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Planned Parenthood Ottawa, the Ottawa Coalition to End Violence Against Women, Canadians For Choice, and the Canadian Fe

A Project of:. Planned Parenthood Ottawa, the Ottawa Coalition to End Violence Against Women, Canadians For Choice, and the Canadian Federation for Sexual Health. Bridging Services For Women. A three-phase, c ross-sectoral project by four partnering agencies. Project Goal

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Planned Parenthood Ottawa, the Ottawa Coalition to End Violence Against Women, Canadians For Choice, and the Canadian Fe

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  1. A Project of: Planned Parenthood Ottawa, the Ottawa Coalition to End Violence Against Women, Canadians For Choice, and the Canadian Federation for Sexual Health

  2. Bridging Services For Women A three-phase, cross-sectoral project by four partnering agencies Project Goal • To increase service provider knowledge and capacity to respond reproductive coercion through training, and knowledge-sharing across sectors.

  3. VAW & SRH: Linked Issues • 1 in 12 women abused during pregnancy • Coerced or “Forced Sex” (sexual assault) • Higher rate of STI’s • Likelihood of pregnancy increases • Appears across sectors *Image & Statistics from the Colorado Coalition To End Sexual Assault

  4. “Reproductive Coercion” describes a cluster of coercive or abusive behaviours that interfere with a person’s ability to make free sexual & reproductive health choices.” • Deliberate exposure to/transmission of STI’s • Refusal to use or negotiate safer sex practices • Refusal to use condoms/not allowing her to use birth control • Birth Control Sabotage • Forced Pregnancy or Termination

  5. Bridging Services For Women Project Phases: Phase 1 Project Goal To consult with service providers in both the VAW and SRH sectors to learn about their shared and distinct training needs. Phase 1: Community Needs Assessment (2012) Phase 2: Design Training (2013) Phase 3: Implement Trainings & Sustainability Model (2014)

  6. What’s Wrong With This Picture? VAW Sector SRH Sector

  7. There’s some people missing! • Many providers delivering services to women experiencing violence do not fit in strict VAW & SRH categories • Clients seek services in other kinds of sites • Particularly true for communities experiencing intersecting oppressions and/or barriers

  8. Methods Literature & Resource Review

  9. Literature & Resource Review Almost no Canadian sources of information & no comparable projects that we could find Our consultations would be introducing a new concept for many people

  10. Challenge! Getting people to tell you what they need to know about a subject they’ve never thought about before is tricky!

  11. Strategy Q: How groups are encountering the subject Q: How they are responding when it presents itself • What our clients tell us about their experiences attempting to access… + • our own observations about what happens when we try to help clients access (or access ourselves)… …can make training needs visible!

  12. Consultation Structure Participants were asked to discuss… • Their familiarity with the term and concept of Reproductive Coercion • The frequency and range of Reproductive Coercion experiences reported to them by women • What they hear from, & any barriers they perceived for, clientsattempting to access services for linked SRH/VAW needs in their own sectors, or across sectors • Any experiences for distinct populations they might serve • Any barriers they perceived for themselves in providing cross-sector services • Any training/education needs they perceived for themselves, their sector, or across sectors • Existing training/education vehicles within their own organizations/sectors • Preferred forms of training and educationdelivery

  13. Consultation Participants • Diverse Representation of providers and populations served • Majority had over 10 years in the field

  14. Who Did We Talk To? Sexual & Reproductive Health [21.2%] Other Service Provider [31.7%] Violence Against Women [54.8%] *Totals exceed 100% due to some agencies Identifying in multiple sectors

  15. What Do We Know About Reproductive Coercion? “It just doesn’t naturally flow in my mind how I associate them together (VAW & SRH).” Unfamiliar Term & Concept Many providers struggled to: • see a relationship between their work & the other sector • think of RC as part of the range of things we need to deal with

