Systematic Review of Health System Barriers to Trauma-Informed Care for Gender-Based Violence Survivors in Conflict-Affected Eastern Democratic Republic of Congo
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| Format: | Recurso digital |
| Langue: | anglais |
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2022
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| _version_ | 1866901820699312128 |
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| author | Abdelkerim, Mahamat Adoum, Djibrine Issa, Amina |
| author_facet | Abdelkerim, Mahamat Adoum, Djibrine Issa, Amina |
| contents | <p>This systematic literature review addresses a critical gap by examining the health system barriers to implementing trauma-informed care (TIC) for survivors of gender-based violence in the conflict-affected Eastern Democratic Republic of Congo (DRC). It synthesises evidence on the structural, resource, and operational impediments within medical services that hinder effective TIC delivery. Adhering to PRISMA guidelines, a comprehensive search of five academic databases for literature published between 2021 and 2026 yielded 22 pertinent qualitative and mixed-methods studies for thematic synthesis. Key findings reveal entrenched, multi-level barriers. These include severe shortages of mental health specialists, inadequate TIC training for frontline staff, chronic drug stockouts for psychological support, overwhelming caseloads, and a pervasive lack of safe, confidential clinical spaces. The analysis identifies a fundamental misalignment between the holistic, survivor-centred ethos of TIC and the acute, resource-constrained emergency medical model predominant in the region. These systemic failures risk retraumatising survivors and perpetuate a cycle of unmet need. The review concludes that without targeted health system strengthening—prioritising sustainable workforce development, integrated psychosocial support, and the co-design of contextually adapted TIC protocols—the profound health needs of GBV survivors will remain unaddressed. This undermines both public health outcomes and post-conflict recovery efforts in the African Great Lakes region.</p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_18364668 |
| institution | Zenodo |
| language | eng |
| publishDate | 2022 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | Systematic Review of Health System Barriers to Trauma-Informed Care for Gender-Based Violence Survivors in Conflict-Affected Eastern Democratic Republic of Congo Abdelkerim, Mahamat Adoum, Djibrine Issa, Amina Gender-based violence trauma-informed care health system barriers conflict-affected settings Democratic Republic of Congo implementation science systematic review <p>This systematic literature review addresses a critical gap by examining the health system barriers to implementing trauma-informed care (TIC) for survivors of gender-based violence in the conflict-affected Eastern Democratic Republic of Congo (DRC). It synthesises evidence on the structural, resource, and operational impediments within medical services that hinder effective TIC delivery. Adhering to PRISMA guidelines, a comprehensive search of five academic databases for literature published between 2021 and 2026 yielded 22 pertinent qualitative and mixed-methods studies for thematic synthesis. Key findings reveal entrenched, multi-level barriers. These include severe shortages of mental health specialists, inadequate TIC training for frontline staff, chronic drug stockouts for psychological support, overwhelming caseloads, and a pervasive lack of safe, confidential clinical spaces. The analysis identifies a fundamental misalignment between the holistic, survivor-centred ethos of TIC and the acute, resource-constrained emergency medical model predominant in the region. These systemic failures risk retraumatising survivors and perpetuate a cycle of unmet need. The review concludes that without targeted health system strengthening—prioritising sustainable workforce development, integrated psychosocial support, and the co-design of contextually adapted TIC protocols—the profound health needs of GBV survivors will remain unaddressed. This undermines both public health outcomes and post-conflict recovery efforts in the African Great Lakes region.</p> |
| title | Systematic Review of Health System Barriers to Trauma-Informed Care for Gender-Based Violence Survivors in Conflict-Affected Eastern Democratic Republic of Congo |
| topic | Gender-based violence trauma-informed care health system barriers conflict-affected settings Democratic Republic of Congo implementation science systematic review |
| url | https://doi.org/10.5281/zenodo.18364668 |