Good workplaces are safe workplaces in which there is zero tolerance for violence

By Nata Duvvury, Carol Ballantine and Caroline FordeScreen Shot 2019-12-02 at 15.19.19

The world has woken up to the realities of violence in the home and in private relationships. Research comprehensively demonstrates that more than one in three women worldwide will experience intimate partner violence or non-partner sexual violence at some stage in their lifetimes. In our globalized world, women spend more and more time in paid work, so it’s necessary to look closely at the interaction between the workplace and private lives. We conducted a four year research project on the economic and social impacts of violence against women as part of the What Works to Prevent Violence Against Women and Girls global programme, funded by the UK Department for International Development. This short blog demonstrates the many ways in which intimate partner violence (IPV) is a workplace issue.

Intimate partner violence impacts women in the workplace negatively, undermines efforts towards gender equality at work including upward mobility of women, and makes women vulnerable to poverty and further violence. The lower performance of victimized women at work often translates into insecure and precarious work, and plays a part in deepening the dynamics of intimate partner violence and employment. Business leaders thus have an important incentive for joining the fight to end violence against women. The fight must extend to providing the right pay and conditions to protect all workers from interpersonal and structural violence.

Intimate partner violence impacts on women in the workplace in a number of ways. The most immediate physical and mental health impacts of violence are by now well-documented: as a result of injuries, illness, anxiety, depression and other conditions, working women frequently miss days of work. This can be due to absenteeism and lateness – being physically absent from the workplace – and also presenteeism, where the worker is physically present but unable to carry out their tasks. In our recent study, working women in paid and unpaid employment who had experienced IPV reported missing an average of 12 days of work annually in Ghana. This equates to a total of 13.3 million person days  lost annually. The knock-on impact is immediate: the loss of income for those victim-survivors in Ghana came to US$36 million annually.

Women’s working lives are affected in the short and long term by IPV. Lost wages, combined with hefty out-of-pocket expenses for addressing the health and material impacts of violence, can force women and their families into poverty, which in turn undermines their employment chances. Women’s employment is affected in many ways: the productivity loss from days missed means they lose out not only on wages but also on job security, training, career movement and promotions. A forthcoming study completed by our team in Ireland showed that unemployment increased significantly as a result of IPV. In all of these ways, women’s long-term earning prospects are affected, contributing to the gender wage gap. Research in Vietnam has shown that women experiencing lifetime violence have lower earnings by as much as 35%.

The workplace is not a neutral space in these dynamics. Our four year study found that 21% of employed women surveyed in their businesses in South Sudan had experienced IPV at work. This includes through phone calls and text messages, physical intimidation, and harassment by an abusive partner. Insecure conditions in the workplace also drive the interpersonal dynamics of violence. Women’s unstable employment status is shown to be a risk factor for IPV. While the relationship between violence and work is complex, sudden job losses and extreme employment precarity are undoubtedly damaging to efforts to eliminate IPV.

Self-employment may also be a risk factor for violence: in Ghana, we found self-employed women had an IPV prevalence rate of 39%, compared to 30% for wage or contract employed women. Placed in the context of the “gig” or “on demand” economy, this is a worrying finding, which replicates similar insights from studies in Vietnam and Ecuador. As workplace trends move away from secure contract jobs and towards “self-employment” and precarious contracts, this is likely to increase vulnerability to intimate partner violence.

It is clear then that in spite of its name, domestic violence is far from a domestic issue. If efforts to increase women’s economic participation are to be taken seriously, it is imperative that we work together to eliminate IPV. Violence increases women’s poverty, undermines their employment opportunities, and reinforces gender inequality. (It also, incidentally, costs businesses dearly in lost productivity, lost earnings, and lost human potential). By contrast, employment mitigates poverty, while providing financial independence and a greater capacity to leave an abusive relationship. Indeed, it has been established that employment alleviates social isolation, while providing mental respite for women experiencing IPV. However, the growing number of studies showing the substantial negative impact of IPV on women’s employment complicates this picture and highlights the need for a more nuanced and holistic approach.

Good workplaces are safe workplaces, in which there is zero tolerance for any form of violence. They are also secure, providing living wages, supporting unionization, and ensuring clear terms and conditions of work. An alliance of women’s rights organisations, governments and business leaders can make a real difference to the global problem of violence against women, and in doing so, can improve women’s secure, lasting economic participation.

Dr. Nata Duvvury is a development expert with research interests in gender,  labour markets and welfare state,  gendered impacts of globalization, economic costs of gender based violence, civil society and global governance, and social mobilization. She has received grants from international and donors including World Bank, UNFPA, UN Women, CARDI, and Department of Foreign Affairs. While at International Center for Research on Women in Washington DC she received grants from GATES Foundation, Levi Strauss Foundation, Ford Foundation, UNFPA, and USAID.

Carol Ballantine is a PhD researcher at the School of Global Women’s Studies in NUI Galway. She is part of a research team documenting the social and economic impacts of Violence Against Women and Girls in three low income countries – her research focuses on the social impacts because she is a little afraid of equations. Her PhD research is focused on the role of stigma in mediating the impacts of gender based violence.

Dr. Caroline Forde is a researcher with the Centre for Global Women’s Studies at NUI Galway. Her work has focused on gender-based violence and sexual health, particularly in relation to gender identity, trauma, help-seeking and recovery. She is currently working as a postdoctoral researcher on the “Costs of Help-seeking and Economic Impacts for Women Survivors of Domestic Violence in Ireland” study. Directed by Dr. Nata Duvvury, this research is a collaboration between the Centre for Global Women’s Studies, Safe Ireland and its member organisations. 

