Healthcare responding to violence and abuse in Brazil: a quasi-experimental difference-in-differences analysis
Estela Capelas Barbosa e outros, 2025 · Lancet Regional Health - Americas
Implementation of the HERA primary care programme increased the adjusted monthly probability of identifying domestic violence against women by 0.82.
Estimativa · probability of DVAW identification per clinic-month, marginal effect
0,820 [0,440; 1,21]
marginal effect on count probability
p < 0.01
- Desenho
- Diferenças em diferenças. Quasi-experimental difference-in-differences with negative binomial regression
- População
- Primary healthcare clinics in the West and South regions of São Paulo, Brazil, November 2018 to August 2021
- Amostra
- 984 · clinic-month observations (41 clinics over 24 months)
Onde está o número
Abstract Findings and Table 4, column (2), row 'After # implementation'
The results were even larger when further controlling for additional variables (0.82 for identification [95% CI 0.44–1.21] and 0.87 for referrals [95% CI 0.47–1.29]).
Contexto
What changed: Eight clinics adopted the HERA intervention consisting of provider training, referral pathways, supervision, and educational materials. Comparison: 33 non-participating clinics in the same regions before and after rollout. Limits: Clinics were not randomly assigned, and COVID-19 disruptions affected implementation timelines.
Caminho no grafo
- FamíliaInformação e persuasão
- TipoCapacitação e aconselhamento
- EixoIgualdade de gênero
MAGI só cita evidência deste instrumento
Lugares do estudo
- Brazil · País · BR
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23