32-275 / “Methodology for the identification, collection and dissemination of Good Practices in health performance against the Gender Violence (GPVAW) in the National Health System (NHS)” (Spain)

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
Ministry of Health, Social Services and Equality


Quality improvement project

GOP Description
Implementation level
Clinical settings
Basically in Primary Care (PC), but they have also made progress in Specialized (hospitals)
1. Establish a standardized process for the identification/collection/dissemination of GPVAW within NHS.
2a.Improve quality-of-care of women suffering GV (and their dependants)
2b.Motivate professionals/ health services for GPVAW.
2c/d.Facilitate mutual learning and transfer of GPVAW within NHS
2f.Contribute to NHS_sustainability by improving effectiveness/efficiency in GV
2g.Development of 1/2004_Organic_ Law (Integral-protection-measures-against-gender-violence)
-Professional health management and decision makers
-Responsible for the health information systems
-Professionals in primary and specialty care services
-Women’s associations
General Population
ORGANIZATION: the Observatory Women’s Health (OWH), as technical secretariat of the Commission Against Gender Violence of the NHS has drafted a proposal for:

-Definition of GPVAW
-Quality criteria (14 criteria)
-Tools for assessment or evaluation of the candidate experiences for good practice that allow to check the 14 criteria (check-list)
-Method to organize the collection of experiences and referral to the evaluation group of actions for their assessment and subsequent presentation of finally selected experiences to the plenary of the Commission.

PROCESS: Every official representative of the 17 Autonomous Communities (AC) in the Commission is the focal point for forwarding to the Observatory their GP candidate experience documentation.

The Observatory send the documentation to the Actions Evaluation Group (Evaluator Group), composed of another AC and expert institutions in scientific knowledge about GV and health policies, in addition to representatives of the Spanish Government Delegation for Gender Violence.

The Evaluator Group grades and proposes to Commission the list of experiences presented and selected as GP at the end of year. Finally, the Interterritorial Council approves her subsequent proposition.

GP selected have been included in the website of the Ministry, namely in the online search engine located (including google-maps).

Timeframe implementation
Pilot study completed during 2012:
-First_quarter: agree methodological process and tools
-Second_quarter: collect experiences from AC_healthcare_services
-Third_quarter: experiences evaluated by Evaluator Team
-Fourth_quarter: selected experiences submitted to plenary_of_the_Commission. Finally submitted to Interterritorial_Council for final approval.First_half_2013: online search engine implementation (Ministry-website)- freely available.-During_2013:second call to identify new experiences.
Implementation tools available
-Process-methodology: procedure documentation standardized in all its phases
-Template to describe the experience_(annex I) and instructions sheet_(annex II)
-Check-list for qualitative self-evaluation of experience presented_(Annex III)
-Check-list for assessment and evaluation used by the Evaluator Group to qualify and select the experience as GP_(annex IV).
-Standard model of evaluation Report where the evaluation group has made the final score and the proposal as GPVAW, including improvement measures regardless of the outcome
-Outcome of the pilot study report, standard model
-Virtual workspace for the Evaluator Group to exchange documentation and expose their evaluation reports. (E-room)
-Audio conferencing working group.
Implementation cost
-Budget dedicated to 18 civil servants from different institutions
-Travel costs for 1 day meeting for 18 representatives in the Committee
-Cost of connections for 4 Audio Conferences (Evaluator Group)
-Cost of E-room (virtual tool to working Group): contract of purchase and maintenance is responsibility of the Ministry.
Method used to measure the results
-For the final score of each GP we used a check-list. The evaluator group used it to qualify and select the experience as GP (annex IV).

-A listing for the inventoried collection of experiences from piloting 2012.

-Design and development of online search engine, in order to incorporate it into the web of the Ministry.

13 experiences have been presented for the whole of the 17 Autonomous Communities in this first call
Analysis of the results
More than half of experiences selected as GP is comprised in the strategic lines of:

o    Adaptation of the health information systems for the collection of epidemiological indicators of gender-based violence
o    Training of professionals of the health services in the area of gender-based violence

The selected experiences correspond to all the strategic lines raised (see General Annex to this questionnaire) except at the specific line of sanitary attention to daughters and sons of women who suffer GV

Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
Barriers have not been found, but we suggest some points of improvement.
Describe the strategies used to overcome the barriers (If needed)
The most important is that annex IV (check-list to evaluate) is going to be improved and modified before its use in the collection of 2013, as observed by using this tool, which is a little biased toward experiences of direct intervention with the target population, the type of experiences with women suffering GV either the awareness and training interventions.

However if it experiences related with health information systems or general methodologies of process, it is necessary to improve it to match the final score according to the degree of partial compliance with each criteria.

Other information
Other information about the GOP that you would like to add (Link or attached document)
They are appended (only in Spanish, still not have proceeded to translation) the forms designed as:

–    Experience data sheet.(Annex I)
–    Instruction sheet for completing the sheet (annex II)
–    Check-list for qualitative self-evaluation of experience presented by the responsible project team candidate. (Annex III)
–    Evaluation and assessment Check-list. (Annex IV). Used by the Evaluator Group to qualify and select the experience as GP

Programmes Coordinator
Observatory Women’s Health
Directorate-General of Public Health, Quality and Innovation
Ministry of Health, Social Affairs and Equality
[email protected]
Phone number: 34/ 915964075
Fax: 34/91.596.11.35