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Research rigor and risks: Investigating gender-based violence in the European refugee crisis

Throughout the 16 Days of Activism Against Gender-Based Violence campaign, we celebrate the strides made since the first Women’s Global Leadership Institute in 1991. Despite significant advances in programming and policy, gender-based violence remains pervasive, especially in crisis-affected populations. The ongoing conflict in Syria and the risks of gender-based violence for Syrian refugees challenge us as a global community to focus our attention and intensify our efforts and activism against gender-based violence.
 
Photo: Women and Health Alliance (WAHA) International

The 16 Days of Activism campaign also allows us to reflect on the important role of research in activism. Without rigorous research, activism against gender-based violence may be misguided or misaligned with individual or community perceptions and needs.
 
What is meant by rigorous research?

Rigorous research has been defined as research that applies the appropriate research tools to investigate a set of stated objectives. While some researchers may argue that quantitative research methodologies generate more rigorous data, using this definition we can see that qualitative research methodologies can also generate rigorous data to inform programming, policy and activism.

Our project, funded by the World Bank Group and Sexual Violence Research Initiative Development Marketplace for Innovations to Prevent Gender-Based Violence, aims to do just that—generate rigorous data using qualitative research methodologies to better understand the gender, social, and cultural norms that contribute to intimate partner violence among Syrian refugees. Women and Health Alliance (WAHA) International in collaboration with academic and organizational partners in Turkey and Greece will collect data using focus group discussions and participatory action learning activities in order to inform future interventions targeting intimate partner violence among displaced populations.

Can cash transfers and training reduce intimate partner violence? Learning from Bangladesh

Melissa Hidrobo's picture

This blog post draws on material from "Can cash transfers prevent intimate partner violence?" which was published on the International Food Policy Research Institute (IFPRI) blog in May.

Intimate partner violence (IPV) is the most pervasive form of violence globally—with 1 in 3 women physically or sexually abused by a partner in her lifetime. Despite knowing a lot about prevalence and detrimental impacts of IPV, we are still at the infancy of knowing what works to prevent violence. Recently, development economists have begun exploring the potential of anti-poverty programming, including cash transfers. Cash transfers are a widely used policy tool for decreasing poverty and improving human capital, reaching up to 1 billion people across Latin America, Africa, and Asia. Cash is often given directly to women, thus potentially changing power dynamics within the household. Their scale and reach to the most vulnerable populations have led many to ask, "If cash can change household well-being and power dynamics within households, can cash transfers also be used to decrease IPV?"

Photo: Scott Wallace/World Bank

Recent studies from Latin America and Sub-Saharan Africa have shown that several cash transfer programs have decreased physical violence against women. A mixed methods study in Ecuador found that key factors there were decreases in poverty-related stress (leading to less tension and fewer arguments over women needing to ask men for money to buy food) and increases in women’s empowerment due to being targeted (which improved their bargaining power in the household, self-confidence, and freedom of movement). However there is still a lot we do not know. For example, many cash transfer programs—including those in the existing studies—combine transfers with other components, such as nutrition trainings and conditions related to education and health, which may affect women’s social or human capital distinctly from the transfers. So far, no study has been able to disentangle the impacts of cash versus the other components on IPV.

Moreover, the evidence to date on cash transfers and IPV has come from limited contexts. Given that the effects on IPV may depend on gender norms that vary by context, we need to collect evidence from other regions before concluding that transfers can reduce IPV globally. Importantly, we still do not know enough about whether in specific contexts or sub-groups, women might actually be put in danger from receiving cash, due to men utilizing IPV as a method to extract the cash or due to male backlash if men use IPV to re-assert their authority after a shift in power dynamics.

Our ongoing Bangladesh study with co-authors John Hoddinott and Akhter Ahmed, recently awarded funding from the World Bank Group and the Sexual Violence Research Initiative, will help to fill some of these knowledge gaps. First, the intervention has both transfer-only arms and combined transfer-and-child-nutrition-training arms. Since the intervention arms are assigned randomly, we can disentangle whether a transfer is enough for impacts on IPV or whether adding training is really necessary. Second, the study comes from a context where IPV is very high—about 53-62 percent of women in Bangladesh report experiencing it in their lifetimes – and where gender norms are very different from Latin America or Sub-Saharan Africa. For example, female seclusion (women staying inside the home) is a strong sociocultural norm in rural South Asia. This could limit how much power dynamics shift when transfers are given to women, since women may have restricted mobility to use the transfers independently; on the other hand, it could increase the benefits of trainings for women, since trainings provide rare opportunities to leave the home and build social capital.  Patriarchal norms in Bangladesh could also plausibly contribute to backlash if large transfers to women subvert traditional power dynamics.

