Abstract
BackgroundDespite high rates of violence against women and girls (VAWG) in conflict and humanitarian contexts, many survivors do not tell anyone about their experience or seek help from support r services (e.g. health, legal, psychosocial support, police).MethodsThis paper examines disclosure and help seeking behaviours of survivors of non-partner sexual violence (NPSV) and intimate partner violence (IPV) among women and girls aged 15–64 from three sites in South Sudan. It seeks to understand how exposure to armed conflict is associated with disclosure and help seeking practices.ResultsFor NPSV, respondents for whom an incident of sexual violence occurred during conflict had twice the odds of telling someone about their experience (aOR: 2.2; 95%CI: 1.3–3.7; p < 0.01) and three times the odds of seeking help (aOR: 3.1; 95%CI: 1.7–5.9, p < .001), compared to respondents for whom the incident of violence did not occur during conflict. Age, the identity of the perpetrator, working status of the woman, poverty and location also affected disclosure and help seeking behaviours for survivors of NPSV. For IPV, exposure to conflict increased the odds a respondent would tell someone about her experience (aOR 1.7; 95%CI 1.2–2.5; p < .01), but was not associated with seeking support services. The severity of IPV affected both disclosure and help seeking behaviours, with the odds of disclosing IPV increasing if the respondent experienced both physical and sexual IPV (compared to only sexual violence), had been injured, thought their well-being was affected, was afraid of their partner, or was controlled by their partner. However, not all these factors were subsequently associated with help seeking behaviours for survivors of IPV and respondents who reported they were sometimes afraid of their partner had reduced odds of seeking help, compared to those who were never afraid of their partners.ConclusionsThese findings are important as, prior to this analysis, it was unclear how experiencing conflict-related VAWG would influence disclosure and help seeking. Given the findings of this paper, it is important that the international community consider how to reduce barriers to reporting and help seeking for non-conflict-related forms of violence in these settings.
Highlights
Despite high rates of violence against women and girls (VAWG) in conflict and humanitarian contexts, many survivors do not tell anyone about their experience or seek help from support r services
Data and study population This paper examines the results of a cross-sectional survey undertaken amongst women and girls aged 15–64 from three purposively selected sites (Juba City, Rumbek and the Juba Protection of Civilian Sites) in South Sudan in 2016
For respondents who had experienced non-partner sexual violence (NPSV), 54% told someone about their experience and 27% sought help after their experience
Summary
Despite high rates of violence against women and girls (VAWG) in conflict and humanitarian contexts, many survivors do not tell anyone about their experience or seek help from support r services (e.g. health, legal, psychosocial support, police). Violence against women and girls (VAWG) is a pervasive problem during times of armed conflict. Global estimates show that approximately 21.4% of women and girls in complex humanitarian emergencies have experienced sexual violence at least once during their lifetimes [22]. This rate is approximately three times greater than estimated rates of sexual violence against women and girls globally (7.2% over the course of their lifetimes) – suggesting that exposure to armed conflict has a considerable effect on increasing incidents of sexual violence [24]. More women and girls are reported to experience intimate partner violence (IPV) compared to non-partner sexual violence (NPSV) even during armed conflict [15]. Exposure to armed conflict is emerging as a risk factor for increased IPV in conflict and post-conflict contexts [8, 11, 18]
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