Combining economic and gender transformative interventions to prevent intimate partner violence – Andy Gibbs from SA MRC asks, what’s new?

Andrew-GibbsImage: Andy Gibbs, Medical Research Council, South Africa

Poverty and gender inequalities are mutually reinforcing key drivers of women’s experiences, and men’s perpetration, of intimate partner violence (IPV). Activists, NGO workers and researchers have been working on finding solutions to reducing poverty and changing the way men and women think about gender relationships. To date, the best example of this has been the Intervention with Microfinance for AIDS and Gender Equity (IMAGE) study in South Africa, which showed how combining  microfinance (essentially the provision of small loans to poor clients) with ten sessions on gender transformation, could reduce women’s experiences of IPV by 55% (Pronyk et al., 2006).

What Works has been at the forefront of increasing the evidence base around effective combined economic and gender transformative interventions to prevent IPV. At the end of six years of intervention development, programming and evaluation, What Works strengthened the evidence base around this topic. Specifically, it has contributed new insights to the field, around what makes successful approaches, these fall into four key areas:

  1. Interventions need to be strongly focused on transforming gender norms, by using participatory approaches to behaviour change, have a strong basis in theory, include critical thinking, communication skills, and empathy. These approaches were successfully used in a number of What Works studies to effectively reduce IPV;
  2. The majority of combined interventions have, rightly, focused on working with women. However, What Works also demonstrated that including men directly in these interventions (rather than as women’s partners) can impact on men’s perpetration of IPV, in contexts where poverty is a driver of IPV. In the Stepping Stones and Creating Futures intervention with young men from urban informal settlements in South Africa, those who went through a combined economic and gender transformative intervention reported a 39% reduction in physical IPV, a 54% reduction in economic IPV, a 32% reduction in sexual IPV, and a 28% reduction in non-partner rape perpetration in the past year. Importantly the intervention was explicitly focused on challenging gender inequalities.
  3. In highly patriarchal settings, where women’s power, particularly young women’s power is hampered by generations of families, interventions working with whole families may be appropriate. In What Works, the Zindagii Shoista (Living with Dignity) intervention in rural Tajikistan was piloted with approximately 80 families. The intervention focused on gender transformation and livelihoods strengthening over approximately 21 sessions, and provided ongoing spaces for support. Fifteen months after the intervention was completed, the rates of IPV women reported experiencing had halved.
  4. Interventions need to successfully increase women’s economic position to be effective, and this can take time. In Nepal a family centred intervention called Sammanit Jeevan (Living with Dignity) which was adapted from the Zindagii Shoista, showed little impact on economic outcomes at 12 months from baseline, but by 18 months, women’s livelihoods were significantly improved. It took a while for livelihood opportunities to come to fruition.

There remains a lot to be learnt about how best to maximize the impact of combined economic and gender transformative interventions to improve women’s lives and reduce violence. Not all interventions in What Works using these approaches were successful, and this is particularly the case for women living in complex settings, such as conflict-affected communities, and adolescent girls and young women, and learnings from What Works need to be transferred to other contexts.

Overall, combined economic and gender transformative interventions when designed and implemented correctly are incredibly powerful in reducing women’s experiences of IPV and should be implemented where appropriate.

This blog is based on a brief by Andrew Gibbs and Kate Bishop, find out more here.

Role of mass media in social norm change: Lessons Learnt from The Change Starts at home Intervention


As someone who has worked in the field of Social and Behavior Change Communication (SBCC) for almost 15 years, I am an ardent believer in the power of media for transformative change. Across the many projects that I have worked over the years, I have seen media programming inspire collective action and youth activism, elevate voices, bring the marginalized into the center of discussions and create grassroots movements of change. More recently, as social norms have become increasingly recognized as key to long term and sustainable change, media has again been highlighted as a key tool in influencing social norms. But is it enough just to have a mass media component of a social norms change program? What is it specifically about media that can influence social norms change and how can we design meaningful programming that can be truly transformative?

Reflecting on recent experiences of working on an SBCC intervention (Change Starts at Home) that sought to address the social and gender norms that perpetuate intimate partner violence in Nepal, I have put together the following thoughts and lessons learned about the role, benefits and limitations of media in social norms change. (To note – this project focused mainly on the use of radio, and therefore most of these points are related to the use of radio specifically)

Media is definitely an ally of social norm change. Through media programming, particularly radio drama, it is possible to develop characters that explore new norms, debunk fears around sanctions, highlight role models, and tell the stories of positive deviants. People can see themselves in the characters and storylines, gain courage through the idea that others like them have stepped outside of certain expected roles or behaviors and see how their own lives might play out if they were to do the same.

Characters must be believable to win people’s trust. To do this, they must reflect the realities of the listeners. We got feedback from our predominantly rural listeners that their lives were nothing like the urban couples featured in the early interview segment of the radio program and therefore anything we wanted to highlight or inspire was lost – they are different from us and therefore whatever they do is bound to be different from what we do. It was only when we shifted to featuring couples from our own groups or from the particular areas our audiences came from that this section began to resonate and influence listeners.

Characters can and should be flawed, it was not the ideal couple that people remembered and referenced in minute detail, but the husband who struggled with alcohol, the wife who stayed silent about abuse. These were the characters that our listeners told us had impacted them most.