Making sense of child marriage in Lebanon

Susan Bartels's picture
Child marriage has emerged as a negative coping strategy among Syrian families who have been forcibly displaced to Lebanon as a result of Syria’s ongoing conflict. Child marriage has profound implications, not just for the girl and for her physical, psychological and socioeconomic well-being, but also for her children, her family, her community, and for global development more broadly. To date, there has been very little research to identify effective interventions for addressing child marriage in humanitarian settings. With the support of the Sexual Violence Research Initiative (SVRI) and the World Bank Group, Queen’s University and the ABAAD Resource Center for Gender Equality are investigating factors that contribute to child marriage in the Syrian refugee crises. Participatory approaches will be used to identify community-based strategies that would offer Syrian families options other than to marry their young daughters prematurely.

Global Impact of Child Marriage
 
Photo: Colleen Davison

Child marriage is a global issue of enormous importance. The United Nations Population Fund estimates that 142 million girls will marry young worldwide between 2011 and 2020 and an additional 151 million girls will marry young in the following decade, equating to 39,000 girls marrying prematurely each day. Child brides are at high risk for early pregnancy and labor complications including preterm labor, obstructed or prolonged labor, and maternal death. Infants born to young mothers are also at greater risk of low birth weight, stillbirth, and neonatal death. In fact, this form of gender-based violence (GBV) is thought to have contributed to the lack of progress towards meeting UN Millennium Development Goals 4 and 5, calling for a two-thirds reduction in the under-five mortality and a three-fourths reduction in maternal deaths, respectively. 
 
The impact of marrying young extends well beyond health consequences. As child brides assume the responsibilities of wives, they are most often unable to continue their formal education thus limiting their literacy and future earning potential. Additionally, young girls are often married to older men and this age discrepancy contributes to unhealthy inequalities within the marriage, often compounding gender inequalities that impair women’s ability to negotiate shared decision making. Thus, experiences of physical, psychological, and sexual violence are more prevalent among girls who marry as children than among those who enter into marriage as consenting adults. 

Child Marriage and the Syrian Crisis

Evidence suggests that rates of child marriage have increased in the Middle East due to the Syrian conflict and the resultant displacement. Increased child marriage during conflict and displacement is not unique to the Syrian crisis as prior evidence suggests that vulnerability to early marriage is heightened during conflicts and natural disasters. Economic necessity and a desire to protect girls from harassment and sexual violence at the hands of strangers are thought to be underlying contributors to child marriage but there are undoubtedly other unrecognized factors related to cultural and social norms which have been impacted from experiences of trauma and loss due to the conflict. 
 
To provide new insight into the societal, economic, security, religious and psychosocial factors contributing to child marriage among Syrian refugees in Lebanon, we used an innovative mixed qualitative/quantitative data capture instrument, Cognitive Edge’s SenseMaker. With electronic data entry on tablets, SenseMaker offers the capability to efficiently collect and analyze large quantities of data in the form of self-interpreted micro-narratives. Because participants interpret their own narratives, researcher interpretation bias is reduced and the stories can be directly accessed to contextualize the quantitative data, which derives from participants’ interpretation of the experiences shared in their narratives.
 
Example of the project’s SenseMaker data output.
Each blue dot represents how one participant
responded to the question asked. Red circles
identify clustered responses and percentages
refer to how many people responded in each cluster.

In July and August 2016, a team of 12 trained Syrian/Lebanese interviewers electronically collected 1,422 self-interpreted micro-narratives from 1,346 unique participants on the experiences of Syrian girls in Lebanon. The SenseMaker interviews were conducted with married and unmarried Syrian girls, Syrian mothers and fathers, as well as married and unmarried Syrian/Lebanese men and a variety of community leaders in Beirut, Beqaa, and Tripoli. Data management and preliminary analysis were performed by QED Insight and results will be further analyzed in Tableau, which facilitates pattern recognition across the various subgroups through disaggregation of the data by various demographic characteristics as well as other contextualizing factors such as length of time spent in Lebanon, emotional tone of the story, etc. In doing so, researchers can ascertains patterns in stories to obtain insights that present alternative and diverse points of view.
 
