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Presenatation in Wellington on violence against women

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Presenatation in Wellington on violence against women

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  1. LOSS OF HEALTH DUE to VIOLENCE: Time for VALY? Thoughts on Measuring Violence Against Women in India Arindam Basu University of Canterbury

  2. This is Where I Work

  3. This is Where I live

  4. This is What I am Going to Talk About Today … How Much Illness Can be Attributed to Violence Against Women In India? Where’s What’s VALY?

  5. Is Violence Against Women in India Increasing?

  6. Violence Against Women

  7. Cruelty Against Women (%)

  8. Dowry Related Violence as %

  9. Violence Against Women (VAW) in India (2001-2012)

  10. Assaults (% of)

  11. So, What’s The Story?

  12. How Does This Affect Women’s Health and Well Being?

  13. Exposure Versus Outcomes Depression Suicidal Ideations, Self Harm Substance Abuse HIV, STDs, Cancer … DEATH!!! Violence Against Women in All Forms

  14. Exposure Versus Outcomes Depression Suicidal Ideations, Self Harm Substance Abuse HIV, STDs, Cancer … DEATH!!! … Violence Against Women in All Forms

  15. Need a Summary Measurement …

  16. At Birth, her Life Expectancy was 75 years

  17. Violence Against her, she dies, DEAD @ 25 years, 50 years lost!

  18. She Survives, but with 50% Quality of Life

  19. With 50% quality of life, she has lost 25 years out of possible 50 years she could have lived, lost 25 years

  20. So Between the Two Nirbhayas (Jane Does), 75 years of Life Lost! Math Quiz: With Hundreds of Nirbhayas Being Violated Every Year in India, How Many Lives Are Lost?Who Loses? What is the Loss? Why Do We Need to Know This?

  21. DALY = YLL + YLD

  22. DALY = YLL + YLD Disability Adjusted Life Years

  23. DALY = YLL + YLD Years of Life Lost

  24. DALY = YLL + YLD Years Lost Due to Disability

  25. This Simple formula was worked out by Alan Lopez and Chris Murray at Harvard and UQ in 1990 for the Global Burden of Disease, a Study Funded by the World Bank

  26. Top 10 DALYs, 1999

  27. Link Back Disease Burden to Violence Depression Suicidal Ideations, Self Harm Substance Abuse HIV, STDs, Cancer … DEATH!!! … Violence Against Women in All Forms

  28. Three Sources to Pull Data From Probability of Exposure to Violence Linkage Between Exposure and Disease Burden of Disease Attributable to Violence

  29. Source of Data

  30. Risk of Exposure to Violence for Women

  31. Exposure-Disease Linkages

  32. Results

  33. Percentage of Disease Burden 67% of the Burden of Disease are from Depression and Suicide

  34. The Case for Violence Adjusted Life Year Estimation: Is Violence an Outcome? Is Violence only an Exposure?

  35. Concepts of VALY • VALY = Violence Adjusted Life Years • Violence Against Women is Common in India • Disease Burden Affected by Living in an Environment of Violence (for Women) • Intimate Partner Violence • Non-intimate Partner Violence • Domestic/Outside of Domestic Violence • Others? • VALY = Years of Life Lost Due to Violence (YLLV) + Years of Life Lost due to Disability owing to Violence • Need for Adjustment for GBD and Local Burden of Disease Estimation

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