Programming needs to be iterative and adaptive, set up a continuous dialogue with your listeners so that you know which characters and storylines are connecting, what your listeners want more of and what they are ready for. By listening to our audiences, our assumptions, for example, that talking explicitly about sex early on in the programming would be unacceptable, were challenged and we were able to push the boundaries of what we thought our listeners were ready for. This resulted in having a listener feedback-driven scene, set in a bedroom, in which the couple discussed sexual consent, desire, and intimacy.

You know you are succeeding when reality and fiction are blurred. There is a term known as behaviorally orientated parasocial interaction when the listeners experience the lives of characters vicariously and are able to relate the storylines to their own experience. One of our greatest achievements was hearing that listeners had tried to find the fictional hotel in our drama as they wanted to meet with and speak to our principal characters.

When it comes to norms and behavior change, listening is not enough – discussion is the key. Mass media programming that resonates can instigate internal processing and questioning, which is a key first step. However, as highlighted in a recent paper examining diffusion on the SASA! Intervention, internal processing is only the first step and argumentation, dialogue and social interaction are where change really happens. As such, mass media alone is often not enough and community mobilization or outreach components are key. In Change, we set up listening and discussion groups where we gave space for couples to discuss and reflect on existing norms with others in the group. Take home tasks were also utilized to support the continuation of dialogues with family members, peers, colleagues and neighbors outside the group.

Media programming takes time to reach and resonate with listeners. The levels of audience numbers, regular listenership and trust amongst listeners that is required for social norms change to occur. In our 9 month intervention, we worked intensively with our listener groups, but it was clear that 9 months was not enough at the community level to get the regular, committed listenership that we wanted. At a minimum donors should be funding 2 years of media programming if they are hoping for it to catalyze social norms change at the community level.

Social network analysis can give another level of understanding of how norms might diffuse through a community and how to leverage social interactions via the media. By using research approaches such as network analysis to understand a communities tremendous diversity and daily interactions, it is possible to meticulously plan a media dissemination strategy to maximize interactions with trusted sources, ensure those who are connectors in a community are allies of the programming and even include characters in the drama that model those people in the community we want to diffuse norms.

Gemma Ferguson works for Equal Access International as a Senior Technical Manager. The intervention Change Starts at Home, was one of 10 innovation grants supported by the What Works to Prevent Violence Against Women programme.



How the school environment, given enough time, could offer the key to violence prevention

Prof. Rachel Jewkes, Director, What Works to Prevent Violence Against Women & Girls, on how even in the most challenging settings, schools can provide an effective platform for violence prevention interventions


Photo credit: Peter Roe

Globally over half of all children – 1 billion children, aged 2–17 years – are estimated to experience violence annually. Forms of violence overlap and reinforce each other – at school, in the community, and at home – and range from peer violence and bullying, to corporal punishment by family members and teachers, sexual abuse and harassment, coercion, rape and emotional abuse and neglect. Girls are more likely to experience sexual and dating violence, while boys are more likely to experience physical violence and corporal punishment.

DFID’s What Works to Prevent Violence against Women and Girls Global Programme (What Works) has carried out two evaluations conducted in very different settings to see whether schools could and Afghanistan. Our research has confirmed the very high prevalence of violence experienced by children in their early teens, the major health, social and educational impact, as well as the potential for the right interventions preventing violence.

Violence experienced by school children in their early teens is widespread. We have seen that in Pakistan 93% of boys and 79% of girls in our What Works study had experienced peer violence in the past month and 91% of boys and 61% of girls had experienced corporal punishment at school in the past month, despite this being illegal. Children with disabilities and children from the poorest families are also particularly vulnerable to violence. In our Afghanistan and Pakistan studies, children with a disability were more than twice as likely to be victims of peer violence as those without a disability.

Other research has shown us how different forms of violence are connected: In South Africa and the United States experience of bullying is closely related to dating violence perpetration (for boys) and experience (for girls). Children learn about dominance and control within the family through observation and experience of the behaviour of parents, older siblings or significant others, and through socialisation among peers. Thus, we hope that by impacting on violence among children at one point in their life trajectory we will be able to alter other, and even later, use and experiences of violence. This is critical for breaking the cycle of violence. The interconnectedness across generations was shown by our finding from Pakistan that 1 in 7 of the children who had perpetrated peer violence in the past month had witnessed their mother being abused in this period, compared to 1 in 20 of those who had been victims of peer violence, and less than 1 in 100 of those with no experience of violence at all.

Violence undermines children’s confidence, increases depression and leads to absenteeism and drop-out. In our Pakistan study, peer violence was associated with depression, poorer school attendance and performance. We also learned that one of the reasons that girls are withdrawn from school early is to prevent them from being exposed to sexual harassment travelling to and from school. Our evaluations have shown us that with the right intervention, schools can provide positive opportunities for preventing violence in school and at home.

An important message from What Works is that the right intervention deployed in the right setting through schools can result in reductions in violence. Our ground-breaking work has demonstrated that this is possible even in some of the world’s most fragile and conflict affected environments. A play-based life skills education programme in Hyderabad, Pakistan implemented by the international NGO Right to Play was subject to rigorous assessment through a large randomised controlled trial. The students were in grade 6 (mostly 11-12 years) when the intervention commenced. The intervention is a structured play-based life skills education programme, delivered by coaches and junior leaders, selected and trained from among the scholars, in 120 sessions over two years. Each activity, or game, was followed by a process of critical reflection: reflect, connect and apply, and through this a range of attitudes were challenged and confidence and skills developed.

