Kung slår dam : våldsforskningsmetodologi i ett våldsamt jämställt Sverige

King captures queen. Methodology in research on violence in violently equal Sweden Research and debate on violence against women in a Swedish context is here discussed from a perspective that focuses on the different understandings and epistemological claims behind existing positions. I crystallize a dominant perspective on violence, centred around fragmentation/deviance, and a challenging feminist understanding, centred around coherence/normality. I relate these understandings to a wider set of methodological choices and epistemological claims within research on violence against women, captured in what I call a discourse on partner violence (fragmentation) and a feminist discourse on men’s violence against women (coherence). The article also examines the reactions, in media and academic life, that a quantitative study on men’s violence against women in Sweden provoked, Captured queen, men’s violence against women in equal Sweden. A prevalence study (Lundgren et al 2001). By applying a coherent methodological approach, stemming from the feminist discourse on violence against women, the study seems to have placed itself outside what was comprehensible for many voices in the debate (from media and the academic field). I discuss the hostile reactions the study aroused, in relation to its methodology and the above presented conflicting understandings that occupy the research field “violence against women”.

Barriers and facilitators in the provision of post-abortion care at district level in central Uganda : a qualitative study focusing on task sharing between physicians and midwives

Background: Abortion is restricted in Uganda, and poor access to contraceptive methods result in unwanted pregnancies. This leaves women no other choice than unsafe abortion, thus placing a great burden on the Ugandan health system and making unsafe abortion one of the major contributors to maternal mortality and morbidity in Uganda. The existing sexual and reproductive health policy in Uganda supports the sharing of tasks in post-abortion care. This task sharing is taking place as a pragmatic response to the increased workload. This study aims to explore physicians' and midwives' perception of post-abortion care with regard to professional competences, methods, contraceptive counselling and task shifting/sharing in post-abortion care. Methods: In-depth interviews (n = 27) with health care providers of post-abortion care were conducted in seven health facilities in the Central Region of Uganda. The data were organized using thematic analysis with an inductive approach. Results: Post-abortion care was perceived as necessary, albeit controversial and sometimes difficult to provide. Together with poor conditions post-abortion care provoked frustration especially among midwives. Task sharing was generally taking place and midwives were identified as the main providers, although they would rarely have the proper training in post-abortion care. Additionally, midwives were sometimes forced to provide services outside their defined task area, due to the absence of doctors. Different uterine evacuation skills were recognized although few providers knew of misoprostol as a method for post-abortion care. An overall need for further training in post-abortion care was identified. Conclusions: Task sharing is taking place, but providers lack the relevant skills for the provision of quality care. For post-abortion care to improve, task sharing needs to be scaled up and in-service training for both doctors and midwives needs to be provided. Post-abortion care should further be included in the educational curricula of nurses and midwives. Scaled-up task sharing in post-abortion care, along with misoprostol use for uterine evacuation would provide a systematic approach to improving the quality of care and accessibility of services, with the aim of reducing abortion-related mortality and morbidity in Uganda.