  16. But….. Systemic Abuses & Barriers and Deficiencies in Service

  17. Control By….  coercing/forcing her to have sex • refusing to use/forcing her not to use birth control • coercing/forcing her to have an abortion • coercing/forcing her to maintain a pregnancy • threatening using the pregnancy, increasing fear by attacking while pregnant • harming her through ending the pregnancy by violence or coerced/forced abortion OR…  children are then used to threaten her again PREGNANCY

  18. Learnings Needs • Reconceptualize how & what we think of as part of violence • Common language & examples that relate to our work to understand it

  19. Finding

  20. Providers told us…. “Some workers don't engage in certain conversations with clients because it goes against their morals. Some workers tell women what to do with their lives and monitor what women are doing. I don't feel all of our clients really trust us to be engaging in open and honest conversations because of these barriers.” “Unfortunately in a shelter environment there are very different reactions to client’s choices by the different staff. It is challenging to have all staff coming from a supportive non-judgemental framework when talking with clients about sexual health.”

  21. Learning  Stigma & Judgements are affecting both clients’ ability to talk about these issues, and service providers ability to recognize them • Lack of support for options • Culture of Disbelief –discriminatory beliefs • Problematic approaches • Negative experiences accessing care • Non-inclusive spaces

  22. “Unless you’re the local town lawyer or dentist and there’s a little slip up and you need something it’ll be no problem. But if you are young, single, have issues with addictions, have issues with violence in your relationships, some of them even have issues in terms of intersecting with the law, it’s like ‘Can you not even look after this part?’ and I think that there’s not maybe a good understanding that somebody’s not letting them. It’s always, ‘You’re just careless’, or like you’re not smart enough to figure out how this happened.”

  23. Learnings Needs • Training on R.C. • Non-judgemental, survivor-directed support • Assumptions • Anti-oppression training

  24. Some other examples… Provider-Based Client-based

  25. Distinct Communities

  26. Distinct Communities

  27. Reluctance to Engage the Issue

  28. Good News!

  29. Learnings Needs

  30. More Good News! Providers Have & Use Strategies Invisible Forms of Birth Control Abortion options that resemble miscarriages SRH Providers – fake X-rays; “fake” medical appointments VAW providers accompany women; “cover appointments” so clients can meet SRH needs Innovative partnering

  31. Training

  32. Learned from Consultation…

  33. Training Con’t

  34. Training - Materials

  35. “Wishlist Items” Skills Building Work Reproductive Coercion

  36. Sample Provider Education Tools

  37. Sample Public Education Posters

  38. Acknowledgements and Appreciations AIDS Committee of Ottawa Amelia Rising Sexual Assault Centre of Nipissing Amethyst Women's Addiction Centre CALACS francophone d’Ottawa Canadian Mental Health Association Canadian Federation for Sexual Health Canadians for Choice Carlington Community Health Centre Catholic Family Services Ottawa Chrysalis House ComitéRéseaud'Ottawa Eastern Ottawa Resource Centre Ernestine's Women's Shelter Family Services Ottawa Immigrant Women Services Interval House of Ottawa Lanark County Interval House Maisond’Amitié Mary Pat Bingley/Perth & Smiths Falls District Hospital Mothercraft Ottawa - Birth and Parent Companion Program Nelson House OASIS – Sandy Hill Community Health Centre Ontario Aboriginal HIV/AIDS Strategy Ottawa Coalition to End Violence Against Women (OCTEVAW) Ottawa Inner City Health Ottawa Rape Crisis Centre Ottawa Victim Services Pink Triangle Services Planned Parenthood Ottawa Salvation Army Pre-Charge Diversion Program Sexual Assault Network Sexual Assault Support Centre of Ottawa Shepherds of Good Hope Somerset West Community Health Centre St. Mary's Home & Young Parent Outreach Centre The Women's Resource Centre (Student Federation of the University of Ottawa) Western Ottawa Community Resource Centre Women’s Support Network of York Region Youth Services Bureau of Ottawa

  39. This research was funded by the Community Foundation of Ottawa

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