This study showed that the proportion of boys and girls in schools who had experienced corporal punishment at school in the last four weeks dropped significantly in the intervention compared to control schools over 24 months. The study also found the intervention was associated with less experience of physical punishment at home and at school in the last four weeks, witnessing of fighting between the child’s father and another man, and witnessing the child’s mother being beaten at home. The reduction in experience of violence was associated with improvements in the children’s mental health, shown through reductions in depression, and changes in gender attitudes, notably less patriarchal gender attitudes.

What Works also undertook proof of concept research in a schools-based peace and community education programme in Jawzjan Province, Afghanistan implemented by Help the Afghan Children (HTAC). The area was conflict affected during the study, with particular security problems in one of the three districts in which the intervention was set. Students were in grade 7 and 8 (13-15 years) when the intervention commenced. This was evaluated through a modified interrupted time series evaluation conducted over 18 months during a two-year intervention. Over two years 99 sessions of peace education (about 50 hours) were provided by trained and supported teachers. The lessons sought to build resilience and self-confidence, provide an understanding of the causes of conflict and conflict resolution skills, communication skills, and critical reflection skills. The intervention also included conflict resolution and peace building training for other adults in the community, including parents, young people (aged 18 to 25 years), and community and religious leaders, with discussions on how Islam supports the rights and protections of women and girls, and how the involvement of women in community affairs facilitates safer, more secure and prosperous communities. There is also training provided for women participating in CSOs and working in governmental departments and use of community radio programming.

Over the period of the evaluation we saw peer violence reduce by over 50%. The proportion of boys experiencing corporal punishment at school in the past month there dropped from 43.7% to 27.2% and for girls dropped from 35% to 14.2%. Boys also reported that they witnessed their relatives abuse their mother less often, and girls reported seeing their father abuse their mother less often. Again, there were accompanying improvements in depression scores and gender attitudes.

The What Works evaluations are important as to date there have been significant gaps in the evidence base, with only a few rigorously evaluated programmes demonstrating promise in preventing violence outside of North America. A notable exception is the ‘Good Schools Toolkit’ intervention in Uganda, which has been demonstrated to be effective at reducing various forms of violence (emotional, physical and sexual) from school staff to students, as well as between peers.

We have shown that even in challenging settings, it is possible for interventions in schools can achieve significant reductions in violence – up to 50%. The interventions that were effective allowed sufficient time for change (18-24 months) and were context and developmentally appropriate. This work takes time, especially with young teenagers. Key elements of success that characterised our more successful interventions were that they were multi-component and had a strong theory of change. They worked with children but also involved parents and/or the wider community including local leaders to challenge wider community norms around gender and violence. They used effective learning methods including those that developed critical thinking skills, communication, empathy, leadership and non-violence, and included activities to promote critical reflection on gender norms, roles and identities and power.

Our interventions were delivered by highly trained teachers, NGO staff or coaches– they had purposefully selected, well trained, experienced and well supported intervention facilitators. The teachers were trained in gender norms, roles and identities as well as in the content of the programme and teaching or facilitating skills. The interventions in Afghanistan and Pakistan that were successful in reducing children’s experience of violence also reduced children’s depression. Neither of these used psychotherapeutic methods to achieve this impact. This suggests that by removing an important risk factor for mental ill-health, violence reduction can effectively reduce depressive symptoms, which is likely to have far reaching impacts on children’s wellbeing and education.

By employing these nuanced and culturally sensitive techniques and working with communities, What Works has proven that even in challenging settings where violence is commonplace, it is possible to achieve significant reductions in violence through interventions in schools.

Read the full evidence brief Violence Against Women and Girls and Education by Erika Fraser and Rachel Jewkes here.




Sharing what works to prevent violence against women and girls, By Alice Kerr-Wilson, Senior Associate, Social Development Direct


It was a cool spring morning in Stockholm and the taxi was late. The road outside the hotel was blocked by roadworks and I didn’t hold out much hope of it showing up. Seven of us stood around waiting and wondering what to do. It was going to be embarrassing to show up late for our own meeting. Did I have time to upload the presentations? To put out the publications, get through security and to check that the Rozina in Pakistan was connected via the video conference? Did I need to ask the hotel to call for another taxi?

“Are any of you Alice?” asked a man in a suit behind me. “Yes, that’s me,” I replied. “I’m your taxi driver. You booked two taxis, the other one went to the wrong place but will be here soon”. Relief. We were going to make it in time after all.

I was chairing an event to share evidence from the What Works programme about what is working around the world to prevent violence against women and girls – the event was held in collaboration with The Swedish International Development Cooperation Agency, Sida and held in their offices in Stockholm. We were really excited to be collaborating with Sida on this event .

Participants included 25 Sida advisors as well as a representative from the Icelandic Ministry of Foreign Affairs, DFID and the What Works programme. The seminar was opened by Sida’s Director General, Carin Jämtin, together with the Head of DFID’s VAWG Team, Sarah Fisher White, who both emphasized their commitment to preventing VAWG in their work. The eleven presentations that followed were powerful and important, including the four made via conference call from Pakistan, Geneva, Ethiopia, and London. There were presentations from all three What Works components and a broad range of projects and evaluations. Besides What Works, there were also presentations from Sida on their social protection cash transfer work Ghana’s LEAP social protection programme (Livelihood Empowerment against Poverty), and from What Works’ International Advisory Board chair Claudia Garcia-Moreno, on the new UN RESPECT framework.

Sida and DFID reaffirmed their interest in exploring future opportunities to collaborate on VAWG. All participants were encouraged to share and communicate the evidence from What Works and other research which shows that VAWG is preventable with other donors, governments, civil society and the private sector to improve the effectiveness of efforts to prevent VAWG. Use global opportunities such as the Preventing Sexual Violence Initiative Global Conference in London in November 2019 and Beijing +25 in 2020 to communicate findings and use these to drive evidence-based commitments and action.   The participants were also encouraged to keep up to date with the latest results and evidence that will be launched from the What Works programme in its final six months.

