INTRODUCTION TO GENDER BASED VIOLENCE ADD PICTURE OBJECTIVE 1. 2. Overall purpose of the workshop is to provide foundational knowledge and skills needed to help design and implement survivor-centered GBV services. Important: This workshop is yours and your objective and expectations matter. Objectives By the end of the session, trainees will be able to: Explain the terms and concepts related to gender and gender based violence: sex, gender, gender relations/roles, sexual gender based violence – power, violence, use of force, informed consent, survivor/victim, and perpetrator. Define gender based violence Explain the causes of Gender Based Violence List types of Gender Based Violence Discuss the consequences of Gender Based Violence Terms and Concepts Gender: Gender is broadly defined as the socially ascribed characteristics of men and women in society. Sex, on the other hand, refers to the physiological and biologically determined characteristics of men and women. Differences between sex and gender Sex Gender Biologically defined Socially constructed Determined by birth Differs between and within Universal Relatively fixed (unless by surgical/hormonal interventions Set by nature cultures Includes variables identifying differences in roles, needs, responsibilities, opportunities, and constraints Subject to change and evolution as society evolves Varies from one society to the next, depending on age, class, religion, economy, politics Concept of Sexual and Gender-based Violence Power Perpetrators can have “real” or “perceived” power. Some examples of different types of power and powerful people: Social—peer pressure, bullying, leader, teacher, parents Economic—the perpetrator controls money or access to goods/services/money/favours; sometimes husband or father Political—elected leaders, discriminatory laws Physical—strength, size, use of weapons, controlling access or security; soldiers, police, robbers, gangs Gender-based (social)—males are usually in a more powerful position than females Age-related—often, the young and elderly people have the least power Power – cont. Power is directly related to choice. The more power one has, there are more choices available. The less power one has, fewer choices are available. Unempowered people have fewer choices and are therefore more vulnerable to abuse. Gender-based violence involves the abuse of power. Unequal power relationships are exploited or abused. Violence /Use of Force Violence is an act that causes pain in mind or body. Violence denies people their human rights, which have been agreed by all countries and we should never say the person deserved it or that violence is acceptable. “ Use of Force” maybe be physical, emotional, social or economic in nature. It may also involve coercion or pressure. Force also includes intimidation, threats, persecution, or other forms of psychological or social pressure. Violence consists of the use of physical force or other means of coercion such as threat, inducement or promise of a benefit to obtain something from a weaker or more vulnerable person. Using violence involves forcing someone to do something against her/his will—use of force. Consent Consent means saying “yes,” agreeing to something. Informed consent means making an informed choice freely and voluntarily by persons in an equal power relationship. Acts of gender-based violence occur without informed consent. Even if she says “yes,” this is not true consent because it is said under duress—the perpetrator(s) used some kind of force to get her to say yes. Children (under age 18) are deemed unable to give informed consent for acts such as marriage, sexual relations/consensual sex, etc. Survivor Survivor is the preferred term for a person who has lived through an incident of gender-based violence. The word “victim” conjures an image of someone who is weak, sick, small, hunched over, crying, clothed in rags, unable to function in the world. It is a sad, disempowering word. The word “survivor” conjures an image of someone who stands straight and tall, uses eye contact, walks with confidence, lives life to the fullest. It is a powerful, empowering word. Perpetrator A perpetrator is a person, group, or institution that inflicts, supports, or condones violence or other abuse against a person or group of persons. Characteristics of perpetrators: Persons with real or perceived power Persons in decision making positions Persons in authority Session Objectives: At the end of this session, participants will be able to: 1. Identify people at risk of GBV- potential survivors 2. Identify potential perpetrators of GBV; People at Risk of GBV- Potential Survivors Although SGBV is a global phenomenon in terms of age and sex, there are certain groups of people who are at a higher risk of SGBV. These include:Children Women Unaccompanied females, without male protection Single women, female headed households Mentally and/or physically disabled females and males Economically disempowered people Junior staff males and females, students, less privileged community members Minority groups; e.g., ethnic, religious Asylum seekers, internally displaced persons People who are at risk