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Gender-Based Violence

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.

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

Kristin Kay Gundersen's picture
Also available in: العربية | Español | Français

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.

Violence against older women is widespread but untallied

Cailin Crockett's picture
Along with partners across the globe, today we mark World Elder Abuse Awareness Day. This UN observance has since 2011 called attention to the often invisible abuse, violence, and neglect experienced by older people—mostly women—around the world.

Ending poverty means closing the gaps between women and men

Sri Mulyani Indrawati's picture

A woman in a Niger village cooks for her family. Photo © Stephan Gladieu/World Bank

For the first time in history, the number of people living in extreme poverty has fallen below 10%. The world has never been as ambitious about development as it is today. After adopting the Sustainable Development Goals and signing the Paris climate deal at the end of 2015, the global community is now looking into the best and most effective ways of reaching these milestones. In this five-part series I will discuss what the World Bank Group is doing and what we are planning to do in key areas that are critical for ending poverty by 2030: good governance, gender equality, conflict and fragility, creating jobs, and, finally, preventing and adapting to climate change.

The world is a better place for women and girls in 2016 than even a decade ago. But not for everyone, and definitely not everywhere: This is especially true in the world’s poorest, most fragile countries.
 
It’s also particularly true regarding women’s economic opportunities. Gender gaps in employment, business, and access to finance hold back not just individuals but whole economies—at a time when we sorely need to boost growth and create new jobs globally.

Researching violence against Syrian refugee women

Bassam Sebti's picture
Also available in: العربية | Français | Español

He often used a stick or an iron wire to beat her. Her body was covered in bruises, sometimes in all kinds of colors. Hamada's husband, frustrated with losing his son and his job in warring Syria, directed his anger and depression towards the mother of his children.

It is a fact: War is one of many forms of violence to which women are subjected, and for some Syrian refugee women it is a prolongation of what has been happening already in their war-torn country.

They have been beaten, forced into having sex and asked to never talk about it or else get killed — by their own husbands.

For the helpless women, most of whom are mothers, the abuse has been taking physical, emotional and sexual forms.

So how do you address and understand the reasons behind this major, often undermined, issue that adds to the misery of the already miserable women refugees?
 

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A team of researchers working with the Women and Health Alliance International non-profit organization is working on formative research to prevent intimate partner violence among Syrian refugees in Izmir, Turkey.

"Often, from a worldwide perspective, when we think about conflict, we think about the forms of violence that are highlighted in the media," said team member Jennifer Scott, a physician and researcher at Harvard Medical School.

"But what we are not talking about is what is happening in the household, and the types of violence that are related to stress, cultural norms, or social and gender norms," she added. 

To address this issue, Scott and her team talk with men, women, community leaders, policymakers and religious leaders. They ask questions about what is happening in the household, what sorts of violence women and girls experience, and how has this changed as a result of conflict and displacement.

The goal, she said, is to understand that this kind of violence does not have one dimension.

"It's really multiple layers that we need to understand," Scott said. "In our experience as researchers, when we offer women and men the opportunity to speak, they want to talk about it because it's a very important issue."  

The research project, set to start in June 2016, will take place at a community center in Izmir that offers services not only to Syrian refugees but also other refugees currently living in Izmir. The project will conduct focus group discussions and interviews among community and religious leaders to examine some of the factors that lead to intimate partner violence, and explore possible solutions.

The research data will inform the development of a future program to prevent intimate partner violence among displaced populations.

The World Bank Group and the Sexual Violence Research Initiative recently awarded this project and eight other teams from around the world a total of $1.2 million in recognition of their innovations to prevent gender-based violence.
 

Experts, communities convene to develop evidence-based approaches to prevent intimate partner violence in Honduras

Amber L. Hill's picture
The communities of Choloma, La Ceiba and el Progreso in Honduras all had one question in common:  "When can we get started?"