Overall, it was a rich day of discussion and learning. It was a great opportunity to share What Works findings with an interested donor, working on similar issues, but not yet familiar with our research and findings. Both Sida and DfID staff and What Works representatives expressed how much they had appreciated and learned from the day. We hope that this event has opened the door to strong future collaboration with Sida on preventing VAWG.


What can we learn from What Work’s school-based programmes?

Screenshot 2018-12-17 14.45.20

Photo by MI PHAM on Unsplash

London School of Hygiene and Tropical Medicine student, Ummi Bello, reports from the What Works to Prevent Violence Against Women & Girls learning event during the 16 Days of Activism campaign 2018.

We live in a world where our women are being broken and torn apart by violence, and where they begin to lose their sense of identity worth. And in that same world, they co-exist with our children. These children symbolize our hope, but they too are exposed to violence and subconsciously internalizing its negative effects. Violence against women (VAW) and against children (VAC) are major violations of human rights and a great public health concern.

Around 1 in 3 women have experienced physical and/or sexual violence in their lifetime, and children’s exposure to these forms of violence in the home and punishment in schools have been linked to children’s perpetration of the violence against their fellow peers, says the latest evidence from What Works to Prevent Violence against Women and Girls, a global programme, funded by UKAID working in 13 countries across the world building the evidence base on What Works to prevent violence in low-middle income settings. Preventing violence against children is integral to the long-term prevention of violence against women, and to breaking the cycle of violence.

I was glad to have attended an event at the London School of Hygiene and Tropical Medicine where What Works shared their projects, evaluations, and findings. I would like to share a few of these findings with you specifically those from the school-based intervention programmes.

Right to Play (School-based Intervention, Pakistan)

Atta Somaroo, the Programme Manager of Right to Play, beautifully set the scene on what the Right to Play is and the main aim of the intervention. The intervention was conducted in Hyderabad district in Pakistan. This intervention tested the potential of schools as a platform for preventing both VAW and VAC. The power of sport and play were used in the programme. Children were empowered to reduce peer violence and to change their social norms in order to support non-violence and gender equality. Through interactive play activities, these children learned and understood the different perspectives on gender equality and social norms. Confidence, empathy, leadership and how to deal with negative emotions are only a few of the life skills these children learned. How did this impact on the prevention of violence? Findings showed that peer victimization and perpetration significantly reduced. Corporal punishment in schools also significantly decreased by 45% in boys and 66% in girls. What was amazing was the fact that witnessing domestic violence at home and physical punishment at home also significantly reduced by more than half for both genders. This shows that not only do these school-based interventions create a safe space in schools, but this extends to creating a safe and non-violent space at home. What’s more, depression scores have decreased.

Help the Afghan Children (School-Based Peace Education, Afghanistan)

This programme was implemented over a two-year period reaching about 3,500 children. It was delivered in lessons which taught peace education and peaceful conflict resolutions. It was interesting to see similar results from the Right to Play. Children’s experiences in violence at school decreased by up to 50%. Punishment at school also decreased. At home, the number of boys and girls reporting physical violence also dropped quite significantly. Depression levels reduced. Children’s attitudes regarding gender also shifted to a more equitable thinking. Children were less and less supporting violent attitudes. They began to understand and believe that physical punishment by their parents, teachers or even their peers was wrong.

These findings I believe are important for government and non-governmental organisations to acquire as evidence of what works to prevent violence against women and children. By understanding this they can implement these evidence-based findings into the community. I believe preventing violence against children is a necessity and one of the critical first steps to ending the ongoing cycle of violence later on in life and against women.

“I hope that together with the power of this knowledge and evidence as well as ongoing commitment and effort we can move that bit closer to a world where no woman has to live in fear of violence and every girl can grow up knowing she is safe.” –Emily Esplen (DFID Social Development Advisor)

Inclusive gender-based violence prevention: “They taught us that though we are disabled, no one has the right to commit violence against us” (Ghana, woman with a disability)

Ingrid Van Der Heijden, Senior Researcher – Gender and Health, African Medical Research Council


Violence against women with disabilities is a human rights issue. On Human Rights Day, 10 December 2018, we reflected on the #16 Days of Activism campaign and considered how violence can happen to any woman, regardless of age, place, economic status, culture, or disability status.

Despite freedom from violence being enshrined in the Convention on the Rights of Persons with Disabilities, the rights of persons with disabilities remain unrealized. While the International Day of Disability, commemorated on the 3rd December 2018, highlighted the marginalization and human rights violations of people with disabilities worldwide, the #16 Days campaign did not fully shine the spotlight on the lives and violence experiences of women and girls with disabilities, and/or what is being done to protect them.

We know that women and girls with disabilities are marginalized and at greater risk of violence because of their gender as well as their disability. Perceptions of women with disabilities as passive, weak, and defenseless exaggerates their risk. They also experience many more barriers to help-seeking and resources for protection and justice, than women without disabilities.

Data of increased risk for women and girls with disabilities is largely based on research from developed country contexts, but little is known about the violence prevalence and experiences of those living in developing countries, or what we can do to prevent violence. Understanding that 80% of women with disabilities live in low and middle-income countries (LMICs) (World Bank, 2011), the What Works programme is the first global violence prevention initiative with a focus on women and girls with disabilities across multiple settings in LMICs (see link at the end of the article).

