9542089
MVRJSRNC
1
apa
50
date
desc
2440
https://www.svri.org/wp-content/plugins/zotpress/
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Wild, K., Young, F., de Araujo, G., Fernandes, A., Gomes, L., Kelly, L., & Taft, A. (2022). Healthcare Responses to Gender-Based Violence in Timor-Leste: Women Want Empathy, Information and Safety From an Integrated Support System. Journal of Interpersonal Violence, 37(23–24), NP22175–NP22198. https://doi.org/10.1177/08862605211072156
Wild, K., Gomes, L., Fernandes, A., de Araujo, G., McDonald, S., & Taft, A. (2020). Security from above and below: A critical ethnography of the health response to violence against women in Timor-Leste. Social Science & Medicine, 260, 113191. https://doi.org/10.1016/j.socscimed.2020.113191
Wild, K. J., Gomes, L., Fernandes, A., de Araujo, G., Madeira, I., da Conceicao Matos, L., McDonald, S., & Taft, A. (2019). Responding to violence against women: a qualitative study with midwives in Timor-Leste. Women and Birth, 32(4), e459–e466. https://doi.org/10.1016/j.wombi.2018.10.008
Niven, H., Jose, H., Rawstorne, P., & Nathan, S. (2018). “They love us just the way they love a woman”: gender identity, power and transactional sex between men who have sex with men and transgender women in Timor-Leste. Culture, Health & Sexuality, 20(8), 858–872. https://doi.org/10.1080/13691058.2017.1388928
Silove, D. M., Tay, A. K., Tol, W. A., Tam, N., dos Reis, N., da Costa, Z., Soares, C., & Rees, S. (2016). Patterns of separation anxiety symptoms amongst pregnant women in conflict-affected Timor-Leste: Associations with traumatic loss, family conflict, and intimate partner violence. Journal of Affective Disorders, 205, 292–300. https://doi.org/10.1016/j.jad.2016.07.052
The Equality Institute on behalf of The Asia Foundation. (2016). Understanding violence against women and children in Timor-Leste: Findings from the Nabilan baseline study. The Equality Institute on behalf of The Asia Foundation. https://asiafoundation.org/wp-content/uploads/2016/05/UnderstandingVAWTL_main.pdf
Rees, S. J., Tol, W., Mohsin, M., Mohammad, M., Tay, A. K., Tam, N., dos Reis, N., da Costa, E., Soares, C., & Silove, D. M. (2016). A high-risk group of pregnant women with elevated levels of conflict-related trauma, intimate partner violence, symptoms of depression and other forms of mental distress in post-conflict Timor-Leste. Translational Psychiatry, 6, e725. https://doi.org/10.1038/tp.2015.212
Wayte, K., Zwi, A. B., Belton, S., Martins, J., Martins, N., Whelan, A., & Kelly, P. M. (2008). Conflict and Development: Challenges in Responding to Sexual and Reproductive Health Needs in Timor-Leste. Reproductive Health Matters, 16(31), 83–92. https://doi.org/10.1016/S0968-8080(08)31355-X
Ellsberg, M., Heilman, B., Namy, S., Contreras, M., & Robin Hayes. (2008). Violence against women in Melanesia and Timor-Leste. ICRW. https://www.usip.org/sites/default/files/missing-peace/Ellsberg-Mary.pdf
Timor-Leste. (n.d.). Retrieved November 14, 2022, from https://evaw-global-database.unwomen.org/en/countries/asia/timor-leste