinics. Comparison clinics offered routine care. We extracted aggregated, anonymised routine data for primary outcomes of DVA identification and referral, and South-Asian ethnicity, at 12 and 15 months. Adjusted, intention-to-treat analysis using Poisson regression.Five of 24 GP clinics withdrew before the trial began, as COVID-19 impacted. At baseline, GPs documented DVA in 0.6% of non-South Asian, but 0.4% South-Asian women (all patients=48,362), and none recorded DVA referrals. Identification trended up in both arms, but we found no evidence of difference in DVA identification at 12 months in Intervention (0.98%) vs Comparison (0.88%), IRR 1.17 (0.60 to 2.28) or 15 months Intervention 1.01% vs Comparison 0.96%, IRR 1.17 (0.60 – 2.67). Referrals were rare (Int 14/252 vs Comp 6/199). 6/14 Intervention referrals were South-Asian women. No adverse events were recorded.HARMONY’s model of care drew on culturally safe DVA best practice and previous GP DVA trials. We found no evidence for a significant effect on DVA identification or referral in a challenging COVID-19 pandemic. We did find that providing GP clinics serving migrant/refugee populations with cross-cultural training and support motivates improvement from a very low DVA identification rate.In an increasingly diverse world, the HARMONY model of culturally safe DVA care should be further tested.

WHO defines Intimate partner violence (IPV) as any behaviour within an intimate relationship that causes physical, sexual or psychological harm. In France, in 2023, we estimate 271 000 victims of IPV, 85% of whom were women. Since 2019, The French National Authority for Health recommends sytematic screening for violence due to its significant impact on the overall health of victims. The hospital is an ideal place to conduct this screening, offering a safe environment, a multidisciplinary care and an access to facilities such as La Maison des Femmes for women victims of violence.The main outcom of this study was to investigate the prevalence of IPV among female patients hospitalized at xxx University Hospital using the self-questionnaire WAST.This was a single-center, cross-sectional observational study conducted during two 48h hours study sessions in March and April 2025. Any woman over 18, who had been in a previous relationship, spoke French, was able to read in French and non opposing after informations was eligible to participate.126 women were included with a participation rate of 70 %. The prevalence of women victims of intimate partner violence recently was estimated at 1,6%.Our prevalence (1,6%) is lower than other french studies using the questionnaire WAST, but concurrently the average age of our patients was higher meaning that there may have been a recruitment bias. Even if the WAST questionnaire was an excellent tool to screen recent events and to act quickly , we realized through this study that we were missing all the women victims of past IPV events. Yet we know now that domestic violence, regardless of when it occurred, has a significant impact on overall health.  Looking ahead, we would like to expend the screening to all patients, male and female, for all cases of IPV through their lifetime and to conduct a multicenter study.Our study showed that at least one woman recently victim of IPV is hospitalized each day at xxxUniversity Hospital. It seems essential to encourage the healthcare workers to systematically screen all patients for IPV and to make it an integral part of our care habits.