Published online by Cambridge University Press: 18 February 2015
During the past twelve months, the issue of sexual violence in conflict and emergencies has received an unprecedented amount of attention at the highest political and institutional levels. In 2013, the United Kingdom's Department for International Development (DFID) launched a Call to Action to mobilize donors, UN agencies, non-governmental organizations (NGOs) and other stakeholders on protecting women and girls in humanitarian emergencies, culminating in the high-level event “Protecting Girls and Women in Emergencies” in November 2013. As of August 2014, over forty partners (including governments, United Nations (UN) agencies and NGOs) had made commitments to the Call to Action. Furthermore, in June 2014 the “Global Summit to End Sexual Violence in Conflict”, co-chaired by the UK Foreign Secretary and Angelina Jolie, Special Envoy for the UN High Commissioner for Refugees (UNHCR), gathered 1,700 delegates and 129 country delegations. In his summary, the chair of the Global Summit states: “We must apply the lessons we have learned and move from condemnation to concrete action. We must all live up to the commitments we have made.”1 In September 2014, the United States organized a Call to Action event in New York during the UN General Assembly with the purpose of sharing progress on commitments made in November 2013. It thus seems that efforts to raise awareness about sexual violence in conflict and emergencies and advocate for a much stronger commitment to action are well under way. But is this enough? Is there enough evidence from lessons learned to allow us to increase and improve our response?
1 “Chair's Summary – Global Summit to End Sexual Violence in Conflict”, UK Foreign and Commonwealth Office, 13 June 2014, available at: www.gov.uk/government/publications/chairs-summary-global-summit-to-end-sexual-violence-in-conflict/chairs-summary-global-summit-to-end-sexual-violence-in-conflict (all internet references were accessed in September 2014).
2 UNHCR, Guidelines for the Prevention of and Response to Sexual and Gender-Based Violence against Refugees, Returnees and Internally Displaced Persons, May 2003, available at: www.unhcr.org/3f696bcc4.html.
3 The Inter-Agency Standing Committee Task Force on Protection from Sexual Exploitation and Abuse in Humanitarian Crises was established in March 2002. It provided guidelines for investigations and adopted six standards of behaviour to be included in UN and NGO codes of conduct. In October 2003, the Secretary-General issued a Bulletin entitled Special Measures for Protection from Sexual Exploitation and Sexual Abuse, ST/SGB/2003/13, available at: http://daccess-dds-ny.un.org/doc/UNDOC/GEN/N03/550/40/PDF/N0355040.pdf?OpenElement.
4 Interagency Standing Committee (IASC), Guidelines for Gender-based Violence Interventions in Humanitarian Settings, September 2005, available at: www.unhcr.org/453492294.html
5 See, inter alia, World Health Organization (WHO), Mental Health and Psychosocial Support for Conflict-Related Sexual Violence: Principles and Interventions, 2012, available at: http://apps.who.int/iris/bitstream/10665/75179/1/WHO_RHR_HRP_12.18_eng.pdf; International Rescue Committee (IRC), UNICEF, Caring for Child Survivors of Sexual Abuse: Guidelines for Health and Psychosocial Service Providers in Humanitarian Settings, 2012, available at: www.unicef.org/protection/files/IRC_CCSGuide_FullGuide_lowres.pdf; UNHCR, Handbook for the Protection of Women and Girls, March 2008, available at: www.unhcr.org/protect/PROTECTION/47cfae612.html.
6 UNFPA offers an e-learning course entitled “Managing Gender-Based Violence Programmes in Emergencies”; see https://extranet.unfpa.org/Apps/GBVinEmergencies/intro/player.html. Johns Hopkins University has developed “Confronting Gender-Based Violence”, a course focusing on clinical and psychosocial care for women and men who are survivors and/or are at risk of gender-based violence; see http://moodle.ccghe.net/enrol/index.php?id=58.
7 Spangaro, Jo, Adogu, Chinelo, Ranmuthugala, Geetha, Davies, Gawaine Powell, Steinacker, Léa and Zwi, Anthony, “What Evidence Exists for Initiatives to Reduce Risk and Incidence of Sexual Violence in Armed Conflict and Other Humanitarian Crises? A Systematic Review”, PLOS ONE, Vol. 8, No. 5, 2013CrossRefGoogle ScholarPubMed.
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11 WHO, Guidelines for Medico-Legal Care for Victims of Sexual Violence, 2003.
