Violencia de pareja y búsqueda de ayuda en Chiapas, México: implicaciones para servicios de salud rural comunitaria

From a gender perspective, this study examines how women seek help in response to experiences of intimate partner violence, distinguishing between dynamics of intimate terrorism and situational violence in a rural community in Chiapas, Mexico. A probabilistic study was conducted between July and August 2017 with the participation of 141 women aged 15 years and older, using an adaptation of the National Survey on the Dynamics of Household Relationships (ENDIREH). In addition, from July to December 2017, in-depth interviews were conducted with intentionally selected women and local leaders, along with participant observation. Among survivors, 59% disclosed the violence, and only 7.1% sought formal help, mainly those who experienced intimate terrorism. Most sought help from their families, and 78.9% felt supported by them; this support included emotional assistance, confronting aggressors, and protecting women. Emotions such as fear and shame, impunity, traditional gender norms, socioeconomic factors, and restricted social networks inhibit help-seeking. In this context, community health programs can play a key role in strengthening social networks and providing care.