The sexual violence experienced by women in rural areas is driven by gender inequality and impacts health directly and indirectly across the lifetime and across generations. Isolation is an increased risk factor for serious harm; no one to hear, see or intervene when violence occurs. It can be harder to access help and there may be no support structures nearby such crisis accommodation, transport, health, legal, psychological, and social supports.

Barriers to leaving may be overwhelming. To leave a relationship may mean that the victim needs to leave their town, station or community. In the indigenous context, this may mean leaving family, culture, language and country for a place where they do not feel they fit in.

Healthcare practitioners must have an awareness of, and sensitivity to, the unique risks and impacts and understand the referral options available. Considerations include an awareness of privacy and confidentiality and a requirement to address these directly with patients.

Practitioners need to have a sense of self and be aware of their own sensitivities when managing patients who have experienced sexual violence. They need to be mindful of self- care and vicarious trauma and risks to themselves when working in rural settings.

Practitioners are uniquely placed to play an important role in awareness, prevention, intervention and treatment of sexual violence in the community. Professional networks can strengthen the capacity to respond and refer and is an important element in their own support and welfare.

To register for free CPD-accredited training on Recognising and Responding to Sexual Violence in Adults click here.

This training is funded by the Department of Social Services under the Fourth Action Plan of the National Plan to Reduce Violence against Women and their Children 2010-2022.