DR. PRIYANKA DEVGUN PROF AND HEAD, DEPTT OF COMMUNITY MEDICINE SGRDIMSAR 09/03/2014 at pingalwara manawala 1 Page 2
It registers when an enemy hurts you, It pains when a friend hurts you, But it devastates when the one inflicting the pain is a loved one ! Page 3 Defining Sex and Gender Sex refers to the biological differences between men and women. They are generally permanent and universal.
Gender refers to the norms, roles and social relations between men and women. It is socially constructed. Gender roles can be changed. 3 Page 4 GBV and VAW Gender Based Violence Violence against women and girls includes physical, sexual, psychological, and economic abuse. It is often known as "gender-based" violence because it evolves in part from women's subordinate status in society. (UNDA 2001) Violence against women Any act of gender-based violence that results in, or is likely to result in, physical, sexual, or psychological harm or suffering to women, including threats of such acts, coercion or arbitrary deprivation of liberty, whether occurring in public or private life". (UN 1993)
(United Nations, 1993)
Page 5 Violence against women includes: Partner abuse Sexual abuse, rape, including marital rape Dowry related violence Female genital mutilation Trafficking and forced prostitution Sexual harassment at the workplace Violence condoned or carried out by the state (i.e. rape in war) 5 Page 6 BURDEN OF THE PROBLEM Page 7 How common is physical or sexual violence in womens lives? (WHO study) 0 20 40 60 80 100 p e r c e n t a g e Prevalence of physical or sexual violence against women by anyone (partners and others), since age 15 years 7 Page 8 Recent global prevalence figures indicate
35% of women have experienced either intimate partner violence or non- partner sexual violence in their lifetime. 30% of women -15% (Japan) to 71% (Ethiopia) in a relationship have experienced some form of physical or sexual violence by their partner. 38% of murders of women are committed by an intimate partner. Page 9 Pregnancy is not necessarily a protected time
He hit me in the belly and made me miscarry two babies - identical or fraternal twins, I dont know. I went to the hospital with heavy bleeding and they cleaned me up
Woman interviewed in Peru
4%-12% of women were beaten during a pregnancy Between 1/4 to 1/2 of these women reported being punched or kicked in the stomach In almost 100% of cases, the abuser was the father of the unborn child(Source:WHO study, 2005)
9 Page 10 Indian scenario Page 11 Spousal Violence 37 35 10 16 27 24 21 7 11 40 Physical, sexual, or emotional violence Physical or sexual violence Physical violence Sexual violence Emotional violence Ever In the past 12 months Percent of ever-married women age 15-49 Only 1% of married women have ever initiated violence against their husbands. Source: DHS 2005-06 Page 12 Marital duration at which spousal violence first occured 87% of spousal violence initiated within 5 years of marriage 0 37 35 32 7 13 0% 20% 40% 60% 80% 100% Marriage <1 year Within 2 years Within 5 years Within 10 years More than 10 years Not experienced violence Experienced violence 87% of spousal violence initiated within 5 years of marriage Percent 0 37 35 32 7 13 0% 20% 40% 60% 80% 100% Marriage <1 year Within 2 years Within 5 years Within 10 years More than 10 years Not experienced violence Experienced violence 87% of spousal violence initiated within 5 years of marriage India 2005-06 Page 13 VAW.WHY?? Page 14 VAW is a product of gender subordination : norms of male ownership of women male control of wealth in the family male control of decision making notions of masculinity tied to male dominance/honor
14 Page 15 Violent behavior is learnt behavior
learnt through Personal experience Observation in family, friends, communities, etc. Culture
15 Page 16 GBV aggravated, but not caused by Illness, heredity, alcohol and drugs, lack of self-control, economic problems, anger/stress, the victims behavior or problems in the relationship Boys growing up in families where father is violent are three times more likely to become perpetrators of partner violence in their adulthood (study in Serbia 2003).
16 Page 17 GBV SUPPORTIVE ATTITUDES AND BEHAVIORS.. (pattern of assaultive and coercive behaviors )
Page 19 Types Of Abusive Behaviors Physical abuse Sexual abuse Psychological abuse Use of economics Use of children to control an adult victim 19 Page 20 Physical abuse Slapping, Shaking, Beating with fist or object, Strangulation, Burning, Kicking, Threats with knife or gun
Sexual abuse through threats or intimidation, through physical force, forcing unwanted sexual acts, forcing sex in front of others, forcing sex with others
Page 21 Psychological abuse Isolation from others, Excessive jealousy, Control her activities, Verbal aggression, Intimidation through destruction of property, Harassment or stalking ,Threats of violence, Constant belittling and humiliation Economic abuse With-holding funds, Spending family funds, Making most financial decisions, Not contributing financially to the family, Controlling the victims access to health care, employment, etc.
Page 22 Using children to control an adult victim
Physical and sexual abuse of children Using children to monitor the adult victim 22 Page 23 GBV. CONSEQUENCES 23 Page 24 Health Consequences of Abuse Fatal Outcomes homicide suicide maternal deaths AIDS related deaths Non-fatal outcomes
low birth-weight emotional well-being behavioural difficulties problems at school injuries leave home/ delinquency 25 Page 26 GBV DECIMATION.HOW?? Page 27 November 25 th
International day for elimination of violence against women Page 28 During the 66th World Health Assembly in May 2013, seven governments Belgium, India, Mexico, Netherlands, Norway, United States of America, and Zambia declared VAW "a major global public health, gender equality and human rights challenge, touching every country and every part of society" Page 29 , Protection Of Women From Domestic Violence Act 2005
This Act came in to force on 26th Oct, 2006.
Crimes against women broadly fall in two categories. a) Crimes identified under IPC and b) Crimes identified under Special Laws.
Page 30 Crime Section of IPC Rape 376 Kidnapping and abduction for different purposes 363 373 IPC Homicide for dowry, dowry deaths or their attempts 302, 304-B IPC Torture, both mental and physical 498-A IPC Importation of girls (up to 21 years of age. 366-B IPC Molestation 354 IPC Sexual harassment 509 IPC Page 31 Special Act Commission of Sati (Prevention) Act 1987
Indecent Representation of women (Prohibition) Act 1986
The Medical Termination of Pregnancy Act 1971
Page 32 Page 33 In high-income settings school-based programmes to prevent relationship violence among young people are supported by some evidence of effectiveness.
In low-income settings Primary prevention strategies like microfinance, gender equality training and community-based initiatives that address gender inequality and communication and relationship skills, hold promise. Page 34
Aiha Zemp, Erika Pircher and Christine Neubauer (1997). ‘Sexual Exploitation of Girls and Women with Disabilities’, GenderLink Diversity Centre Occasional Papers No. 12, Salzburg, European Union, 1997.