12 UNHCR and WHO, Clinical Management of Rape Survivors: Developing Protocols for Use with Refugees and Internally Displaced Persons, revised ed., 2004.
13 MSF, Medical Protocol for Sexual Violence Care, 2nd ed., May 2014 (unpublished but available on demand).
14 PEP consists of a short-term antiretroviral treatment (twenty-eight days) to reduce the likelihood of HIV infection after potential exposure, either occupationally or through sexual intercourse.
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19 S. A. Bartels et al., above note 15.
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24 MSF, Shattered Lives: Immediate Medical Care Vital for Sexual Violence Victims, Brussels, 2009.
25 Jo Spangaro, Anthony Zwi, Chinelo Adogu, Geetha Ranmuthugala, Gawaine Powell Davies and Léa Steinacker, “What Is the Evidence of the Impact of Initiatives to Reduce Risk and Incidence of Sexual Violence in Conflict and Post Conflict Zones and Other Humanitarian Crises in Lower- and Middle-Income Countries? A Systematic Review”, EPPI-Centre, Social Science Research Unit, Institute of Education, University of London, 2013.
26 HIV seroconversion is the interval, after HIV infection, during which antibodies are first produced and rise to detectable levels. Seroconversion takes place within three weeks in most infected individuals.
27 V. Buard et al., above note 20.
28 A. Kohli et al., above note 23.
29 Ibid., p. 7.
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32 Tol, Wietse, Stavrou, Vivi, Greene, Claire, Mergenthaler, Christina, van Ommeren, Mark and Moreno, Claudia Garcia, “Sexual and Gender-Based Violence in Areas of Armed Conflict: A Systematic Review of Mental Health and Psychosocial Support Interventions”, Conflict and Health, Vol. 7, No. 1, 2013CrossRefGoogle ScholarPubMed, p. 16.
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35 J. Spangaro et al., above note 25.
36 Kim T. Seelinger, Helen Silverberg and Robin Mejia, “The Investigation and Prosecution of Sexual Violence”, Sexual Violence & Accountability Project, Woking Paper Series, University of California, Berkley, CA, May 2011.
37 On efforts to prosecute sexual violence crimes at the national level, see, inter alia, the article by Kim Seelinger in this issue of the Review.
38 J. Spangaro et al., above note 25.
39 UN Security Council, “The Rule of Law and Transitional Justice in Conflict and Post-Conflict Societies: Report of the Secretary-General”, S/2011/634, 12 October 2011, para. 26.
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43 UNHCR and Refugee Law Project, “Working with Men and Boy Survivors of Sexual and Gender-Based Violence in Forced Displacement”, UNHCR, Geneva, July 2012.
44 J. Spangaro et al., above note 25.
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46 See the SVRI website at: www.svri.org/about.htm.
47 SVRI, Executive Summary – A Research Agenda for Sexual Violence in Humanitarian, Conflict and Post-Conflict Settings, WHO, Stop Rape Now, MRC South Africa, SVRI, available at: www.svri.org/ExecutiveSummary.pdf.
48 Reproductive Health Response in Conflict Consortium, Gender-Based Violence Tools Manual: For Assessment & Program Design, Monitoring & Evaluation in Conflict-Affected Settings, New York, February 2004.
49 WHO, WHO Ethical and Safety Recommendations for Researching, Documenting and Monitoring Sexual Violence in Emergencies, WHO, Geneva, 2007.
50 Vu, Alexander, Adam, Atif, Wirtz, Andrea, Pham, Kiemanh, Rubenstein, Leonard, Glass, Nancy, Beyrer, Chris and Singh, Sonal, “Prevalence of Sexual Violence among Female Refugees in Complex Humanitarian Emergencies: A Systematic Review and Meta-Analysis”, PLOS Currents Disasters, Edition 1, 18 March 2014CrossRefGoogle ScholarPubMed.
51 WHO, above note 49, p. 15.
52 Ibid.
53 See the GBVIMS website at: www.gbvims.org.
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57 SVRI, above note 47.
58 Amnesty International, “Aftershocks: Women Speak Out against Sexual Violence in Haiti's Camps”, London, 2011, available at: www.amnesty.org/en/library/asset/AMR36/001/2011/en/57237fad-f97b-45ce-8fdb-68cb457a304c/amr360012011en.pdf.