to GBV a) Women Women of all age groups and social status are prone SGBV. This is mainly due to the socially ascribed roles that expect women to be submissive, seek protection from their husbands or male members of the family, and ascribe them to be second-class citizens NOT equal players in homes. People who are at risk to GBV Pregnant women may be deprived of essential needs like food leading to malnutrition in pregnancy. They have little or no control over the family purse to the extent that even in emergency situations, they have to seek permission from their spouses or mothers –in law to get treatment. Married women are not granted the chance to decide on when to have sex and only has to do every thing as the husband wants with no objection/opposition because culturally they are considered as property since dowry was paid and can even be inherited. b) Children Children may be vulnerable to GBV because they are weak and an easy target of perpetrators of GBV. In addition, there are cultural beliefs that endanger the safety of children like FGM; the presumption that they are HIV negative and are not at risk of acquiring HIV; and that having sexual intercourse with children rejuvenates old men. c) Elderly women and men These are at high risk of SGBV because they are weak targets for perpetrators. Fear of stigmatization from the community may bar them from reporting GBV. They may suffer GBV from their social peers and in laws or family members. (. d) Mental disabilities d) Mentally disabled persons with mental disability may lose perception of their surroundings and suffer memory loss. They are prone to GBV because of their condition such as wondering to foreign environments, being desolate from the general public and being neglected from care and support. e) People with Disabilities Disability: is any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being. The restriction compromises the individual‘s ability to resist or defend oneself, raise alarm, run away, or report. (f) Adolescents: They have peculiar desires and experiences in relation to the biological and sexual changes that occur during adolescence. For instance, they desire to learn more about their new changes, some may aspire to experiment sex with a misguided view of proving their vitality. Misconceptions about sexuality like the more sexual partners you have the bigger the size of the penis or if a girl doesn‘t have sex then she will not get married. Adolescents are prone to defilement and sexual abuse by close family members, people in positions of authority such as teachers, among others Other groups of people at risk of GBV. Adopted children. People in war zones and living with disabilities. Job seekers, junior staffs. Students Etc. Categories or groups of people who are potential perpetrators: Intimate partners (husbands, boyfriends) Influential community members (teachers, leaders, politicians) Security forces, soldiers, peacekeepers Humanitarian aid workers (international, national, refugee staff) Strangers Members of the community Relatives (brothers, uncles, parents, aunts, sisters, etc.) Anyone who is in a position of power Putting concepts together Putting concepts together to explain the meaning of “gender-based violence” Gender—gender-based violence, violence that occurs based on gender roles, expectations, limitations, etc. GBV therefore affects females in most societies; males are also victims/survivors of GBV, but most gender discrimination occurs against females because they are disempowered in most societies as compared to their male counterparts. Gender-based violence definition An act of force or abuse of power, that does harm to a person, is committed against their will, without their informed consent, and which is committed based on their gender. These acts can be physical, mental, or sexual, and include threats or attempted acts. TYPES OF GENDER BASED VIOLENCE (GBV) SEXUAL VIOLENCE PHYSICAL VIOLENCE PSYCHOLOGICAL/EMOTIONAL VIOLENCE SOCIAL-ECONOMIC VIOLENCE HARMFUL TRADITIONAL PRACTICES Sexual Violence Sexual Harassment Rape Sodomy Attempted Rape Marital Rape Abuse/Exploitation Child Sexual Abuse/Incest Sexual Abuse (non-penetrating) Forced prostitution “willing” but involuntary, child prostitution, UAMs, Sexual Trafficking Early Marriage Physical Violence Spouse beating/battering Beating Slapping Kicking Hair pulling Emotional (mental) psychologicalVerbal, emotional abuse Discrimination Humiliation Denial of opportunities and/or services Spouse confinement (domestic violence) Verbal Abuse/name calling Socio-Economic Violence Denial of education, food for girls/women due to gender role expectations Discrimination and/or denial of opportunities, services Social exclusion/ ostracism based on sexual orientation Harmful Traditional Practices Widow ceremonies/Inheritance ?? Punishments directed at women for crimes against culture Denial of education, food for girls/women Early marriage Forced marriage Dowry abuse Honour killing and Maiming Infanticide and/or neglect CAUSES AND CONTRIBUTING FACTORS TO GBV The root causes of all forms of GBV lie in abuse of power, gender inequality and perpetuated by society’s attitudes