mil millon de razones para poner fin a la violencia contra ... · inspire evidencia: padres,...
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Mil Millon de Razones para poner fin a la violencia contra los ninos: INSPIRE
Susan Hillis, PhD Centro Nacional para la Prevención y Control de las Lesiones Centros para el Control y la Prevención de las Enfermedades
Translated/Adjusted by: Victoria Espitia, VACS team
INSPIRE: Vinculando los Datos a la Accion
Implementacion de leyes
Normas y valores
Seguridad en el entorno
Padres/cuidaderos reciben apoyo
Ingresos y fortalecimiento economico
Respuesta de servicios
Educacion y aptitudes para la vida
INSPIRE evidencia: Implementacion y vigilancia en el cumplimento de las leyes
0
5
10
15
20
25
30
35
40
2001 2002 2003 2004 2005
Hom
icid
es p
er 1
00 0
00
popu
latio
n
Reduction in homicide rate across 5 South African cities from 2001-2005 following Firearm Control Act
Firearm homicide
Non-firearm homicide
Matzopoulos RG, Thompson ML, Myers JE. Firearm and non-firearm homicide in 5 South African cities: a retrospective population-based study. American Journal of Public Health. 2014;104(3):455–60
4500 lives saved over 5 years, many of them adolescents
INSPIRE evidencia: normas y valores
-64%
-100
-90
-80
-70
-60
-50
-40
-30
-20
-10
0
SASA!
Perc
enta
ge d
ecre
ase
in w
itnes
sing
IP
V Reduction in children witnessing intimate partner violence due to SASA! community mobilization
programme
Kyegombe N, Abramsky T, Devries K, et al.(2015). What is the potential for interventions designed to prevent violence against women to reduce children's exposure to violence? Findings from the SASA! Study, Kampala, Uganda. Child Abuse & Neglect, Volume: 50, Page(s): 128-140]
INSPIRE evidencia: seguridad en el entorno
-42% -32%
-100
-90
-80
-70
-60
-50
-40
-30
-20
-10
0
Hospital admissions Police-recorded woundings
Perc
enta
ge d
ecre
ase
in v
iole
nce-
rela
ted
inju
ries
Reduction in violence-related injuries following implementation of Cardiff approach to hotspot
intervention
Source: Florence C, Shepherd J, Brennan I, Simon T. Effectiveness of anonymised information sharing and use in health service, police, and local government partnership for preventing violence related injury: experimental study and time series analysis. British Medical Jounral, 2011; 342: d3313
INSPIRE evidencia: padres, madres, y cuidaderos reciben apoyo
-48%
-100
-90
-80
-70
-60
-50
-40
-30
-20
-10
0
Nurse-Family Partnership
Perc
enta
ge d
ecre
ase
in
mal
trea
tmen
t Reduction in child maltreatment due to Nurse-
Family Partnership programme at 15-year follow up
Source: Olds D, Henderson CR Jr, Cole R, Eckenrode J, Kitzman H, Luckey D, Pettitt L, Sidora K, Morris P, Powers J. Long-term effects of nurse home visitation on children's criminal and antisocial behaviour: 15-year follow-up of a randomized controlled trial. JAMA. 1998 Oct 14;280(14):1238-44.
INSPIRE evidencia: ingresos y fortalecimiento economico
-50%
-100
-90
-80
-70
-60
-50
-40
-30
-20
-10
0
IMAGE programme
Perc
enta
ge d
ecre
ase
in in
timat
e pa
rtne
r vio
lenc
e
Reduction in intimate partner violence among 430 women receiving the Intervention with
Microfinance and Gender Equity (IMAGE) programme
Source: Julia C. Kim, Charlotte H. Watts, James R. Hargreaves, Luceth X. Ndhlovu, Godfrey Phetla, Linda A. Morison, Joanna Busza, John D.H. Porter, and Paul Pronyk. Understanding the Impact of a Microfinance-Based Intervention on Women’s Empowerment and the Reduction of Intimate Partner Violence in South Africa American Journal of Public Health October 2007, Vol. 97, No. 10 : pp. 1794-1802.
INSPIRE: respuesta de los servicios de atencion y apoyo
-37% -56%
-100
-90
-80
-70
-60
-50
-40
-30
-20
-10
0
Individual therapy Group therapy
Perc
enta
ge d
ecre
ase
in s
ympt
oms
and
impa
irmen
t
Reductions in trauma symptoms and functional impairment across 11 trauma-informed cognitive behavioural therapy
trials
Source: Wethington HR et al, The Effectiveness of Interventions to Reduce Psychological Harm from Traumatic Events Among Children and Adolescents: A Systematic Review. American Journal of Preventive Medicine Volume 35, Issue 3, September 2008, Pages 287–313
INSPIRE evidencia: educacion y aptitudes para la vida
-25% -33%
-100
-90
-80
-70
-60
-50
-40
-30
-20
-10
0
Programmes for all students Programmes for selected students
Perc
enta
ge d
ecre
ase
in a
ggre
ssiv
e an
d di
srup
tive
beha
viou
r
Reductions in aggressive and disruptive behaviour in school settings across 249 life skills and socio-emotional
training programmes
Source: Wilson SJ, Lipsey MW. School-Based Interventions for Aggressive and Disruptive Behavior: Update of a Meta-Analysis. American Journal of Preventive Medicine, Volume 33, Issue 2, Supplement, August 2007, Pages S130–S143
INSPIRE: Padres apoyados + Ingresos reducen conducta de riesgo
GIRLS: Cash alone: OR .63 Cash plus care: OR .55
41%
25%
15%
0
10
20
30
40
50
60
no support cash cash plus care
Cluver, Orkin, Boyes, Sherr (2014). AIDS.
42%
28%
17%
no support cash cash plus care
BOYS: Cash alone: no effect Cash plus care: OR .50
INSPIRE: Padres apoyados + Ingresos, y Educacion
reducen el embarazo adolescente
Cluver, Orkin, Yakubovich
0
1
2
3
4
5
6
7
8
9
No interventions
Monitoring Free school School feeding
Monitoring + free school
Monitoring + school feeding
Free school + school feeding
All interventions
% probability FEMALES: % INCIDENCE OF PREGNANCY
(modeled marginal effects using multivariate logistic regression coefficients)
La Implementacion de INSPIRE en una poblacion de ninis: Russia, 2006-2012
12
La implemenatacion de las estrategias de INSPIRE durante 6 anos conllevaba a una rebaja de 40% en la violencia contra
adolescentes y una rebaja de 75% en la VIH.