世界银行-增强卫生工作者的权能，加强系统：乌克兰基于性别的暴力预防和应对在线培训综述（英）

Page 1 EMPOWERING HEALTH WORKERS, STRENGTHENING SYSTEMS: A review of an online training on Gender- based violence (GBV) Prevention and Response in Ukraine Health, Nutrition and Population Global Practice Knowledge Brief Official Use Only KEY MESSAGES 1 A systematic review of GBV prevalence studies in contexts of violence and fragility highlights that IPV remains the most common form of violence in emergencies. Displacement, exposure to armed conflict, loss of community protection structures, perceived threats to masculinity, increased substance abuse are some of the factors that can exacerbate sexual violence and intimate partner violence in crises. Stark et al, 2011; When compared with sexual violence perpetrated by individuals outside of the home for example. Spangaro et al. 2021; Arango et al. 2021 2 A study examining emergency department utilization by women who were ultimately killed by an intimate partner found that 44% of the women had sought help in an emergency department within the two years prior to their death. Consequently, the health sector, in collaboration with other sectors, can contribute significantly to preventing and responding to VAWG at various stages of the cycle of violence. Source: Boinville, Madeleine. Screening for Domestic Violence in Health Care Settings. ASPE Policy Brief, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, August 2013 1 Gender-based violence (GBV) in its various forms is the most extreme manifestation of gender inequality and it disproportionately affects women and girls. 2 GBV stems from power imbalances, cultural norms, and systemic inequalities, leading to severe physical, emotional, and socio-economic consequences. 3 GBV is accentuated in emergencies1. 4 The health sector is often the first point of contact for survivors of GBV and is a key entry point into the referral pathway to other sectors2. 5 There are significant provider side barriers that prevent health workers from identifying abuse and providing timely, appropriate care and support to women affected by violence Public Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure Authorized Page 2 HNPGP Knowledge Brief Official Use Only INTRODUCTION Gender-based violence (GBV) is a form of gender discrimination and is one of the leading causes of human rights violations in the world. GBV often heightened in emergencies, is a compelling issue in Ukraine, a nation experiencing one of the most profound humanitarian crises in recent history. The Russia’s invasion of Ukraine precariously makes young girls and women vulnerable to GBV, a violent crime. If left unaddressed, GBV, now recognized a global health pandemic, has the potential to cripple Ukraine’s development story. Reportedly even during the COVID-19 pandemic, 67% of Ukrainian women experienced some form of violence since the age of 15, ye