towards and practices of gender discrimination—the roles, responsibilities, limitations, privileges, and opportunities afforded to an individual according to gender. Addressing the root causes through prevention activities requires sustained, long term action with change occurring slowly over a long period of time Contributing Factors Contributing factors are factors that perpetuate GBV or increase risk of GBV, and influence the type and extent of GBV in any setting. Contributing factors do not cause GBV although they are associated with some acts of GBV. Some examples: Alcohol/drug abuse is a contributing factor—but all drunks/drug addicts do not beat their wives or rape women. War, displacement, and the presence of armed combatants are all contributing factors, but all soldiers do not rape civilian women. Poverty is a contributing factor, but all poor women are not victimized by forced prostitution or sexual exploitation. Many contributing factors can be eliminated or significantly reduced through prevention activities. Possible Contributing factors that perpetuate Gender-based violence: Male and/or society attitudes of disrespect or disregard towards women. Lack of belief in equality of human rights for all Cultural/social norms of gender inequality Lack of value of women and/or women’s work Alcohol/drug abuse Poverty Availability of food, fuel, wood, income generation requires women to enter isolated areas Boredom, lack of services, activities, programs Leadership predominantly male; women’s security issues not considered in decisions Collapse of traditional society and family supports Possible Contributing factors that perpetuate Gender-based violence Religious, cultural, and/or family beliefs and practices Design of services and facilities General lawlessness Loss of male power/role in family and community; seeking to assert power Political motive, weapon of war, for power/control/fear/ethnic cleansing Geographical location/environment (high crime area) Lack of laws against forms of gender-based violence Lack of police protection Legal justice system/laws silently condones gender violence Consequences of GBV Health consequences—There are serious and potentially life threatening health outcomes with all types of sexual and gender-based violence. The exact consequences vary, depending on the type of GBV. The consequences range from: Fatal Outcomes, Acute Physical, Chronic Physical and Reproductive Health consequences Homicide Injury Disability Miscarriage Health Consequences of Sexual Gender Based Violence Short-term health effects: minor cuts, headaches, pains and bruises. Long-term health outcomes: chronic pelvic pain, disfiguring scars sustained from burns or beating, organ damage, chronic disabilities like fractures, mental disorders, depression, infertility adverse pregnancy outcomes like unsafe abortions. Fatal consequences such as suicide. Consequences of GBV Suicide Shock Somatic complaints Unwanted pregnancy Maternal mortality Disease Chronic infections Unsafe abortion Consequences of GBV- Health consequences Infant mortality Infection Chronic pain STIs including HIV/AIDS AIDS-related mortality Gastrointestinal problems Pregnancy complications; infertility Consequences of GBV- Health consequences Eating disorders Menstrual disorders Sleep disorders Gynecological disorders Alcohol/drug abuse Sexual disorders Psychological/Emotional Consequences Most psychological and emotional after- effects should be viewed as normal human responses to horrific, terrifying, extreme event. In some cases, however, the survivor experiences mental illness that requires medical intervention. Post traumatic stress Depression Anxiety, fear Anger Shame, insecurity, self-hate, self-blame Mental illness Suicidal thoughts, behavior, attempts Social Consequences Most societies tend to blame the survivor for the incident, especially in cases of rape. This social rejection results in further emotional damage, including shame, self-hate and depression. Due to their fear of social stigma and rejection, most survivors never report the incident and never receive proper health care and emotional support. Most incidents of GBV are never reported to anyone. Social Consequences Blaming the victim Loss of ability to function in community (e.g., earn income, care for children) Social stigma Social rejection and isolation Rejection by husband and family Addressing GBV PREVENTION Activities and actions that target the root causes and contributing factors of GBV RESPONSE Actions and services that target the consequences of GBV 44 Prevention & Response Activities PREVENTION ACTIVITIES: seek to influence changes in the knowledge, attitudes, and behavior of a community, and reducing the risks faced by women and girls, by addressing both the root cause and contributing factors of GBV. RESPONSE ACTIVITIES: seek to minimize the consequences of GBV and prevent further trauma. 