Transcript FOCUS GROUP ON HEALTH

FOCUS GROUP ON
HEALTH
SEX TRAFFICKING AND HEALTH
DECEPTION
 COERCION
 TORTURE
 PAIN
 EXPLOITATION
 SLAVERY
 EXTERNAL-STIGMA/REJECTION
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THE CONCERN
 SUBTLE
 COMPLEX
 SUSTAINED
PERIOD
OVER A LONG
HEALTH IMPACT
PHYSICAL
 SEXUAL
 EMOTIONAL/PSYCHOLOGICAL
 BEHAVIORAL
 SOCIAL
 PSYCHIATRIC
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Health/Physical
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Fractures
Cuts, bruises, injuries
Chronic illness from poor hygiene
T.B./Respiratory infections
S.T.D.s, H.I.V.
Repeated Abortions
Malnourishment
Unwanted Pregnancy
Aches and pains
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Chronic Fatigue
Head injury and TBI
Facial trauma including broken teeth
Malaria
Hepatitis B, Hepatitis C
Pelvic Inflammatory Disease
Cervical Cancer
Untreated illness
Over treatment with antibiotics leading to drug
resistant infections
Sexual
Sexual misconceptions
 Sexual aversion
 Hypersexual behaviors-Promiscuity,
Seductive behaviors
 Sexual manipulation
 Confusing love and sex
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Emotional/Psychological
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Guilt and shame
Fear
Low Self Esteem
Lack of confidence – overconfidence
Unworthiness/Self disgust
Feeling degraded
Hopelessness, powerless/vulnerable
Sad/depressed
Lack of trust, betrayal
Hostile
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Sexual Trauma / Shame
Fear / Loss of safety
Moody
Intrusive memories
Suicidal
Dissociation
Stockholm’s Syndrome( identifying with the abuser)
Normalization of exploitation
Substance abuse
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Alcohol
Amphetamines
Other substance abuse
Behavioral
Numbness, Shock
 Disoriented /confused
 Low concentration
 Helplessness
 Aggressive, violent, abusive
 Risky behaviors, impulsiveness
 Self harm (suicidal, attempts,
slashing,cutting)
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Rebellious, defiant
 Interpersonal difficulty
 Truancy, Stealing, Lying
 Suspiciousness
 Develop running away tendencies
 Physical tortures of others (other inmates,
friends made at the shelter etc)
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SOCIAL
Isolation
 Difficulty in forming relationships
 Difficulty to conform to societal norms
 Anti social behavior
 Loss of earlier achievements
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PSYCHIATRIC
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Depression/Suicide
Phobia
Post Traumatic Stress Disorder (Anxiety,
Nightmares, Flashbacks, Sensitivity to trauma
triggers, Numbing, Irritability, Hyper vigilance,
Startle reaction, Poor concentration, Loss of
sense of future)
Anxiety and Panic
Eating Disorders
Sleep Disorder
Substance Abuse
HEALTH CARE
 IMMEDIATE
ASSISTANCE
 MENTAL HEALTH
INTERVENTIONS
 LIFE SKILLS/EDUCATION/
LIVELIHOOD
Immediate Assistance
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There should be provisions in every shelter government or non-government
for immediate medical care. As soon as a victim is brought to the home she
should be taken to a hospital at the earliest. The purpose of the hospital visit
should be clearly explained.
A complete medical examination should be done to identify any physical
damages. General physicians and gynecologist should examine the victim
and put her on immediate treatment.
On specific tests such as HIV/AIDS,RTI and STI pre-test counseling should
be done and only on informed consent tests should be conducted.
Special priority care should be given to pregnant and lactating mothers.
Each home should have facilities for weekly health check-ups by a
registered medical practitioner, gynecologist, referral to external medical
experts, hospitals, and facilities for hospitalization.
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Home should have trained care takers to provide appropriate care
and support for HIV positive inmates for early management of
opportunistic symptoms.
Each home should have a first aid box and trained staff and girls
with basic medicines and equipments such as thermometer and
updated medical record of each inmate.
Home should have arrangement for care takers who will escort
inmates during hospitalization.
Balanced diet which is age sensitive and also caters to the specific
needs of individual
( pregnant /lactating mothers, HIV positive , sick persons) victims
should be provided.
There should be provisions for fun food at times.
Mental Health Care
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There should be both professional and barefoot counselors in a
home who would provide immediate trauma care and long term
counseling for the inmate.
There should be trained staff that can provide individual, group and
peer counseling.
There should be a regular psychiatrist and psycho-therapist to
provide immediate care for major or minor psychological disorders.
Home should have referral networks with mental health institutions
for immediate and timely support in terms of hospitalization of
psychologically disturbed inmates.
Home should have referral network with de-addiction centers for
those inmates who have a problem of substance abuse /alcohol
addiction.
The homes also should have a consultant physician specialized in
psycho-sexual variations.
Life Skills, Education and
Livelihood Training
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There should be daily classes for inmates on life skills
such as grooming, social skills, personality
development, communication skills, anger
management, conflict management, stress
management and leadership to overcome negative
socialization and sense of rejection.
All victims should be provided basic literacy and scope
for education as a means of developing positive self
image.
In collaboration with reputed technical training
institutes viable, sustainable and job oriented trades
should be taught to the inmates who should ensure job
placement after the stay in the home. This will ensure
development of a positive self identity.
HEALTH BUDGET
VICTIM- RS 2500/
 DE-ADDICTION- RS 3000/
 PREGNANT AND LACTATING
MOTHERS-RS 3500/
 HIV POSITIVE -RS 4000/
CORPUS FUND FOR EMERGENCY
MEDICAL CARE.
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HEALTH- STATE OF COMPLETE
PHYSICAL,MENTAL,SOCIAL WELL
BEING NOT MERELY THE ABSENCE OF
DISEASE OR INFIRMITY
 HEALTH CARE FOR SURVIVORS
SHOULD RESTORE DIGNITY OF THE
PERSON.
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