This SenseMaker data will be presented back to Syrian community members in January and their interpretation of the results will be solicited. Importantly, these facilitated focus group discussions will also serve as a medium through which Syrian communities can self-identify local strategies that are feasible and culturally appropriate to address the issue of child marriage at the local level. This approach fosters community resilience and will help to empower affected families to identify elements of change, which will ultimately be more sustainable and more effective. Through our partnership with the World Bank and SVRI, the community data analysis and local strategies will be brought to the attention of a wide range of policy makers and donors who are increasing their investment and commitment in GBV prevention, response and mitigation based on solid, participatory and innovative analytical work.

For more information, contact susanabartels@gmail.com or saja.michael@abaadmena.org
 

Embracing diversity through new LGBTI surveys in Thailand

Piotr Pawlak's picture
Photo: Talashow / Shutterstock


Social inclusion: a core development objective in its own right, the foundation for shared prosperity, and a major player in poverty alleviation.
 

 
As we observe the International Day for Tolerance this month, let’s remind ourselves that tolerance for diversity represents the first step on the path to social inclusion, and that diversity should not just be tolerated—it should be embraced and celebrated.
 
Yet, around the world, lesbian, gay, bisexual, transgender or intersex (LGBTI) people confront multifaceted challenges that prevent them from fully participating in markets, services, and spaces. In some countries, although tolerated, these groups are often at risk of increased discrimination, exclusion, violence, and other vulnerabilities. This robs them of dignity and prevents them from capitalizing on opportunities to lead a better life.
 
For instance, Thailand is a country with multiple regional linguistic, geographical and socio-economic diversities, natural beauty and historical riches, and many localized traditions and cultural practices. Often called the “Land of Smiles,” Thailand, in the eye of the outsider, is a paradise of tolerance, where many sexual orientations and gender identities/expressions are truly to be seen. However, while the demand and support for positive self-identity are growing in Thailand, people with diverse sexual orientations, gender expressions, and identities experience varying degrees of social inclusion.

Gender-based violence and HIV infection: Overlapping epidemics in Brazil

Kristin Kay Gundersen's picture

One woman is victimized by violence every 15 seconds in Brazil, with a total of 23% of all Brazilian women experiencing violence in their lifetime. There are many notable consequences affecting victims of gender-based violence, yet many health consequences of violence have not been widely addressed in Brazil. This leads to the question: Are victims of gender-based violence at a higher risk for HIV infection in Brazil?
 
Brazil has 730,000 people living with HIV, the largest number in Latin America and the Caribbean. Brazil is also one of 15 countries that account for 75% of the number of people living with HIV worldwide. Although the HIV epidemic in Brazil is classified as stable at the national level, incidence is increasing in various geographic regions and among sub-groups of women.
 
Rates of violence against women (VAW) are particularly high in the Southeastern and Southern regions of Brazil. These regions also have the highest HIV prevalence, accounting for 56% and 20% of all the people living with HIV in Brazil, respectively. Violence and HIV in Brazil are clearly linked, with 98% of women living with HIV in Brazil reporting a lifetime history of violence and 79% reporting violence prior to an HIV diagnosis.
 
Despite these statistics, there is limited research in Brazil examining VAW in relation to HIV. Accordingly, a bi-national collaboration of researchers from the University of California, San Diego, University of Campinas, São Paulo and the University of Rio Grande do Sul, Porto Alegre developed an innovative study to investigate these intersecting epidemics.
 
The focus of the study is in the regions of Brazil with the highest rates of VAW and highest prevalence of HIV: São Paulo in the Southeastern region and Porto Alegre in the Southern region.
 
The aims of the research were to describe the contextual factors of violence victimization among women in Brazil and to examine the association with HIV infection.
 