Over the past five years, the UKAID funded What Works programme conducted global research with over 6,000 women with disabilities who were living in poor, under-resourced communities across multiple countries in Africa, the Middle East and Asia, and who were participating in a range of different mainstream violence prevention interventions.

The inclusion of disability questions in the What Works research enabled What Works to track the participation of women with disabilities in its interventions, assess their risk of intimate partner violence and non-partner sexual violence, and assess the barriers and enablers of their participation in violence prevention efforts.

Three key findings have emerged from this research, that women with disabilities in LMICs are:

  1. FOUR times more likely to experience intimate partner violence (IPV) than women without disabilities (age adjusted).
  2. Twice more likely to experience non-partner sexual violence.
  3. Severity of disability is associated with an increased risk of experiencing violence (IPV & non-partner sexual violence).

What Works’ research also revealed that stigma and prejudice around their disability status underpinned many women’s accounts of IPV:

Emotional IPV: [My husband] does not call me by my name, he calls me lame. He calls me lame every day. I cry and feel sad. (Tajikistan, woman living with a disability)

Neglect and physical IPV: My husband saw that I was ailing and would not look after me. He would not take me to hospital…he began beating me, and calling me sick… He ruptured my eardrum, I was all in blood when I came up, and had to stay for ten days in the hospital. (Tajikistan, woman living with a disability)

Abandonment and physical IPV: My husband’s attitude changed toward me, when I became sick, he brought and left me here alone. He would not visit me. I remember when he beat me so hard. (Tajikistan, woman living with a disability)

IPV leads to further injury and impairment, and resulted in shame, depression, and anger amongst female participants, highlighting how IPV impacts on mental health:

He tells me he doesn’t want to live with a sick person. He insults and tells me I am a dirty woman. That my disabled fingers look like an animal and that he is ashamed to walk with me. When he says that I also get angry (Ghana, woman living with a disability).

Do Violence Against Women and Girls (VAWG) prevention interventions differentially impact women and girls with disabilities?

Reflecting on the emerging evidence from What Works, there were no statistically significant differences in programme benefit, suggesting that existing mainstream interventions may benefit all women, regardless of disability status.

What are the barriers for women living with disabilities to access VAWG prevention interventions? Participants with disabilities explained how lack of outreach to people with disabilities, lack of specialised transport, physical access issues, disability-related stigma, and shame about their impairments meant they could not participate equally in the intervention. Lack of self-esteem and feeling embarrassed about their impairments undermined their confidence to actively participate in the interventions:

I participated in all sessions, but I did not participate in the scenes because my lip stretched, and I was ashamed…I would have participated if not ashamed (Tajikistan, woman living with a disability).

What are the benefits to women living with disabilities who participate in VAWG prevention interventions?

For some participants, their inclusion in the interventions increased their self-esteem, increased their access to social support, and helped raise awareness and challenged social norms around disability. For those participating in income-generating interventions, the benefits of economic empowerment allowed them to contribute to the household and toward the purchase of assistive devices.

People started treating us differently. (Tajikistan, woman with a disability)

They taught us that though we are disabled, no one has the right to commit violence against us. (Ghana, woman with a disability)

How can we start to build inclusive programmes to prevent violence against women and girls with disabilities?

Disability inclusion means that people living with disabilities are accommodated and given opportunities to participate in all aspects of life, including interventions and strategies that could protect them from violence.

  • Service providers and programming staff must commit to understanding the unique ways that women and girls with different disabilities experience IPV. This understanding is a critical first step to being able to adapt and develop programmes that effectively serve women and girls with disabilities.
  • GBV prevention programmes should facilitate appropriate disability-sensitive selection, outreach (such as home visits), and ensure physically accessible and supportive programming that addresses the unique risks and needs for a range of women with disabilities.
  • Social norms change: Programming should be both gender and disability transformative in terms of challenging stigma and discrimination related to both identities. Prevention of violence against women and girls with disabilities should not focus on functioning difficulties, but rather challenge disability-related stigma and social norms associated with being a woman with a disability.
  • Raising awareness: Programming should incorporate disability awareness training among participants with disabilities, programme staff, community members and service providers.
  • Economic empowerment: Programmes should foster resilience, capabilities, and economic empowerment of women with disabilities.
  • Safe spaces: Program staff must identify accessible places of safety that can accommodate the needs of women with disabilities.
  • Couples: Couples programming where one of the partners has a disability can help foster healthy and safe relationships.
  • Inclusive materials: Programming materials and approaches should be designed in collaboration with women with disabilities and disabled peoples’ organisations and advocates, to complement existing guidelines, protocols, and tools for VAWG prevention and response.

For violence prevention to be inclusive, input is required from people with disabilities and those organisations that represent them.

  • Monitoring: Programmes should monitor inclusion of and accessibility to people with disabilities, and make adjustments based on lessons from monitoring data.
  • Evaluation: evaluate programmes to see how, and if, they effectively serve women and girls with disabilities
  • Funding: Donors should prioritize disability inclusive VAWG programming and provide funding opportunities for disability-inclusive programme development, costing, provider training, implementation, monitoring, evaluation and scale up.

We have reached the end of this year’s #16 Days of Activism campaign, and if we truly want to prevent violence against women and girls and leave no one behind, we should meaningfully explore and understand the lives of women and girls with disabilities globally. What Works is a unique opportunity to ask questions and build evidence that will have a meaningful impact on our understanding around how to effectively include women and girls with disabilities in LMICs in violence prevention and ensure they benefit.

