Daphne Toolkit

IMPLEMENT – Specialized Support for Victims of Violence in Health Care Systems Across Europe

Project Reference Number: 

IMPLEMENT – Specialized Support for Victims of Violence in Health Care Systems Across Europe

Aim and context

The IMPLEMENT project provided capacity building in six EU countries (Austria, Bulgaria, France, Germany, Italy, Romania) for health professionals side-by-side with gender-based violence (GBV) advocates in order to directly strengthen the support for victims of GBV in six diverse health settings, as promoted and identified as best practice in the Istanbul Convention. This directly supported the priority Support for Victims of Violence of the Daphne programme.



To achieve this objective, the following activities were conducted:

  • a kick-off and coordination meeting took place face-to-face for the project partners to discuss the work plan, lessons learned, best practices, successes and challenges in implementation of the IMPLEMENT model;

  • an environmental scan and situational analysis was performed in each partner country; a train-the-trainer seminar was conducted for training of health professionals side-by-side with GBV advocates and the trainers then completed over 25 capacity building seminars in local settings, as well as kick-off informational meetings and informal follow-up meetings;

  • scientific monitoring and evaluation of the project was performed, including systematic data collection conducted in each national setting, compiled and analysed in an IMPLEMENT Data Collection Report;

  • discussions were held with health care policy makers to identify legal frameworks for provision of care in the health setting in each country and discussions were held with medical/nursing/midwifery school managers/staff to promote the integration of a provision of specialised health services for victims of GBV into the curriculum.


Finally, dissemination of the project results, particularly the IMPLEMENT Training Manual, took place through the project website, conference presentations at European level and through newsletters and workshops.



Key results of the IMPLEMENT project consisted of six environmental scans performed to identify existing health care infrastructure related to provision of care for victims of gender-based violence; an IMPLEMENT Training Manual available in five languages used to train health professionals and GBV advocates to deliver the IMPLEMENT model to over 330 health professionals of various departments through capacity building seminars in the six partner countries; numerous stakeholder meetings to inform about the IMPLEMENT results and discuss best practice examples (Austria: multidisciplinary victim protection groups in health settings; France: Inter-Ministerial commission on the protection of women victims of violence; UK: IRIS model) with health sector policy makers and schools of medicine/nursing/midwifery.



The impact of the IMPLEMENT project on the target groups was multi-fold: increased awareness at the management and staff level at the six health settings; increased awareness at schools of midwifery/nurse/medicine; increased awareness of the need for a health sector response to GBV; improved skill in identifying and referring victims of GBV and improved referral pathway for specialized support for victims of GBV in the six health settings; extensive use and dissemination of the IMPLEMENT Training Manual within the six partner countries (at national level in France) and through the Women against Violence Europe (WAVE) Network, United Nations Populations Fund (UNFPA), European Forum of Primary Health Care, and The World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA) Network; improved data collection of the health sector response to GBV in the clinical setting. Most importantly, the project was successful in integrating the IMPLEMENT model as part of routine clinical practice in all six health settings in the EU, and awareness raising with health management and educators, specialised support services, and general practitioners to further strengthen the health sector response.