The study merged two population-based studies with identical sampling methodologies conducted in the São Paulo and Porto Alegre, Brazil. Women ages 18-49 years were sampled from public health centers, including 2,000 women from São Paulo and 1,326 from Porto Alegre. These women were administered surveys that gathered extensive data on violence victimization and social-ecological factors on access to preventative health services.

Working to address gender-based violence in fragile situations

Diana J. Arango's picture
World Bank Senior Gender-Based Violence and Development Specialist Diana J. Arango shares insights into her work to operationalize gender-based violence prevention and response in fragile settings.

Why is gender important for development in environments affected by fragility, conflict and violence (FCV), in the context of your work?

Even though we know that 35% of women in the world have experienced physical or sexual violence at the hand of an intimate partner or sexual violence at the hand of a non-partner, we have yet to fully understand the complexity and different manifestations of gender-based violence (GBV) experienced by women and girls in conflict. 
 
Photo: Shutterstock

We do know that women and girls experience increased violence, because of the breakdown in social fabric that regulates the use of violence, the lack of security and services, and the reality of being forcibly displaced and living in areas where there is no protection. UNHCR estimates that globally, women and girls comprise about half of internally displaced or stateless populations.
 
We are learning that the Syrian crisis has led to increases in early marriage, and has severely limited women’s mobility. Girls are not given access to education because they are not allowed to leave their homes. Women in Iraq who are widowed enter into temporary marriages to collect dowry and provide food and shelter for their families. While in these temporary marriages, they are often sexually and physically assaulted. 
 
The increased vulnerability of women and girls in FCV and the entrenchment of norms and attitudes that contribute to violence and eat away at women’s autonomy are reasons why it is especially important to always bear in mind how FCV affects women and men, girls and boys differently. 
 
Tell us about your experience working in this area.
 

I led the creation of the Violence Against Women and Girls Resource Guide which was developed and launched in partnership with the Global Women’s Institute (GWI) at George Washington University, and the Inter-American Development Bank in 2014. The International Center for Research on Women (ICRW) joined the partnership in June 2015.
 
The guide was created to provide basic information on the characteristics and consequences of violence against women and girls, including operational implications. It offers guidance on how to integrate prevention and the provision of quality services to violence survivors within a range of sectoral projects. The guide highlights potential entry points and partners to engage with, while recommending strategies for integrating violence against women and girls into policies and legislation, sector programs and projects. The guide gathers existing global evidence and emerging promising practices, including those implemented by several teams across the World Bank.
 
In addition, we are partnering with the Sexual Violence Research Initiative out of the Medical Research Council of South Africa to address the dearth of evidence. The Development Marketplace for Innovations to Prevent Gender-Based Violence is funding innovation in GBV prevention and response around the world -- including in FCV countries. Two of the nine projects we funded last year are working with Syrian refugees in Lebanon and Turkey. The funding in Lebanon, for example, will help us better understand the drivers of early marriage and how men, women, boys and girls understand this phenomenon. This information will give us the data we need to design an intervention to address the root causes of early marriage.
 
How can we take this agenda forward?
 
The new World Bank Group Gender Strategy and commitments under the International Development Association (IDA) give us the opportunity to continue our research and improve our understanding of the different ways in which FCV affects women and men. We can also integrate into our operations measures to address GBV and increase economic opportunities as well as access to labor markets for women, while also increasing access to assets and services.
 
I hope to use my experiences of working for almost a decade in humanitarian settings and GBV to provide technical support and share examples of evidence-based interventions that we can use across the World Bank’s programs in FCV to help women and girls in these environments.
 

What are we learning about how to prevent the intergenerational transmission of GBV?

Leigh Stefanik's picture
Some data rise up out of the research din and stick with you – nagging, troubling, surprising. For me, one of these pieces of data has been around the increasing global evidence about the link between witnessing or experiencing violence as a child, and later use of violence against women in adulthood.

Nollywood star Stella Damasus invites you to join a live discussion on gender based violence

Anne Dronnier's picture


A multi-disciplinary art exhibition on the topic of gender based violence (GBV) is opening today at the World Bank in Washington, DC. The exhibition is entitled “1 in 3,” since an estimated one in three women worldwide will be beaten, coerced into sex or otherwise abused in her lifetime. “1 in 3” includes art from around the world - photographs, paintings, drawings, sculpture; films and videos; posters from advertising campaigns against GBV, and performing art.