“I do not come to school because the teachers do not teach us”, deaf and mute school girl, Pakistan

Today, the International Day of Persons with Disability, Yasmeen H. Somani, Researcher from Aga Khan University, Pakistan, asks, “do you know a child with disabilities?”

Edited by: Dr. McFarlanec

photo credit:

Screen Shot 2018-12-03 at 15.58.53.png

Do you know a child with disabilities? Over five million people in Pakistan have a disability. Many of these people are children, who are frequently kept in homes and removed from play and important interaction with other children. Does our government provide programs for these disabled youth and the parents who care for them? To learn more about these special youth with disabilities, I spoke to disabled youth in Hyderabad, Sindh. I visited 3 schools for blind and deaf and mute disabled youth. The schools were operated under the Director of Social Welfare Department, Government Service Center for Blind School and Government College for Special Education.

I felt the children were deprived of needed teachers and resources for successful study. I talked to boys and girls of 12 to 18 years of age. I learned their lives are very limited to home and school only. They are not included in our neighborhoods and society. They live very isolated lives with limited access to information and knowledge. How can they receive needed education and social services when systems are not in place? I met blind students who learn through brail and are required to appear at a written board exam with sighted students.

A girl who is deaf and mute said, “I do not come to school because the teachers do not teach us”. A boy who is also deaf and mute reported; “my teacher does not understand sign language, so how can he teach me?” Another boy who is blind said “Teachers just sit, listen to students talk, and later blame us for not learning” Despite learning limitations, the disabled youth were happy to go to school as their world is limited to home and school, especially for blind girls. One youth mentioned, “I was happy when I was a child at least I can go play outside my house but now that I’m older, I am not allowed to go outside alone, and I do not have any friends.”

When we hear the word school, we automatically think of friends, books, library, playground, teachers and most important learning to gain knowledge and prepare for a future path. Our disabled children in Pakistan also want to have fond memories of school. They want to learn and develop skills for making a future for themselves. However, the children I spoke with are not being challenged at school. The children report harassment at school, with stones thrown at them, and one child reported being locked in the washroom. The children were not safe at their home. One girl reported being harassed by neighbors when left alone by her parents.

In Pakistan, only 14 percent of persons with disabilities are employed. The remaining disabled persons depend on family members for financial support. The Directorate General of Special Education & Social Welfare has developed institutions for the disabled. These institutions are not sufficient. Disabled children and adults need quality education for skill building for career paths. Teachers of the disabled need capacity building to learn strategies for effectively teaching the disabled. Government schools need application of new technology to mainstream disabled youth to learn and interact with non-disabled youth. All youth in Pakistan deserve schooling to learn and develop to their fullest.

The What Works to Prevent Violence Against Women and Girls programme is working to understand the status of disability in lower and middle-income countries, find out more here:





The reflection sessions that changed a narrative in Rwanda


Indashyikirwa (Agents for Change) is an intimate partner violence (IPV) prevention project being implemented across seven Districts in the Western, Northern and Eastern provinces of Rwanda. The programme targets both partners of couples through a series of reflection sessions that challenge drivers of gender based violence (GBV) and promote equality.

Ndabaruta Beatrice and Ndayambaje Godefroid are one of the couples that were selected to be a part of the five-month, weekly curriculum.

Beatrice spoke about the difference in her life and relationship before and after participating in the curriculum: “When we got married we didn’t own much, but as time went on, it got worse. We barely had any food in the home because even the little earnings we had my husband spent on alcohol. He always came home late and drunk and he often kicked the door open while hurling insults at me and the children. I became such a miserable person to the extent that I didn’t care whether I took a bath or not, I was not even bothered about body hygiene. I lived in that hopeless situation for seven years”.

The Start of a Transformational Journey
My husband and I were invited to be part of a five-month couple curriculum with the Indashyikirwa Project. When the training started the facilitator introduced my husband and I, together with a group of other selected couples, to a series of dialogue sessions.

These sessions were aimed at triggering self-reflection on our relationships as married couples but all this was but a dream to me. I thought to myself, “this is not for us it’s for the rest of the couples in the room, who are living in harmony but not us”. I asked myself whether it was even possible for me to ever sit down to hold a reasonable conversation with my husband, without him calling me “fool” or telling me that I looked like a “gorilla”, which was the way he often referred to me, he did not value me let alone consider me as his wife.

Every child we had together he despised. When the five-month couple curriculum began I often asked myself “whether this man will ever love me or even talk to me just like the other married couples do.”

Beatrice appreciated the relationship skills development and take-home exercise approach encouraged by the curriculum, and how through trying something new, their relationship slowly changed:

One day the training facilitator gave us a take-home exercise, which required us to talk and reflect on how we can spend quality time together as a couple. It all seemed like a joke to me because at this point even though we were living in the same house, we were both living in separate rooms, and this had been going for about three months and so the idea of us sitting together to talk was a far cry from our situation at home. As we went on with the training he started surprising me with acts of kindness, which implied that he was trying to make an effort to do right by me.

Beatrice also shared the longer-term impacts of the couple’s curriculum on her relationship:

After a number of curriculum sessions, I started to notice a change of heart in my husband, he started taking responsibility for the family needs, like buying clothes for the children and myself. Before this, the entire time we had been married he had never bought the children any clothes. He even went ahead to open up a joint account for us – for the longest time he had denied me access to financial resources. By opening up this account he was giving me the right to access our income. From that day, he started being intentional about helping me with household chores and whenever I was not home he would take care of the children.

