A Meta-Analytic Framework for Developing Protocols to Attend Child and Adolescent Victims of Sexual Violence

Flávia Fernandes Trevizan, Regiane Máximo Siqueira, Aílton de Souza Aragão, Hugo Henrique dos Santos and Fabiano Henrique de Oliveira Sabino
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Flávia Fernandes Trevizan: Department of Production Engineering, São Paulo State University (UNESP), Av. Eng. Luiz Edmundo Carrijo Coube, 14-01, Bauru 17033-360, SP, Brazil
Regiane Máximo Siqueira: Department of Production Engineering, São Paulo State University (UNESP), Av. Eng. Luiz Edmundo Carrijo Coube, 14-01, Bauru 17033-360, SP, Brazil
Aílton de Souza Aragão: Department of Public Health, Federal University of Triangulo Mineiro (UFTM), Uberaba 38025-180, MG, Brazil
Hugo Henrique dos Santos: Department of Production Engineering, Unifafibe University Center, Bebedouro, São Paulo 14701-070, SP, Brazil
Fabiano Henrique de Oliveira Sabino: Department of Nursing, Federal University of São Carlos, Sao Carlos 13565-905, SP, Brazil

IJERPH, 2022, vol. 19, issue 9, 1-18

Abstract: Violence against children and adolescents is a global public health problem. In Brazil, there are challenging boundaries for professionals in the protection network in general and for health professionals in particular. Moreover, among other factors, there is the challenge of referral, due to weaknesses in decision making, given the nature of sexual violence and how it is managed by healthcare services. This study aims to propose a Meta-Analytic framework to support the referral of young victims of sexual violence, considering levels of severity, independent of factors such as how protection systems are structured and managed and the local laws in force. We propose a Meta-Analytic approach, developed using the fundamentals of Delphi and DPSIR (Drivers, Pressures, State, Impact, and Response Model of Intervention), from the perspective of Value-Focused Thinking. The Delphi method was structured in two stages: the first stage aimed to identify and classify typical cases of sexual violence; the second stage used the DPSIR model, with the aim of identifying the decision criteria for typical cases that occur in a given municipality. The main outcomes are: (i) the application of the modified Delphi participatory method within the context of local social policies; (ii) the construction of a value tree based on Value-Focused Thinking; and (iii) the identification and systematization of criteria that most interfere with the evaluation of cases of sexual violence, which can be used for multi-criteria decision making.

Keywords: violent behavior; sexual behavior; multi-criteria decision analysis; Delphi; DPSIR framework (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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