45 Multi Sectoral Approaches to GBV WHAT ARE THE KEY SECTORS? Key Sectors of Response 47 Multi Sectoral Approaches to GBV HEALTH PSYCHO-SOCIAL Emergency contraception Treat injuries Treat STIs PEP Referral Documentation Psychological and emotional support counseling Social acceptance and reintegration Income generation programs Skills training programs Group counseling Documentation and referral SAFETY & SECURITY LEGAL/ JUSTICE Report to police Investigate case Arrest perpetrator File charges with the court Formal and traditional Apply appropriate laws and hold perpetrators accountable GBV REFERRAL SYSTEM REFERRAL WHAT ARE REFERRALS • The processes by which a survivor gets in touch with professionals and/or institutions regarding her case AND • The processes by which different professional sectors communicate and work together, in a safe, ethical and confidential manner, to provide the survivor with comprehensive support WHAT IS A REFERRAL PATHWAY • A flexible mechanism that safely links survivors to supportive and competent services. • Can include any or all of the following: Health, Psychosocial, Security and Protection, Legal/Justice, and/or Economic Reintegration support WHY ARE REFERRALS NEEDED • Survivors typically have multiple and complex needs that require a comprehensive set of services • One single organization cannot effectively provide all of these services THEREFORE: • Coordinated, multi-sectoral response is necessary WHO SHOULD BE INVOLVED IN REFERRALS A survivor has the freedom and the right to disclose an incident to anyone. Anyone the survivor tells about her experience has a responsibility to give honest and complete information about services available, to encourage her to seek help, and to accompany her and support her through the process whenever possible. Providing information to survivors in a safe, ethical and confidential manner about their rights and options to report risk and access care is a responsibility of ALL humanitarian actors who interact with affected populations REFERRAL PATHWAY REFERRAL PATHWAY IN PRACTICE GUIDELINES FOR REFERRAL All humanitarian personnel who engage with affected populations should have up to date written information about where to refer survivors for care and support. Ensure training on how to respectfully and supportively engage with survivors and provide risk reporting and/or referral information in an ethical, safe and confidential manner Any programmes that share information about reports of GBV must abide by safety and ethical standards (e.g. shared information does not reveal the identity of or pose a security risk to individual survivors, their families or the broader community) SESSION 1.4: GUIDING PRINCIPLES IN RESPONDING TO SGBV Session objectives By the end of the session participants will be able to: Discuss the guiding principles in relation to SGBV Demonstrate ability to uphold the guiding principles Respect • The actions & responses of all actors will be guided by respect for the wishes, the rights, the dignity of the survivor. Respect the wishes, rights, and dignity of the survivor. This principle underscores the importance of the caseworker using a validating, non-blaming and nonjudgmental approach with the survivor. This principle also reminds us that we must value the survivor. We express to survivors that we care about their experiences, their history and what happens to them now and in the future. We let her know that she is valuable and that she matters in the world and to us. This is particularly important given the relational dynamics of her life and/or experiences with violence. As caseworkers, we are the one person in her life from which she can expect to receive unconditional care, support and respect. Respect Do not ask inappropriate questions like “are you a virgin?” All survivors have different ways of coping, and we need to be considerate of them. All actions taken will be guided by respect for the choices, wishes, rights, and dignity of the victim/survivor. Some examples: Conduct interviews and examinations in private settings and with same sex translators, wherever possible. Always try to conduct interviews and examinations with staff of the same sex as the victim/survivor (e.g., woman survivor to woman interviewer or health worker) Respect (cont.) Be a good listener. Maintain a non-judgmental manner. Be patient; do not press for more information if the survivor is not ready to speak about her experience. Ask survivors only relevant questions. The prior sexual history or status of virginity of the survivor is not an issue and should not be discussed. Avoid requiring the survivor to repeat her story in multiple interviews. Do not laugh or show any disrespect for the individual or her culture, family or situation. • Ensure the safety of the Safety survivor at all times. Establish and ensure safety Ensuring the physical and emotional safety of the survivor is critical during care and treatment. All case actions taken on behalf of the survivor must safeguard the survivor’s physical and emotional well-being in the short and long-term. Safety must also be established within the relationship between the caseworker and client such that the survivor feels she will be not be physically or emotionally harmed by the caseworker and the caseworker’s actions. 