Sexual and Gender-Based Violence in Post-Conflict Sierra Leone: The Contribution of Transitional Justice Mechanisms to Domestic Law Reform

Abstract Abstract Background Sexual and gender-based violence (SGBV), including rape and child sexual abuse, remains a significant challenge in post-conflict northern Uganda, including within refugee settlements. Many victims have never sought help from health-related services. Consequently, the scale of the problem is unknown, and SGBV victims’ injuries, both psychological and physical, remain undetected and unaddressed. We hypothesized that health workers in rural Reproductive Health Services could provide a valuable resource for SGBV screening and subsequent referral for support. Methods Our project had three elements. First, Reproductive Health Service workers were trained in the knowledge and skills needed to screen for and identify women who had experienced SGBV, using a questionnaire-based approach. Second, the screening questionnaire was used by reproductive health workers over a 3-month period, and the data analysed to explore the scale and nature of the problem. Third, victims detected were offered referral as appropriate to hospital services and/or the ActionAid SURGE (Strengthening Uganda’s Response to Gender Equality) shelter in Gulu. Results 1656 women were screened. 778 (47%) had a history of SGBV, including 123 victims of rape and 505 victims of non-sexual violence. 1,254 (76%) had been directly or indirectly affected by conflict experiences; 1066 had lived in IDP camps. 145 (9%) were referred at their request to Gulu SGBV Shelter under SURGE. Of these, 25 attended the shelter and received assistance, and a further 20 received telephone counselling. Conclusion Undetected SGBV remains a problem in post-conflict northern Uganda. Reproductive Health Service workers, following specific training, can effectively screen for and identify otherwise unreported and unassisted cases of SGBV. Future work will explore scaling up to include screening in hospital A&E departments, incorporate approaches to screening for male victims, and the impact of taking both screening and support services to rural communities through local clinics with mobile teams.

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Nationwide multi-channel sexual reproductive health and gender based violence messaging campaign in Sierra Leone (Preprint)

10.2196/preprints.31387 ◽

2021 ◽

Author(s):

Emeka Chukwu ◽

Sonia Gilroy ◽

John Sesay ◽

Lalit Garg ◽

Kim Eva Dickson

Keyword(s):

Reproductive Health ◽

Sierra Leone ◽

Lessons Learned ◽

Second Phase ◽

Gender Based Violence ◽

Significant Drop ◽

Radio Stations ◽

Sexual Reproductive Health ◽

Gender Based ◽

And Gender

BACKGROUND UNFPA launched two one-month campaigns to reach Sierra Leoneans at scale with critical Sexual Reproductive Health and gender-based violence messages during the Coronavirus 2019 pandemic. OBJECTIVE The intervention objective was to deliver Sexual Reproductive Health (SRH) and gender-based violence (GBV) messages to mobile phone subscribers in Sierra Leone. This paper presents the intervention’s messaging campaign design, deployment methodologies, and design-decisions; shows campaign effectiveness; and share lessons learned, including call pickup rates and listening-duration. METHODS We designed and deployed a two-phased campaign – phase one targeted Freetown (urban) residents, and phase two targeted Sierra Leoneans nationwide (urban and rural). Phase one delivered Family Planning, Maternal Health, Gender Based Violence (GBV), and Coronavirus 2019 messages through automated voice calls, SMS, radio jingles, and social media. Phase two of the campaign delivered national GBV only campaign messages through SMS and Radio jingles. RESULTS In phase one, only 31% of the 1,093,606 initiated automated calls to 290,000 subscribers were picked up, and this dropped significantly at 95% confidence (p=1) after each of the four weeks. Also, at 95% confidence levels, a significant number of subscribers did not listen to the complete messages when repeated (p=1). Thirty-one million two hundred (31.2 million) SMS messages were sent to all 3.9 million active Africell subscribers in Sierra Leone during the second phase. Also, SRH and GBV messages were aired on thirteen national radio stations in Sierra Leone during the second phase. The national toll free helpline for GBV cases reported an increase in calls and attributed it to the campaign. Automated call interventions are cost and human resource intensive. Call pickup rates, listening duration, language, and consideration for users’ ability to re-reference messages are key factors when selecting scalable messaging campaign channels. The drop in the number of subscribers picking up automated calls from the first to fourth week was significant at a confidence level of 95%. According to the GBV helpline operators, the increase in calls reporting GBV was attributable to our campaign. CONCLUSIONS Only a third of subscribers called with pre-recorded messages picked up their calls. When automated calls are repeated, it leads to a significant drop in call completion rates. There was an increase in demand for service to the GBV helpline in the month following the campaign. A multi-channel messaging campaign helped reach different groups of young people.

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