Beatrice also shared the positive impacts of the curriculum, especially around making joint decisions, on their household development:

As a result of the training we made the decision to start planning for our family as a couple, we renovated our house to make it more habitable, we also bought a small plot of land. My husband started helping me to cultivate the land which he never did before, we now have a harvest that we never had before in all our seven years of marriage. Ndayambaje shared how he and his mother rarely communicated because she did not approve of his behavior towards his wife.

“I didn’t want to heed her advice, and I never visited her but now we talk and she also testifies to the change she sees in me and in my relationship with my wife and family.”

He noted that as a result of the curriculum, he now has a better relationship with his wife and family:

“I am now accepted in my neighborhood, before the training I was known as a rebellious person not only by my neighbors but also by the Local Authorities, now everyone wants to know what caused the sudden change. I now feel a sense of belonging in my community and in my own family as a result of my individual change. I am now a respected man in my community and my family’s well-being has been boosted, thanks to the Indashyikirwa project.”

My name is Rachel Kwizera, I have been working with CARE for the last three years as a Monitoring and Evaluation Coordinator for the Indashyikirwa Project. This story is just one of the many other amazing stories that I have witnessed from a number of couples who testify to the intentional changes they made as couples as result of being part of the Couples Curriculum. Several times, these couples have acknowledged that being aware of “Power and Power Use” has changed their entire outlook on how they treat each other as couples, towards a more respectful and positive manner.

The Indashyikirwa Footprint: Personal reflections from working with an intimate partner violence programme in Rwanda

blog photo

Intimate partner violence (IPV) is still a persistent reality for many women in Rwanda and this has physical and emotional consequences, which impacts all of us as a community.  Indashyikirwa is an IPV prevention program being implemented by CARE International Rwanda, Rwanda Women’s Network (RWN) and Rwanda Men’s Resource Centre (RWAMREC) in Rwanda, and funded by DFID-Rwanda. Indashyikirwa is being evaluated externally as part of the What Works to Prevent Violence against Women and Girls Programme. As we enter into the last phase and completion of Indashyikirwa, I would like to share my personal takeaways from this four-year program.

My name is Annette N. Mukiga. As the project coordinator of the RWN activities, Indashyikirwa has created a huge shift in my understanding and perception of Gender Based Violence (GBV) programming in the following ways: –

  1. The first Indashyikirwa Baby: Importance of Building Personal Relationships

I had my now 2.6 year old baby as we were entering the program implementation phase and I remember colleagues from the project coming to visit and welcome the 1st “Indashyikirwa baby”. For me, it was a reaffirmation of the trainings we had and emphasized the need to build and invest in personal relationships with the community members we would be working with, such as the Women’s Space Facilitators and Community Activists.

  1. Personal Reflection: It starts with me

Before Indashyikirwa, my experience with prevention of GBV was working with communities with the implied assumption that this is not my problem, but I am rather going to assist other people to overcome their problems. With Indashyikirwa, the process encouraged continuous personal reflection as an integral part of the change that we wanted to see. I think this is key for working to change social norms; we need to constantly reflect on our own personal attitudes and behaviours, and how we are also influenced by societal norms.

  1. Talking About Triggers instead of Causes of GBV

The Indashykirwa program helped me to learn about triggers, rather than essentializing causes of GBV. For instance, the program emphasizes how power imbalances between men and women, poverty and alcohol abuse are not necessarily causes (i.e. not all people in these circumstances will resort to GBV) but can be triggers or contributing factors of GBV. With this lens, we need to come up with ways and tools of managing these triggers, which was a key focus of the Indashyikirwa program.

  1. Challenging Social Norms: Change is a process

Reflecting on the harmful social norms that we need to change and patriarchy as a system that needs to be eliminated (my personal hope as a feminist), I recognize that there are low hanging fruit (quick wins) and high hanging fruits, which is why we need different strategies to promote positive and sustainable change. As we began the program, I remember the heated and controversial debates around the possibility of a household being headed by both spouses and a colleague having issues with the idea of her husband carrying a child on his back. Throughout the program, many of us as staff developed different attitudes towards gendered norms, encouraged through the participatory approach of the programme trainings and activism activities. The fact that we were even questioning, discussing and visioning a different way of doing things is a powerful step towards changing the norms that we know.

  1. Research and Knowledge Generation: Integral to informing programming

The Indashykirwa program was a first for me in relation to working in partnership with a research team responsible for evaluating the project. My previous experience had been evaluators coming as external experts to impress upon the results of our work. At first, the research was an intimidating experience but as we engaged through mutual respect as partners, with capacity building and regular feedback of the data from both the qualitative and quantitative evaluation activities, I realized the importance of this kind of study to inform the quality and impact of our work. With this understanding and appreciation, I personally cannot look at evaluation research the same way; I am born again. The critical need for research and development practitioners to work in partnership to show what works and how it works cannot be ignored. I would like to call upon funding partners to recognize this mutual reinforcement, support and encourage such collaborations.

  1. Funding Flexibility: Value Addition for Impact

I have experienced many firsts with Indashyikirwa including a 9-month inception period for preparing the ground for the project implementation including; developing the intervention, pretesting of curricula and staff training. Flexibility of funding also allowed for new activities to address the gaps and challenges identified from the monitoring and evaluation research data. For long term projects, especially those piloting programmes as was the case with Indashyikirwa, this is very important, as it enhances the overall quality of the program and its impact. My negotiation agenda with funding partners in the future will definitely take this into consideration.

As we look to the future of Indashyikirwa as a program as well as to prevent and respond to GBV broadly, I hope that the learning we have gained from this program continues to inform us going forward. La Lutte Continua.