1. Safety Ensuring the safety and security of the survivor should be the number one priority for all actors, at all times. Remember that the survivor may be frightened and need assurance of her individual safety. In all cases, ensure that she is not at risk of further harm by the perpetrator or by other members of the community. Safety (cont.) If necessary, ask for assistance from camp security, authorities, field officers, or others. Be aware of the safety and security of the people who are helping the survivor, such as family, friends, community service or GBV workers, and health care staff. Confidentiality • At all times, the confidentiality of the survivor (s) and their families will be respected. Maintain confidentiality. This principle requires that caseworkers and others involved in the care and treatment of clients protect information gathered about them and agree to only share information about clients’ cases with their explicit permission. This means ensuring 1) the confidential collection of information during interviews; 2) that sharing information happens on a need to know basis or in line with laws and policies; that permission is obtained from the survivor before information is shared; 3) when making a referral only the details relevant to the referral are shared with the other service provider and that the caseworker and survivor reach a decision together about what should be shared; and 4) case information is stored securely. Maintaining confidentiality also means that service providers never discuss case details with family and friends, or with colleagues whose knowledge of the abuse is deemed unnecessary. ! CONFIDENTIALITY Definition = Not disclosing any information at any time to any party without the informed consent of the person concerned. The decision to release any information related to the incident or the survivor rests with the survivor alone. Confidentiality At all times, respect the confidentiality of the survivor families. Share only necessary and relevant information (not all details), ONLY if requested and agreed by the survivor, with only those people involved in providing assistance. Information about GBV reported incidents and GBV survivors should never be shared if it includes the individual’s name or other identifying information. Confidentiality (cont.) Information concerning the survivor should only be shared with third parties after seeking and obtaining the survivor’s (or their parents,’ in the case of children) explicit consent in writing. All written information must be maintained in secure, locked files. In meetings, there may be times when a specific GBV case is mentioned. Ensure that no identifying information is revealed, disguising details as needed to protect the confidentiality of the survivor. • All survivors of violence should receive equal and fair treatment regardless Nonof their age, race, discrimination religion, nationality, ethnicity, sexual orientation or any other characteristics. Non-discrimination. Every adult or child, regardless of his/her sex, should be accorded equal care and support. Victims/survivors of violence should receive equal and fair treatment regardless of their race, religion, nationality or sexual orientation. We fully recognize and intend to uphold this guiding principle in our work. However, it must be noted that the priority target population around which case management approach and services have been built are women and girls. Caseworkers will never deny services to men and boys, but want to be explicit that our approach, training and skills have been developed with women and girls as the primary intended clients. Non discrimination Provide all survivors/victims (married or unmarried, girls, boys and men) with access to services Ensure same sex interviewers including interpreter, medical worker, police officer, protection officer, community service worker and other whenever possible. EXCEPTION The only time confidentiality should be breached is when there is imminent risk to the survivor or the GBV worker. What if confidentiality is breached? Threat to the survivor, the perpetrator and/or the GBV workers Injury to the survivor, the perpetrator and/or the GBV workers Death of the survivor, the perpetrator and/or the GBV workers. What is the summary of what we learned? What ideas do we need to carry with us into the coming day? Any questions to be answered from the parking lot…or burning questions? How have we understood what we have learned so far? What are the 2 key points for us in thinking about GBV? What do we want to learn more about in future? Survivor-Centered Approach The GBV guiding principles are inextricably linked to the overarching humanitarian responsibility to provide protection and assistance to those affected by a crisis and are embodied in a GBV intervention promoting a survivor-centered approach. Essentially, a survivor-centered approach involves designing and developing programming that ensures survivors’ rights and needs come first and foremost. This also means that the survivor should be placed at the center of each step of the referral pathways, and that every decision should be driven by her/his needs and capacities. Survivor-centred approach means that the survivor’s rights, needs and wishes are prioritized