"We want solutions that work and we want them now," said a community leader from La Ceiba during a meeting with national and international experts on the adaptation of an evidence-based intervention to Intimate Partner Violence (IPV) in Honduras. La Ceiba is one of the cities most affected by violence in Honduras, which has the highest homicide rate in the world at 90.4 deaths/100,000 people. More specifically, rates of violence targeted towards women and girls are also alarmingly high:
  • A total of 27% of women aged 15-49 have experienced physical violence since the age of 15; some regions have rates up to 40%.
  • Similarly to other countries around the world, the vast majority of the perpetrators are intimate partners or ex-partners.
These statistics clearly demonstrate the need for interventions that seek to affect the root causes that underlie gender-based violence in Honduras.
 

The missing men in violence against women

Maria Correia's picture
Photo: Dominic Chavez/World Bank

To end violence against women, we must ask the fundamental question of what is going on with men – the main perpetrators of this violence – and why societies worldwide are producing so many violent men?

As we know from the seminal 2013 WHO report, gender violence has reached epidemic proportions:  fully one third of women worldwide – nearly one billion women – will experience physical violence from a male partner in their lifetimes.  The problem has persisted or even increased in rich and poor countries alike – across age groups, classes, cultures and races.  
 
The time has come to shift our thinking and approach to the perpetrators of this violence.  We need to turn our attention to the behavior and motivations of the men and ask a different set of questions. What is going on with the men who are committing these violent acts?  Why do so many men use violence against women and girls – particularly their own family members?  Why is men’s use of violence against women so commonplace across countries in the world today?  And how do institutions perpetuate the practice of men abusing and violating women? 

If you cannot say it, then draw it: comic books against gender-based violence in India

Ram Devineni's picture
(The author is a co-creator of the comic book “Priya’s Shakti”, a multimedia project that helps illuminate attitudes toward gender-based violence (GBV) through the Hindu mythological canon.)
 
Tushar Kamble with the comic book panel he drew about one of his teachers.

Before creating the comic book “Priya’s Shakti”  we spoke with several rape survivors and their accounts were critical in developing our story. What they told us had a profound impact on everyone involved. We knew we had to create a compelling and inspiring character – Priya, who is a survivor of rape and the hero of our comic book.
 
While finishing the comic book, we realized that the process of drawing Priya made us more sensitive and aware of the struggles of the real-life women we interviewed and who influenced our character. We wanted to share the power of storytelling and drawing with teenagers in India and elsewhere.
 
We observed that the internet and watching TV is a very passive endeavor and once it is over, the viewer is disconnected from what they experienced. But, drawing and especially telling the stories of survivors of gender-based violence was a very active process and had a lasting effect on the people who were involved. The more the person was engaged with the subject – the deeper their empathy was with them.

Gender-based violence: lesbian and transgender women face the highest risk but get the least attention

Saurav Jung Thapa's picture

 
​Strategies to curb violence against women too often exclude the experiences of lesbian, bisexual, and transgender women.  The Human Rights Campaign (HRC) is marking this year’s 16 Days of Activism to End Violence Against Women by highlighting the disproportionate violence and discrimination that many lesbian, bisexual, and transgender women face, and calls on the World Bank to develop policies that consider the unique needs of these women.
 
The laws are changing but the violence remains
 
Lesbian, gay, bisexual and transgender (LGBT) people have made great strides in the fight for full equality. As of today, 34 countries permit marriage or civil unions for same-sex couples, and many other countries have passed vital non-discrimination protections. For example, in the United States, the Violence Against Women Reauthorization Act of 2013 expanded non-discrimination protections for LGBT people to prohibit shelters and other domestic violence services from discriminating on the basis of sexual orientation or gender identity.
 
Sadly, lesbian, bisexual, and transgender women face disproportionate levels of violence at the hands of both strangers and intimate partners.  A recent U.N. human rights report  noted that LGBT people are at a disturbingly elevated risk of homicidal violence, highlighting the increased risk that lesbian, bisexual, and transgender women face because of gender-based discrimination. Another study by the Human Rights Campaign and the Trans People of Color Coalition estimates that transgender women in the United States face 4.3 times the risk of becoming homicide victims than the general population of women. Factors such as poverty or belonging to a racial minority exacerbated the incidence and rates of violence experienced. Transgender people are also more likely to experience violence from law enforcement, in homeless shelters, and in healthcare settings. The recent Transgender Day of Remembrance served as a stark reminder that transgender people around the world face disproportionate levels of violence: in the United States alone, at least 21 transgender people have been killed in 2015.

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.

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