The Western Cape Government's new Integrated Provincial Violence Prevention Policy Framework: Successes and challenges |
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| Affiliation: | 1. University of Cape Town, School of Public Health and Family Medicine, South Africa;2. Medical Research Council of South Africa, Burden of Disease Research Unit, South Africa;1. Faculty Centre for Research in Psychology, Behaviour and Achievement, Coventry University, Priory Street, Coventry CV1 5FB, UK;2. Offord Centre for Child Studies, Department of Psychiatry and Behavioural Neurosciences and of Pediatrics, McMaster University, Wilcox Building, 1280 Main St, Hamilton, ON L8S 4K1, Canada;3. Academic Unit of Primary Health Care, University of Bristol, 25 Belgrave Road, Clifton, Bristol BS8 2AA, UK;4. Judith Lumley Centre, La Trobe University, 215 Franklin St, Vic 3000, Australia;5. School of Health & Social Development, Faculty of Health, Deakin University, Melbourne Burwood Campus, 221 Burwood Highway, Burwood, Vic 3125, Australia;6. Department of General Practice, The University of Melbourne, 200 Berkeley Street, Carlton, Vic 3031, Australia;1. General Practice & Primary Health Care Academic Centre, The University of Melbourne, Australia;2. Centre for Research in Psychology, Behaviour and Achievement, Coventry University, UK;3. School of Health and Social Development, Deakin University, Australia;1. Yale University, New Haven, CT, United States;2. Yale University, New Haven, CT, United States;3. New York University, New York, NY, United States;1. Yale University, New Haven, CT, United States;2. Columbia University, New York, NY, United States |
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| Abstract: | In August 2013, the Western Cape Government adopted an Integrated Provincial Violence Prevention Policy Framework initiated by the provincial Department of Health in response to the unusually high incidence of, and health burden arising from, interpersonal violence. The policy framework encompasses a more comprehensive intersectoral approach to the prevention of violence than the traditional criminal justice and security-centred approach typically promoted in South Africa as the conventional wisdom. It aims to bring coherence and clarity to the government's objectives in the field of violence prevention by way of a whole-of-government approach encompassing all sectors. The Policy Framework attempts to balance short-term evidence-based interventions, such as reducing the availability and harmful use of alcohol, with longer term interventions that require the state and all citizens to take active responsibility in addressing more holistically the complex social norms that support violence. It is consonant with a “whole-of-society” approach current in the South African polity to policy formulation and implementation, and is underpinned by the public health-centred guidelines set out by the international Global Campaign for the Prevention of Violence. The policy framework supports evidence-based approaches for violence prevention and a review and consultation process aimed at aligning existing performance priorities and deliverables across departments. One year after its adoption we review the uptake of this policy and reflect on some of its early successes as well as barriers to its implementation. We identify early resistance arising from its conflict with intra-departmental priorities, the impact of competing policies and directives, and we propose a research agenda to support its uptake. |
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