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Results for gender-based violence (kenya and zambia)

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Author: Keesbury, Jill, Onyango-Ouma, W.

Title: A Review and Evaluation of Multi-Sectoral Response Services (One-Stop Centers) for Gender-Based Violence in Kenya and Zambia

Summary: While data are very limited on sexual and gender-based violence (SGBV) in Africa, estimates suggest that SGBV is a major health, human rights, and development issue in the region, as it is globally. Approximately half of the women aged 15-49 (48%) in Zambia have experienced physical violence, and one in five women have experienced sexual violence (Zambia DHS, 2007). In Kenya, 39% of women aged 15-49 have ever experienced physical violence since the age of 15, and one in five (21%) reported sexual violence. Given complicated stigma and reporting issues, it is likely that these national Demographic and Health Surveys (DHS) underestimate the true prevalence and incidence of violence. Children are not immune to this epidemic. A global school-based survey found that 31% of girls and 30% of boys aged 13-15 in Zambia had been forced to have sex (Brown et al., 2009). Results of the study based on responses from males and females aged 18 to 24 indicate that lifetime exposure to childhood violence is exceedingly and unacceptably high in Kenya. Nearly one in three females and one in five males experience at least one episode of sexual violence before reaching age 18 – an experience that can shape their futures in terms of their attitudes towards violence, their adoption of risky behaviors and their emotional health. The figures for physical violence were even more startling, with two in three females and three in four males suffering at least one episode of physical violence. This was defined as slapping, pushing, punching, kicking, whipping, or being beaten with an object (UNICEF et al., 2012). An increasingly popular strategy for addressing SGBV is through the establishment of 'one-stop centers‘ (OSCs), which provide integrated, multi-disciplinary services in a single physical location. The basic services of the OSC model in low resource settings in East and Southern Africa comprise health care (including psychosocial support), police and justice sector responses, and ongoing social support (Population Council, 2008; Keesbury & Askew, 2010). These are often provided within the context of a health facility due to the highly medicalized nature of the initial response services. Although a number of variations exist, at the core of this approach is a system of integrated medico-legal and counseling services. This system can either be physically co-located or can consist of a referral network that links the sectors. The goals of this assessment were two-fold: First, to assess the effectiveness of different OSC models in terms of health and legal outcomes for survivors, and the cost-effectiveness of these models; and second, to identify lessons learned in OSC implementation with recommendations for both start-up and scale-up. The assessment was conducted in three sites in Zambia and two in Kenya using a comparative case study approach to address the objectives. Three distinct OSC models were examined to determine the core strengths and weaknesses of each. Each OSC was considered as a "case" and multiple data sources were triangulated to assess their individual effectiveness, as well as the comparative effectiveness across sites. Fieldwork took place in Zambia from July-August 2011 and in Kenya from September-December 2011. Data were collected through: facility inventories (including cost data); client record reviews; court transcript reviews; and key informant interviews with survivors and local stakeholders.

Details: Nairobi, Kenya: Population Council, 2012. 89p.

Source: Internet Resource: Accessed January 31, 2013 at: http://www.popcouncil.org/pdfs/2012RH_SGBV_OSCRevEval.pdf

Year: 2012

Country: Africa

URL: http://www.popcouncil.org/pdfs/2012RH_SGBV_OSCRevEval.pdf

Shelf Number: 127461

Keywords:
Child Sexual Abuse
Gender-Based Violence (Kenya and Zambia)
Sexual Violence
Victim Services
Violence Against Women